The Pulse

Dysphagia Prevalence and Treatment in Cardiopulmonary and Airway Disorders

Posted by Valerie Middleton, MA CCC-SLP on Oct 27, 2021 9:44:43 AM

Speech-language pathologists (SLPs) are commonly involved in the rehabilitation of patients presenting with cardiopulmonary disorders. Hospitalized patients diagnosed with respiratory diseases, Chronic Obstructive Pulmonary Disease (COPD), Chronic Heart Failure (CHF), and those with xerostomia are indicated as risk groups for development of oropharyngeal dysphagia. Additionally, patients who experience prolonged endotracheal intubation have been associated with the development of dysphagia (Malandraki et al., 2016).

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Topics: Dysphagia

Looking beyond Strength Training: The Importance of Motor Learning in Swallowing Rehabilitation

Posted by Valerie Middleton, MA CCC-SLP on Aug 10, 2021 1:35:23 PM

Strength training and repetition of motor activity alone is not thought to result in functional recovery where impaired motor performance is the baseline. We know this to be true in movements required for both speech and swallowing in our patients who experience ataxia, apraxia, and other motor disruptions. Encouraging a patient with dysphagia to simply “practice” a dysphagic swallow with no modification to this task, is unlikely to produce a desired effect (Huckabee & McCrae, 2014).

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Topics: Dysphagia

Improving Swallowing Ability Using sEMG, Electrical Stimulation, and Exercise

Posted by ACP - Accelerated Care Plus on Jul 27, 2021 5:46:13 PM

Patient Information: Male, Age 71

Diagnosis: Subdural Hematoma / Oropharyngeal Dysphagia

History:
This gentleman was admitted to a skilled nursing facility for rehabilitation services following hospitalization due to a fall, which resulted in a traumatic subdural hematoma (bleeding between the skull and brain). He was then diagnosed with encephalopathy (damage to the brain) and oropharyngeal dysphagia (difficulty swallowing), with a feeding tube placed during his hospitalization to provide nutrition and hydration. Prior to his accident, this gentleman consumed a regular diet and drank thin liquids.

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Topics: Dysphagia, Patient Success Story

Improving Speech and Swallowing Using sEMG and Breathing Therapy with Biofeedback

Posted by ACP - Accelerated Care Plus on Jun 23, 2021 12:52:07 PM

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Patient Information: Female, Age 78

Diagnosis: Oral Cancer / Dysarthria / Oropharyngeal Dysphagia

History: This woman, a long-term care resident of a skilled nursing facility, has a history of oral cancer four years ago. At that time, she underwent removal of 50% of her tongue, tissue grafting for her palate, and has resultant decreased jaw movement, oropharyngeal dysphagia (difficulty swallowing), and dysarthria (difficulty with speech production). Additionally, she underwent a tracheostomy (tube inserted into the trachea to assist with breathing) and a feeding tube was placed to provide nutrition due to her inability to eat and drink by mouth. She has received intermittent speech-language pathology services over the four years. Prior to her cancer, this woman had no limitations in eating, drinking, and speaking.

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Topics: Dysphagia, Patient Success Story, Speech Rehab

Improving Swallowing Ability using sEMG and Exercise

Posted by ACP - Accelerated Care Plus on May 26, 2021 2:35:58 PM

Patient Information: Female, Age 66

Diagnosis: Hemorrhagic Stroke / Oropharyngeal Dysphagia

History: This woman was admitted to a skilled nursing facility for rehabilitation services following hospitalization due to suffering a hemorrhagic stroke. As a result, she was diagnosed with altered mental status and oropharyngeal dysphagia (difficulty swallowing) and a feeding tube was placed to provide nutrition and hydration. Prior to her stroke, this woman ate a regular diet and drank thin liquids.

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Topics: Dysphagia, Patient Success Story

Improving Speech and Swallowing Ability Using Electrical Stimulation, sEMG, and Exercise

Posted by ACP - Accelerated Care Plus on Apr 28, 2021 6:04:52 PM

Patient Information: Female, Age 62

Diagnosis: Stroke / Oral Dysphagia (difficulty swallowing)

History: This woman was referred to outpatient speech therapy services due to continued deficits in her ability to speak, eat, and drink following a stroke seven months prior.

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Topics: Dysphagia, Patient Success Story

Improving Swallowing Ability using sEMG and Exercise

Posted by ACP - Accelerated Care Plus on Mar 29, 2021 11:57:20 AM

Patient Information: Female, Age 73

Diagnosis: Closed Head Injury / Intellectual Disability / Oropharyngeal Dysphagia

History: This woman, born with intellectual disability, was referred to a skilled nursing facility for rehabilitation services following hospitalization due to a fall at her group home, which resulted in a head injury and femur fracture. Prior to her fall, she lived in a group home with caregivers, was non-verbal, and consumed a regular diet with thin liquids. However, caregivers modified her diet to soft solids due to noted occasional difficulty in chewing and swallowing.

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Topics: Dysphagia, Patient Success Story

Improving Swallow Ability with Electrical Stimulation and Exercise

Posted by ACP - Accelerated Care Plus on Feb 24, 2021 12:30:28 PM

Patient Information: Male, Age 71

Diagnosis: Guillain-Barré Syndrome / Oropharyngeal Dysphagia

History: This gentleman was referred to a skilled nursing facility for rehabilitation services after a 3-month hospital stay. He was visiting his son in the United States from Venezuela when he began experiencing numbness in his legs. He was hospitalized and diagnosed with Guillain-Barré Syndrome (rare autoimmune disorder that causes rapid and unexpected muscle weakness). While hospitalized he experienced multiple complications including infection, being placed on a ventilator, and placement of a feeding tube. Prior to his hospitalization he lived independently and ate a regular diet.

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Topics: Dysphagia, Patient Success Story

Evidence Based Practice in Swallowing Rehabilitation - 3 Part Series (part 3)

Posted by Valerie Middleton, MA CCC-SLP on Feb 24, 2021 11:51:52 AM

Part 3: What about My Clinical Judgement?

We bring our EBP series discussion to a close with consideration of clinical expertise/expert opinion. This component of the triangle may be defined as “The knowledge, judgment, and critical reasoning acquired through [your] training and professional experiences” (ASHA, 2020).

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Topics: Dysphagia

Improving Swallow Ability with sEMG and Exercise

Posted by ACP on Jan 22, 2021 1:18:00 PM

Patient Information: Male, Age 91

Diagnosis: Parkinson’s Disease / Oropharyngeal Dysphagia /
COVID-19

History: This gentleman, a long-term resident of a skilled nursing facility, was diagnosed one and a half years ago with oropharyngeal dysphagia (difficulty swallowing), a complication of his Parkinson’s disease. Since that time he has had known aspiration (liquids entering the airway), altered diet, hospitalization for aspiration pneumonia, and COVID-19. Due to his complaint of his liquids being too thick, he requested to participate in swallowing therapy for possible return to thin liquids. As a result, swallowing evaluation and resultant therapy was initiated.

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Topics: Dysphagia, Patient Success Story

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