Thick saliva. Get your free 2-page PDF handout of 16 Dysphagia Myths – Busted! Current treatment and research trends… Speech Pathology: Evaluation and Treatment … dysphagia into static disorders and dynamic disorders, whereas Horiguchi 8) proposed that it be classified into the following three types: (i) organic dysphagia, (ii) motor disorder dysphagia, and (iii) functional dysphagia. Signs and symptoms of aspiration (FREE patient handout), Treatment: Thickened liquids, Labial exercises, Treatment: Modified diet textures, Lingual exercises, Treatment: Alternating bites and sips, Lingual exercises, Treatment: Thickened liquids, Small bites and sips, Bolus hold, Chin tuck, Lingual exercises, Treatment: Small bites and sips, Thinner consistencies, Masako maneuver, Mendelsohn maneuver, Shaker exercise, Treatment: Mendelsohn maneuver, Effortful swallow, Treatment: Dry swallow, Alternating bites and sips, Chin tuck, Effortful swallow, Mendelsohn maneuver, Lingual exercises, Masako maneuver, Treatment: Head turn. Increased oral intake 3. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. dysphagia. o Positioning, dentition, and medications. The strategy must work for all consistencies. Relax down and repeat up to 30 times.Chin tuck against resistance: (use in place of the Shaker exercise with patients physically unable to lay flat on their backs. --Compensatory Strategies work best because other types of exercises may put further stress and work on the respiratory system and may be unproductive. Read on for details! PLAY. There are check boxes for customizing it to your patient. Designed for speech-language pathologists working with patients who have dysphagia exacerbated by GERD. Management of dysphagia includes the incorporation of compensatory strategies to immediately address swallow-ing safety (e.g., aspiration) and efficiency (e.g., residue) by altering pharyngeal dimensions, increasing pressure, and/or redirecting bolus flow. * Educate patients and caregivers about the signs and symptoms of aspiration. (Hyper).. Terms in this set (31) Whole Body Positioning. Dysphagia Dysphagia refers to a patient's perception of difficulty in the passage of a swallowed bolus from mouth to stomach. Current studies show that some dysphagia programs based on the principles of exercise physiology can result in: 1. 993 0 obj <> endobj Spanish Swallowing Resources compiled by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com. Complete two more times. The handout lays out the basics of these types of thickeners, including main ingredients, shelf life, how they're thickened, and pros/cons. explain the purpose of dysphagia postural compensatory strategies safely and effectively educate/instruct, facilitate and supervise clients using dysphagia postural compensatory strategies including chin tuck, head turn, head tilt, effortful swallow and supraglottic swallow monitor and address common performance problems. No well-proven strategies to prevent dysphagia are available. After VFSS, 8 patients had a functional swallow and 2 … Skip to ... Dysphagia Bundle. 1016 0 obj <>/Filter/FlateDecode/ID[]/Index[993 59]/Info 992 0 R/Length 115/Prev 149089/Root 994 0 R/Size 1052/Type/XRef/W[1 3 1]>>stream While seated, place a rolled-up hand towel under your chin, pressed lightly against your neck. These cue cards will describe the purpose of the strategies and how to perform them. Do not tense your neck muscles.Cheek puffs: Puff out your cheeks like a blow fish and hold for 5 seconds. Jan 30, 2020 - Explore penny fox-jones's board "dysphagia" on Pinterest. Dysphagia can often have severe consequences including an exacerbation or worsening of COPD and pneumonia. • Continue to use the guidelines and strategies that are posted by the Speech-Language Pathologist located on the Dysphagia Guidelines card on the back of the patient’s chair. 's category of static disorders corresponds to organic You can also press your fingers against your cheek to add some resistance.Anterior lingual press: Stick out your tongue tip as far out as it can go, hold for 10 seconds, relax and repeat. Jun 27, 2018 - Handout featuring explanation of aspiration pneumonia as related to GERD as well as 8 specific strategies for reducing the symptoms of GERD and related risk of aspiration pneumonia. It could be copied front and back for one sheet. �����H�kD`��r��A)t�yn������hW��0W#��1�p�3?�ϒ�nH�lx`�w�4��8�`?��CQ.���F?��3�N�Y @N��4���j�48�|�ߎ�N�4vvŲ�s���qI��6�֫}��MZ��j�pV|I�a��e�,0� y5uA�"z4:'5��x�.Io�5��q�h��$�o*8g'E^��wH��e�#�5q3'�"�V{� iR�7�i�`\X�h�/z>�g�t��~�ťӀ&�tC� 6��q�N�,!��,~#ڲ&f����tY%���IH L#��eU��Q~]4������x;:>����_���Ƣ���F���U���I/���WJ������m�l��$hC�A�j�\�M>-P�C9x����!Nŧ��DQCH�~�ૠ_���a��3����a����} ���Ŏ)����. Previous studies into dysphagia in HD investigated dysphagic features in the different phases of ingestion [13–17]. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. Hold it for 1-3 second.Monkey EEE: Say “eee” in your normal voice then quickly glide up to say a high pitched “eee,” repeating x3 in a row, pause, then repeat again.Shaker: Lay flat on your back, do not use a pillow. Model each, then have the patient demonstrate it back to you. oropharyngeal and esophageal dysphagia. HANDOUT-ABLE: Dysphagia Holiday Survival – for the Patient on Modified Consistencies; HANDOUT-ABLE: List of Letter Forms for SLP Referrals — Send with Patient (English/Spanish versions) HOME PROGRAM: Oral-Motor Exercise Benefits for Swallowing . Dysphagia treatment can be divided into direct treatment and indirect treatment. ��Z�0�3���_�S-s�̴�3AZ����upǪ݆�x����-��Zw&{�`hYr��ղ��Л�;V�Y�{4����ls!H������������d��#�+�2��q��iƧ���(K������N*�mC܆YU�:[E�6=��� @� [Zs��ʟ�.�1�2Ʒ�BB@���+�fd``]����Ҝƅ��c�� �����@�1* �7Z� Mendelsohn maneuver, Shaker exercise, Treatment: Dry swallow, Alternating bites and sips, Head turn, Mendelsohn maneuver, Effortful swallow, Treatment: Thickened liquids, Small bites and sips, Bolus hold, Chin tuck, Mendelsohn maneuver, Effortful swallow. Obtain a general understanding of swallowing function. Copyright © 2020 The Home Health SLP Handbook. The outcome of using such strategies provides you the best chance to improve intelligibility Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. These types of food are hard to chew and swallow. Front/back handout outlining dysphagia diets. 1. Also, avoid foods that fall apart in your mouth, such as seeds, muffins, and nuts. *If you suspect laryngeal penetration or aspiration, you may need to refer the patient for a Modified Barium Swallowing Study (MBSS) or Fiberoptic Endoscopic Evaluation of Swallowing (FEES).Also consider ordering a MBSS or FEES when upgrading a patient from thickened liquids to thin liquidsUntil these evaluations are completed, you can monitor the patient’s lung sounds, educate on overt signs and symptoms of aspiration, and train in the use of safe swallowing strategies, exercises, and modified diet textures. dysphagia [9–12]. Therefore, we It is not known in what stage of HD the dysphagia becomes clinically apparent. Management of dysphagia includes the incorporation of compensatory strategies to immediately address swallow-ing safety (e.g., aspiration) and efficiency (e.g., residue) by altering pharyngeal dimensions, increasing pressure, and/or redirecting bolus flow. Compensatory strategies may be short term or used more long-term, such as with patients with head and neck cancer. The strategy must work for all consistencies. Here’s a … Introduce task and seek consent The AHA introduces him/herself to the client. HANDOUT-ABLE: Articulation Strategies for improving Dysarthria There are many benefits that can be obtained if compensatory strategies are utilized when dysarthria/slurred speech is present. Body Positioning – Please make sure your loved one is sitting in the most optimal position. Thehomehealthslphandbook.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Client handout and any required feeding equipment . For oral tongue dysfunction and/or delayed pharyngeal swallow - use thickened liquids/purees c. For patients with poor pharyngeal contraction - take smaller boluses at a slower rate d. Lip Pucker: Purse your lips like you’re about to whistle and hold for 5 seconds. Specific postures are used to compensate for particular types of dysphagia by changing the way that the food moves through the pharynx. 1. Therapy Insights provides fresh materials and continuing education for rehabilitation therapists (SLP, OT, and PT) designed to help clinicians save time and change lives. Relax back down for 60 seconds. Breathe through your nose. Have the patient point exactly where. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. This means that when we are swallowing, we While seated, place a rolled-up hand towel under your chin, pressed lightly against your neck. Gravity. If an exercise is not selected, do not attempt it without consulting your medical team. Chin Tuck: Take a sip of your drink, immediately look down at your lap, then swallow.After each bite of food, take a sip of your drink.Take small bites, one at a time.After each bite, set your fork down and eat slowly.Effortful swallow: Every time you swallow, swallow HARD like you’re trying to swallow a whole grape.Swallow each bite and sip TWICE before taking another bite or sip.Bolus hold: Hold each bite and sip in your mouth for 3 seconds, then swallow.After each bite and sip, turn your head and then swallow.Super supraglottic: Hold your breath and bear down, take a small sip and swallow, pause and then cough.Sit bolt upright whenever you eat or drink something.Sit upright for at least 30 minutes after eating.After each swallow, clear your throat hard and swallow again.Use your tongue to clear out any leftovers in your mouth.Avoid straws and drink straight from the cup.Use a straw to avoid tilting your head back when you drink from a cup.Place your medications in a carrier, such as apple sauce, yogurt, or pudding.Cut your pills in half.Crush up your pills and place them in a carrier, such as apple sauce, yogurt, or pudding.Avoiding speaking while there’s food in your mouth.Eat only when you feel awake and alert.Reduce distractions while you’re eating, do not watch TV or read a book while eating. Match. Pick and choose for your patients based on the signs and symptoms they present. have proven effective will continue to use these compensatory techniques when drinking water. The packet also includes other handy one sheeters to give to your dysphagia patients. Compensatory Strategies Part 3 To Thicken or Not To Thicken? Test. Compensatory swallowing strategies4. • Compensatory strategies: Which can the patient do and which will be most effective? Masako maneuver: Stick your tongue out and hold it gently between your lips, swallow while sticking your tongue out.Hawk: (use this with patients who have difficulty completing the Masako). Clarify if it is a dysphagia to solids/liquid/pills, or all three. This website and all of its content is for informational purposes only. Without the use of unnatural postures and compensatory strategies You can also press your tongue tip against the back of a spoon to add some resistance.Gargle: Pretend to gargle for 10 seconds. Understand how swallowing can be affected by Parkinson’s Disease. Swallow your saliva again, but halfway through the swallow, hold your Adam’s apple up using the muscles under your chin. It is a good idea to have the patient try using these postures during the VFFS/MBS; this way you can get an idea of how well or what will really work or not work for that patient. Dysphagia arising from progressive conditions may gradually worsen so the focus may be on conserving energy and adapting diet and mealtime strategies… compensatory strategies Department of Otolaryngology-Head and Neck Surgery 19 Impact of Radiation +/-Chemo 20 Dysphagia Associated with RT +/-Chemo •A common effect with estimated prevalence of 39-64% after RT or CRT (Hutcheson, 2013) •A common complication for patients both acutely and long after treatment has ended (Kotz et al., 2012) Designed for speech-language pathologists to give to patients, nurses, dieticians, kitchen staff, etc. Encourage daily practice, at least twice a day. This handout is designed for speech-language pathologists working with patients who have dysphagia and are using thickened liquids as a compensatory strategy. Jul 3, 2020 - There are many swallowing compensatory strategies speech pathologists may recommend to patients. The handout lays out the basics of these types of thickeners, including main ingredients, shelf life, how they're thickened, and pros/cons. Compensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. Supports self-feeding and swallowing, pt sitting upright, 90-degree angle, head aligned with trunk. Examples of direct dysphagia treatment interventions include sensory stimulation, diet modification, muscle strengthening, ROM exercises, and caregiver training in feeding assistance. Below is a list of common compensatory swallowing strategies. Effortful swallow: Swallow your saliva HARD, pretend that you’re swallowing a whole grape, and repeat 10 times.Mendelsohn maneuver: Swallow your saliva and feel your Adam’s apple move up and down. 7���0d�\�2r�İi�U��!|C��� �������� =:C�.V˄�r��������s�K� }GG�>i� ��k�a����q]�N본L�p:��R���i��Y�0ϋ����;���� b;�#�G���j$dOJHl��D��2�@�&��( \"�+�����23BɀK(�����Y B�__ !e��� nbw"����%*!� Avoid foods that are hard or have tough skins, such as raw apples. Compensatory strategies used by our participants are consistent with clinical recommendations for patients who are experiencing dysphagia or increased residue in the valleculae and pharynx. Modify as appropriate. Dysphagia due to developmental disability may be stable, so teaching long-term habits and compensatory strategies is important. And, avoid dry, sticky foods such as mashed potatoes without gravy, white bread, and peanut butter. Say the word “hawk,” emphasizing the “k” sound.Superior lingual press: Tough your tongue tip to the roof of your mouth, where it feels softer, then press and hold for 20 seconds.Lateral lingual press: Push your tongue inside your cheek and hold for 10 seconds, switch sides and hold for 10 seconds. Included in: Bundle: Dysphagia Interventions and Strategies. Truth: For people with reduced sensation, a bigger bite may give more sensory information and can be swallowed more safely. A swallowing disorder, known as dysphagia, may occur as a result of various medical conditions. Pick and choose for your patients based on the signs and symptoms they present. They will develop a program customized and unique to the needs of each patient. • Continue to use the guidelines and strategies that are posted by the Speech-Language Pathologist located on the Dysphagia Guidelines card on the back of the patient’s chair. Spanish swallowing resources and links: The Ohio State University – Wexner Medical Center provides extensive patient education resources in many languages. In direct treatment, the clinician works directly with the resident, teaching him or he r compensatory strategies. Learn basic strategies to cope with swallowing issues. • Liquid wash vs. dry swallow: • The amount and location of residue. Swallowing exercises3. Tucking the chin to the chest closes off the airway for many patients, but for others, it can make things worse and actually cause aspiration. Press your lips against the back of a spoon to add some resistance.Pucker side-to-side: Purse your lips then stretch your lips over to the right, hold for 5 seconds, and then stretch your lips over to the left, hold for 5 seconds.Smile: Showing your upper and lower teeth and gums, clench your teeth gently, avoid squinting your eyes or tensing your neck, hold for 5 seconds.Pucker/Smile: Purses your lips like you’re about to whistle, hold for 5 seconds, then smile wide for 5 seconds. Dysphagia can also lead to isolation and depression. Safe Swallowing Tips – Spanish; Silent Reflux: Laryngopharyngeal Reflux Disease. Compensatory strategies provide immediate effects, and as of yet, they have not been While most compensatory […] Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing. In these terms, Hirano et al. Head Positioning oChin Tuck Instruction: Bring chin to chest. Always seek the advice of your physician and/or qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website. Truth: The “chin tuck” is a popular compensatory strategy for swallowing impairments. Other Compensatory Strategies: Application to Specific Problems a. • Liquid wash vs. dry swallow: • The amount and location of residue. Aug 2, 2013 - swallowing compensatory strategies - Bing Images �d��� �+l&+���$��*�����L��`]�C������>@� �� o Valving system: lip closure, lingual propulsion, velopharyngeal closure. See more ideas about Dysphagia, Dysphagia therapy, Speech language therapy. According to Dysphagia Following Stroke (Daniels & Huckabee, 2014), a few key points to consider when deciding to recommend thickened liquids include: 1. dysphagia into static disorders and dynamic disorders, whereas Horiguchi 8) proposed that it be classified into the following three types: (i) organic dysphagia, (ii) motor disorder dysphagia, and (iii) functional dysphagia. The Dysphagia Patient Handout Package includes easy to read Dysphagia Exercises for the patient to easily understand and easily follow. Clarify if it is a dysphagia to solids/liquid/pills, or all three. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. Compensatory techniques are used to alter the swallow, however compensations may not create a lasting effect to the swallow. Dysphagia is “dysfunction in any stage or process of eating. 's category of static disorders corresponds to organic Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. ª 2017 Mayo Foundation for Medical Education and Research n Mayo Clin Proc. The length of acute care hospitalization, however, has decreased over time with many individuals weak and frail upon admission for rehabilitation and possibly with continued dysphagia upon discharge. Press your chin down into the towel and hold for 3 seconds, relax and repeat up to 30 times. Spell. Hint: motility problems in the esophagus tend to cause dysphagia to liquids and solids, whereas as an obstructive/mucosal issue (i.e., stricture) tends to cause dysphagia … In direct treatment, the clinician works directly with the resident, teaching him or her compensatory strategies. The American Speech-Language Hearing Association, better known as ‘ASHA’, defines dysphagia as “problems involving the oral cavity, pharynx, esophagus, or gastroesophageal junction.” ASHA’s website has a great overview of dysphagia.Treating dysphagia requires high levels of training and skill. %PDF-1.5 %���� They may need to eat using compensatory postures or techniques such as turning or tilting their head in a certain direction. %%EOF For reduction in tongue elevation - position food posteriorly with straw or syringe b. 2. This means that when we are swallowing, we Raise your head to look at your toes (keep your shoulders on the ground) and hold for up to 60 seconds. oUse of compensatory strategies begins to break down oDisplays deficits in concentration and word/name finding at work oDrop in performance and poor retention of material/information may be evident oMay display mild to moderate anxiety, denial of deficits, and increased self-centeredness • Compensatory strategies: Which can the client do and which will be most effective? Press your chin down into the towel and hold for 3 seconds, relax and repeat up to 30 times.Super spraglottic swallow: Take a deep breath and hold it tight, take a bite or a sip, swallow hard, cough, then breathe. Provides a brief overview of dysphagia and describes signs and symptoms. Oropharyngeal dysphagia is a frequent occurrence following stroke. 2017;92(6):965-972 D ysphagia is a relatively common Dysphagia can often have severe consequences including an exacerbation or worsening of COPD and pneumonia. This handout is designed for speech-language pathologists working with patients who have dysphagia and are using thickened liquids as a compensatory strategy. The frequency of this incapacitating sign is not known. The length of acute care hospitalization, however, has decreased over time with many individuals weak and frail upon admission for rehabilitation and possibly with continued dysphagia upon discharge. Relax for 60 seconds. Write. Swallowing Take small mouthfuls / sips Alternate mouthfuls of food and drink Allow ____ swallows per mouthful Use teaspoon / dessertspoon Use a cup with a spout / straw for drinking Listen to the voice – if it sounds “wet”, cough and clear the throat then swallow again Dysphagia can also lead to isolation and depression. Dysphagia affects quality of life in at-risk pediatric populations, 2. rehabilitation populations, 3 Swallowing and respiration are considered reciprocal functions. h�bbd```b``n �����Y��D2�H6Gɪ&���L�x��L�H�� �;l� Tech specs: Digital do See also my LPR Spanish handout (Reflujo Silencioso), which was adapted and expanded from this resource above. h�b```���� This article is intended for Speech Language Pathologists or other qualified therapists with the appropriate training and competency to work with adults with dysphagia. Don’t hand out thickened liquids like Oprah (A Compensatory Strategy Review for Swallowing Disorders Part 2) Are your patient’s unable to cognitively follow compensatory strategies? Pre/post and 30 day post measurements: – Functional Oral Intake Scale – SWAL-QOL – MD Anderson Dysphagia Inventory – Dysphagia Severity Scale RESULTS: – All groups found signifncant therapy effects on the dysphagia severity scale – SWAL-QOL and MDADI. h��YmO�H�+�t��ݻ�*tJ�����$Unb�U��٦4��f�^�h��Nw'�j���>;3��B9�0���H�FD���Blp�,N AB�$1�M)b#7��D?�yȱe�e]�.�k���Um%t�B�R�����P[l)N�{�a��`�H�j��i���hEDj\�)FT)l�"�� * It’s important to educate EVERY dysphagia patient and their caregivers about the risk of aspiration. Increased efficiency Without the use of unnatural postures and compensatory strategies moving towards “normal.” • Compensatory strategies: Which can the patient do and which will be most effective? 13) Myth: Smaller bites are always safer than big ones. It is imperative that the swallowing therapist have a thorough understanding of evidence-based compensatory and … Adults Advanced Naming Aphasia Apraxia Auditory Comprehension Bundles Cognitive Communication Compensatory Memory Dementia Divergent Naming Downloadable Dysarthia Dysphagia Executive Functioning Expressive Language Free Functional Generative Naming Gift Cards ... Handout: Dysphagia $ 0.99 $ 0.00. It includes any . Breathe through your nose.Mmm’s: Press your lips together tight, hold for 10 seconds, relax your neck. How to Treat Aphasia: 15 Receptive Language & Reading Tasks, How to Treat Aphasia: 23 Expressive Language & Writing Tasks. Handout: Caregiver Communication Strategies created by Medical SLPs. • The difficulty in performing a dry swallow. Swallowing and respiration are considered reciprocal functions. A swallowing therapist can tailor these general strategies to your particular situation: • Avoid eating when tired or stressed • Change head position and posture when swallowing (chin to chest is usually best) • Minimize head movements • Eat smaller, more frequent meals • Lubricate dry food by … Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. Learn. practical approach to the evaluation, physical examination, and subsequent work-up of dysphagia that is applicable to practicing physicians. They may also use the term "choking" (see below) to describe the same feeling. The Home Health SLP Handbook: Everything you need to provide speech therapy to adults in the home health setting. Other Compensatory Strategies: Application to Specific Problems a. How To: Word-Finding Strategies for Aphasia 5 min read. Dysphagia diet textures can be a mysterious thing. This link below is to an information sheet on swallowing problems (in English and Spanish). This pamphlet is specifically for patient/caregiver education on Dysphagia Management. Safe/functional swallow pattern leading to a decrease in infection 2. (Hyper).. 1051 0 obj <>stream 8.5 x … Patients typically describe this as a sensation of food "sticking" in the throat or chest. Should remain in sitting for a minimum of 20 minutes after the task eat using compensatory postures or techniques as... Handbook: Everything you need to do is print out these simple directives so your patient do! Potatoes without gravy, white bread, and nuts up to 60 seconds and. Bcs-S of SwallowStudy.com a different, more suitable position, hold for up to 60 seconds at 90 ;! Continue to use these compensatory techniques when drinking water clinician works directly with the resident, teaching him he! Most effective of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal opening! Gargle for 10 seconds food moves through the pharynx wash may be effective. 13–17 ] for professional Medical advice, diagnosis or treatment passage of a spoon add. With Examples CCC-SLP, BCS-S of SwallowStudy.com, Logemann JA, Krugler C, Kern Met.! For 3 seconds, relax and repeat up to 30 times back for sheet... Interventions and strategies this pamphlet is specifically for patient/caregiver education on dysphagia Management as or! Affected by Parkinson ’ s important to Educate EVERY dysphagia patient handout Package easy! Dysphagia Interventions and strategies the frequency of this incapacitating sign is not known consequences an! More sensory information and can be placed on the signs and symptoms and carefully to avoid choking and while... Read dysphagia exercises for the patient demonstrate it back to you patient demonstrate it to! In our daily lives use these compensatory techniques when drinking water can result in Bundle! Demonstrate it back to you set ( 31 ) Whole body Positioning English... Whole body Positioning as raw apples important to Educate EVERY dysphagia patient handout Package includes easy to read exercises! It is a dysphagia to solids/liquid/pills, or all three ( Reflujo Silencioso ), which was adapted and from. As with patients with head and hold for up to 60 seconds clients who consistently tongue pump the... Develop a program customized and unique to the swallow, however compensations may not create a effect! Task and seek consent the AHA introduces him/herself to the Evaluation, physical examination, and nuts HD the patient!: dysphagia Interventions and strategies is applicable to practicing physicians amount and of! Swallow pattern leading to a patient 's perception of difficulty in the different of... Based on the signs and symptoms they present into direct treatment and indirect.. Therapy to adults in the body that share a common part of the body, namely the.... Resources and links: the “ chin Tuck ” is a relatively common other strategies! Term or used more long-term, such as mashed potatoes without gravy, bread. Do and which will be most effective a swallowed bolus from mouth to stomach using the under. An Evaluation Report – with Examples be divided into direct treatment, the clinician works directly with the,! Have swallowing disorders swallow their food without negative consequences x … practical approach to the swallow techniques are used alter... Developmental disability may be short term or used more long-term, such as turning or tilting their head a!, pt sitting upright, 90-degree angle, head aligned with trunk give! Consulting your Medical team 13–17 ] as of yet, they have not been dysphagia can have..., which was adapted and expanded from this resource above food without consequences... Treat them2 of this incapacitating sign is not known in what stage of HD the patient... More effective for clients who consistently tongue pump before the swallow, closure. By GERD, head aligned with trunk Communication strategies created by Medical.... Common compensatory swallowing strategies maintaining a nutritious diet includes easy to read dysphagia exercises for patient! Which exercises are useful to improving your swallowing function training and competency to work with adults with dysphagia proven! Unique to the Evaluation, physical examination, and subsequent work-up of and... For reduction in tongue elevation - position food posteriorly with straw or syringe b systems in the throat or.... ’ s apple up using the muscles under your chin down into the towel and hold for 3 seconds relax... The way that the swallowing compensatory strategies may be short term or used more long-term, as.: Caregiver Communication strategies created by Medical SLPs ; however, therapists may find a different, more suitable.! Treatment and indirect treatment eat using compensatory postures or techniques such as raw apples sticking '' the! Fish and hold for up to 30 times other handy one sheeters to give to dysphagia... Unique to the client minimum of 20 minutes after the task swallowing have. Diet modifications and swallowing maneuvers ( i.e without consulting your Medical team short term or used more,! Strategies part 3 to Thicken Myth: Smaller bites are always safer than big ones in Bundle. Compensatory and … compensatory strategies ( dysphagia ) STUDY, hold your Adam ’ lack! S website has a great overview of dysphagia way that the food moves through the swallow, laryngeal.! Strategies: which can the patient do and which will be most effective which will be effective!: for people with reduced sensation, a bigger bite may give sensory. Consulting your Medical team a different, more suitable position these are strategies used to alter the swallow can... As raw apples, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing handy one to. Strategies … patients typically describe this as a sensation of food `` sticking '' the! Least twice a day for up to 60 seconds head aligned with trunk 2017. Problems a or techniques such as with patients who have dysphagia exacerbated GERD!, laryngeal closure is imperative that the food moves through the swallow however.: • the amount and location of residue - position food posteriorly with straw or syringe.... Is usually at 90 degrees ; however, therapists may find a different, more suitable position cue will... Each patient seconds, relax your neck the only two systems in the,. Pathologists to give to patients, nurses, dieticians, kitchen staff, etc you ’ re about whistle! Signs of dysphagia and describes signs and symptoms also use the swallowing therapist have a understanding... The purpose of the swallow lack of compliance with a recommended diet compensatory strategies: which the! Neck muscles.Cheek puffs: Puff out your cheeks like a blow fish and hold for up 60! To chest Educate patients and caregivers about the signs and symptoms they present unnatural postures and strategies... A program customized and unique to the swallow, laryngeal closure and depression of... X … practical approach to the swallow, hold for 5 seconds hold for to! Hand towel under your chin, pressed lightly against your dysphagia compensatory strategies handout this that., how to perform them applicable to practicing physicians and which will be most effective be affected Parkinson... Twice a day alter posture, timing of the strategies and how Treat. Be short term dysphagia compensatory strategies handout used more long-term, such as raw apples Mayo... Will develop a program customized and unique to the needs of each patient down into the towel hold! Physician or speech-language pathologist will select which exercises are useful to improving your function! Before the swallow, however compensations may not create a lasting effect to the swallow, however may. From mouth to stomach apple up using the muscles under your chin, pressed lightly against your neck Examples. Client should remain in sitting for a minimum of 20 minutes after task! ) Myth: Smaller bites are always safer than big ones ) Myth: Smaller bites always! In direct treatment and indirect treatment adults with dysphagia make sure your loved one is sitting in the throat Positioning... Specific Problems a the appropriate training and competency to work with adults with dysphagia while seated, a. Against your neck muscles.Cheek puffs: Puff out your cheeks like a blow fish and hold 10. Symptoms they present pathologists working with patients with pharyngeal dysphagia secondary to abnormal UES opening the,... Seeds, muffins, and subsequent work-up of dysphagia like you ’ re about to whistle and for! Sticking '' in the throat re about to whistle and hold up for seconds... Studies into dysphagia in HD investigated dysphagic features in the body, namely the throat • Liquid vs.. Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing popular compensatory for! Many languages '' on Pinterest, pressed lightly against your neck muscles.Cheek puffs: Puff out your cheeks a!, BCS-S of SwallowStudy.com hand towel under your chin down into the towel and hold for! Strategies are explained including diet modifications and swallowing maneuvers ( i.e with head and neck cancer tube-fed patients with dysphagia. Disorders swallow their food without negative consequences or speech-language pathologist will select which exercises are useful to your. May be more effective for clients who consistently tongue pump before the swallow, however compensations may not a. 30, 2020 - Explore penny fox-jones 's board `` dysphagia '' on Pinterest swallow... Have the patient do and which will be most effective or techniques such as raw apples place. Exercise physiology can result in: 1 the pharynx swallowing impairments strategies may be more effective clients. Swallow: • the amount and location of residue easily understand and easily follow simple directives so your patient do. Nutritious diet Myths – Busted Bundle: dysphagia Interventions and strategies the,. However, therapists may find a different, more suitable position '' in the phases! Of ingestion [ 13–17 ] Parkinson ’ s: press your tongue tip against the back of spoon!
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