Archives

Creating Patient-Centered Dysphagia Goals using the SMART Framework

January 1, 2022 by Megan Berg.
This resource is not a generic list of dysphagia goals. Instead, it’s a guide to help with the critical thinking and patient collaboration necessary to identify meaningful dysphagia goals. Some examples are provided, but clinicians and patients are encouraged to use the SMART framework to support patient-centered goals.
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NO STRAWS Sign

December 30, 2021 by Megan Berg.
This sign is designed to be placed at bedside to improve carry-over of dysphagia strategies.
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NG Tube Effect on Swallowing Physiology

December 30, 2021 by Megan Berg.
A common question asked by SLPs is whether the presence of an NG tube affects swallow function. This clinical resource provides insight and answers to this question using research on both normal and post-stroke populations.
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Let’s Talk Aspiration: How Much is Too Much?

December 29, 2021 by Megan Berg.
This material explains the difference between “aspiration” and “silent aspiration.” New research with healthy swallows shows occasional aspiration and silent aspiration can be tolerated by the body in small amounts. This information will help with the differential diagnosis of dysphagia and presbyphagia and prevent over-diagnosis of dysphagia.
This content is only available to members.

Keep Calm and Assess the Risk of Aspiration Pneumonia

December 27, 2021 by Megan Berg.
Does aspiration = pneumonia? Maybe. This handout is designed to help SLPs navigate this complex conversation with patients who are at risk of dysphagia. The handout breaks down the evidence base of three variables and how they stack up to different risks. This provides a clear visual as to how a healthy immune system and quality, consistent oral care may be a strong avenue to prevent aspiration pneumonia, even in the presence of aspiration risk.
This content is only available to members.

IDDSI Level 4 (Pureed/Extremely Thick)

December 26, 2021 by Megan Berg.
The International Dysphagia Diet Initiative (IDDSI) level four encompasses both drink and food which are “extremely thick” and “pureed.” This material provides information for patients and their caregivers on this consistency’s characteristics, the reasoning for recommendation/need for this consistency, ways to test this consistency at home, and helpful recommendations and examples.
This content is only available to members.

High Flow Nasal Cannulas and Dysphagia

December 26, 2021 by Megan Berg.
A person may need respiratory support from a high-flow nasal cannula (HFNC) for multiple reasons. However, the medical team will need to collaborate with the speech-language pathologist to determine if swallowing will be safe for this non-invasive oxygen treatment. The SLP will consider many questions because HFNC can negatively change swallowing safety and increase aspiration risk. This handout will explain the purpose of HFNC and provide clinical questions to be considered by the medical team.
This content is only available to members.

Xerostomia / Dry Mouth

December 26, 2021 by Megan Berg.
This handout describes the various causes of xerostomia and provides a list of treatment options, including using natural enzymes, adjusting medications, oral rinses and moisturizing products, use of humidifiers, and avoiding dehydrating foods/liquids.
This content is only available to members.