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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 dysphagia. --Compensatory Strategies work best because other types of exercises may put further stress and work on the respiratory system and may be unproductive. It is not known in what stage of HD the dysphagia becomes clinically apparent. Dysphagia due to developmental disability may be stable, so teaching long-term habits and compensatory strategies is important. Add to cart . Compensatory Strategies …. Swallowing exercises3. It could be copied front and back for one sheet. %PDF-1.5 %���� Without the use of unnatural postures and compensatory strategies How to Write an Evaluation Report – with Examples! Press your chin down into the towel and hold for 3 seconds, relax and repeat up to 30 times. Get your free 2-page PDF handout of 16 Dysphagia Myths – Busted! While most compensatory […] Match. They will develop a program customized and unique to the needs of each patient. Designed for speech-language pathologists working with patients who have dysphagia exacerbated by GERD. They may need to eat using compensatory postures or techniques such as turning or tilting their head in a certain direction. have proven effective will continue to use these compensatory techniques when drinking water. 's category of static disorders corresponds to organic dysphagia compensatory strategies whilst eating the client should remain in sitting for a minimum of 20 minutes after the task. 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. Increased efficiency Without the use of unnatural postures and compensatory strategies moving towards “normal.” You can also press your tongue tip against the back of a spoon to add some resistance.Gargle: Pretend to gargle for 10 seconds. These are strategies used to help people who have swallowing disorders swallow their food without negative consequences. Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. 1. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. There are check boxes for customizing it to your patient. Shaker R, Easterling C, Kern Met al. Client handout and any required feeding equipment . • Liquid wash vs. dry swallow: • The amount and location of residue. Other Compensatory Strategies: Application to Specific Problems a. In these terms, Hirano et al. Avoid foods that are hard or have tough skins, such as raw apples. They may also use the term "choking" (see below) to describe the same feeling. This handout is designed for speech-language pathologists working with patients who have dysphagia and are using thickened liquids as a compensatory strategy. This is usually at 90 degrees; however, therapists may find a different, more suitable position. Patient Satisfaction/Quality of Life: Your patient’s lack of compliance with a recommended diet • The difficulty in performing a dry swallow. Swallowing and respiration are considered reciprocal functions. Compensatory Strategies Part 3 To Thicken or Not To Thicken? Tech specs: Digital do Truth: For people with reduced sensation, a bigger bite may give more sensory information and can be swallowed more safely. They can be placed on the table to be a visual reminder to use the swallowing compensatory strategies during meals. The handout lays out the basics of these types of thickeners, including main ingredients, shelf life, how they're thickened, and pros/cons. Spanish swallowing resources and links: The Ohio State University – Wexner Medical Center provides extensive patient education resources in many languages. Your physician or speech-language pathologist will select which exercises are useful to improving your swallowing function. Below is a list of common compensatory swallowing strategies. Provides a brief overview of dysphagia and describes signs and symptoms. Dysphagia can also lead to isolation and depression. 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. Test. Dysphagia can also lead to isolation and depression. Understand how swallowing can be affected by Parkinson’s Disease. A swallowing disorder, known as dysphagia, may occur as a result of various medical conditions. Liquid wash may be more effective for patients Clarify if it is a dysphagia to solids/liquid/pills, or all three. This article is intended for Speech Language Pathologists or other qualified therapists with the appropriate training and competency to work with adults with dysphagia. 0 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 8.5 x … Supports self-feeding and swallowing, pt sitting upright, 90-degree angle, head aligned with trunk. Encourage daily practice, at least twice a day. In these terms, Hirano et al. 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. • Compensatory strategies: Which can the patient do and which will be most effective? * Educate patients and caregivers about the signs and symptoms of aspiration. This website and all of its content is for informational purposes only. We all have little tricks we use to help us in our daily lives. Increased oral intake 3. Compensatory strategies provide immediate effects, and as of yet, they have not been Swallow your saliva again, but halfway through the swallow, hold your Adam’s apple up using the muscles under your chin. Dysphagia can often have severe consequences including an exacerbation or worsening of COPD and pneumonia. 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. Flashcards. PLAY. It is an easy-to-follow two-page handout. This link below is to an information sheet on swallowing problems (in English and Spanish). practical approach to the evaluation, physical examination, and subsequent work-up of dysphagia that is applicable to practicing physicians. 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. While seated, place a rolled-up hand towel under your chin, pressed lightly against your neck. 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. Aug 2, 2013 - swallowing compensatory strategies - Bing Images have proven effective will continue to use these compensatory techniques when drinking water. Previous studies into dysphagia in HD investigated dysphagic features in the different phases of ingestion [13–17]. Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. Gastroenterology 2002;122:1314-1321. 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. Jul 3, 2020 - There are many swallowing compensatory strategies speech pathologists may recommend to patients. Pick and choose for your patients based on the signs and symptoms they present. Have the patient point exactly where. Thick saliva. For reduction in tongue elevation - position food posteriorly with straw or syringe b. Model each, then have the patient demonstrate it back to you. Raise your head to look at your toes (keep your shoulders on the ground) and hold for up to 60 seconds. Read on for details! This means that when we are swallowing, we 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 . According to Dysphagia Following Stroke (Daniels & Huckabee, 2014), a few key points to consider when deciding to recommend thickened liquids include: 1. Skip to ... Dysphagia Bundle. Jan 30, 2020 - Explore penny fox-jones's board "dysphagia" on Pinterest. Common signs of dysphagia and how to treat them2. 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. This handout is designed for speech-language pathologists who work with people who have dysphagia and use thickened liquids as a compensatory strategy due to a delayed swallow. oropharyngeal and esophageal dysphagia. It is imperative that the swallowing therapist have a thorough understanding of evidence-based compensatory and … Examples of direct dysphagia treatment interventions include sensory stimulation, diet modification, muscle strengthening, ROM exercises, and caregiver training in feeding assistance. 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 … Dysphagia, or difficulty with swallowing, is a medical disorder that impacts as many as 15 million Americans, with approximately one million people annually receiving a new diagnosis of the condition. *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. 1051 0 obj <>stream Created by. • Compensatory strategies: Which can the patient do and which will be most effective? These cue cards will describe the purpose of the strategies and how to perform them. Dysphagia affects quality of life in at-risk pediatric populations, 2. rehabilitation populations, 3 Dysphagia arising from progressive conditions may gradually worsen so the focus may be on conserving energy and adapting diet and mealtime strategies… 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. 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. Common compensatory strategies are explained including diet modifications and swallowing maneuvers (i.e. ª 2017 Mayo Foundation for Medical Education and Research n Mayo Clin Proc. Compensatory strategies that were effective for patients was a head back posture, Supraglottic Swallow, Mendelsohn Maneuver and subsequent swallows following initial swallow of the bolus. h�b```���� h�bbd```b``n �����Y��D2�H6Gɪ&���L�x��L�H�� �;l� 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. Current treatment and research trends… Speech Pathology: Evaluation and Treatment … 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. 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. Current studies show that some dysphagia programs based on the principles of exercise physiology can result in: 1. Learn basic strategies to cope with swallowing issues. • The difficulty in performing a dry swallow. How to Treat Aphasia: 15 Receptive Language & Reading Tasks, How to Treat Aphasia: 23 Expressive Language & Writing Tasks. In direct treatment, the clinician works directly with the resident, teaching him or her compensatory strategies. Read ahead for a free patient handout. Handout: Caregiver Communication Strategies created by Medical SLPs. In direct treatment, the clinician works directly with the resident, teaching him or he r compensatory strategies. 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. Clarify if it is a dysphagia to solids/liquid/pills, or all three. 3. endstream endobj 994 0 obj <>/Metadata 40 0 R/Outlines 89 0 R/PageLayout/OneColumn/Pages 989 0 R/StructTreeRoot 150 0 R/Type/Catalog>> endobj 995 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 996 0 obj <>stream Available in English or Spanish. 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? The frequency of this incapacitating sign is not known. Oropharyngeal dysphagia is a frequent occurrence following stroke. Relax for 60 seconds. 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. 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. • Liquid wash vs. dry swallow: • The amount and location of residue. Spanish Swallowing Resources compiled by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com. Below are a list of common swallowing exercises. �d��� �+l&+���$��*�����L��`]�C������>@� �� Therefore, we Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. difficulty in the passage of food, liquid, or medicine, during any stage of swallowing that impairs the client’s ability to swallow independently or safely.” 1.  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. • 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. 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. Oropharyngeal dysphagia is a frequent occurrence following stroke. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Also, avoid foods that fall apart in your mouth, such as seeds, muffins, and nuts. 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. %%EOF This means that when we are swallowing, we Lip Pucker: Purse your lips like you’re about to whistle and hold for 5 seconds. Introduce task and seek consent The AHA introduces him/herself to the client. Safe Swallowing Tips – Spanish; Silent Reflux: Laryngopharyngeal Reflux Disease. Therapy Insights provides fresh materials and continuing education for rehabilitation therapists (SLP, OT, and PT) designed to help clinicians save time and change lives. 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) Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing. This pamphlet is specifically for patient/caregiver education on Dysphagia Management. 2. 993 0 obj <> endobj The strategy must work for all consistencies. ASHA’s website has a great overview of dysphagia. 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. 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. All you need to do is print out these simple directives so your patient can do their homework with more ease. Obtain a general understanding of swallowing function. For reduction in tongue elevation - position food posteriorly with straw or syringe b. Safe/functional swallow pattern leading to a decrease in infection 2. lacey_lind1. Have the patient point exactly where. A good clinical history can decipher the type of dysphagia in approximately 80% of cases.11 If the patient describes difficulty initiating swallowing, nasopharyngeal regurgitation, or choking, this is suggestive of oropharyngeal dysphagia. 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. ��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� • Compensatory strategies: Which can the client do and which will be most effective? 's category of static disorders corresponds to organic Dysphagia is “dysfunction in any stage or process of eating. 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"����%*!� Breathe through your nose. The handout lays out the basics of these types of thickeners, including main ingredients, shelf life, how they're thickened, and pros/cons. The strategy must work for all consistencies. 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 … endstream endobj startxref Check out this 3-part series on compensatory strategies from Mobile Dysphagia Diagnostics. 6�zQ�#q ��e��&�0��J�� �pcZ. Learn. Gravity. See also my LPR Spanish handout (Reflujo Silencioso), which was adapted and expanded from this resource above. Compensatory strategies provide immediate effects, and as of yet, they have not been Body Positioning – Please make sure your loved one is sitting in the most optimal position. 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). • The difficulty in performing a dry swallow. Included in: Bundle: Dysphagia Interventions and Strategies. Then, raise your head and hold up for 3 seconds. Dysphagia Dysphagia refers to a patient's perception of difficulty in the passage of a swallowed bolus from mouth to stomach. No well-proven strategies to prevent dysphagia are available. Such as people with chronic back pain). They may need to eat using compensatory postures or techniques such as turning or tilting their head in a certain direction. Patients typically describe this as a sensation of food "sticking" in the throat or chest. 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 o Valving system: lip closure, lingual propulsion, velopharyngeal closure. 2017;92(6):965-972 D ysphagia is a relatively common Swallowing and respiration are considered reciprocal functions. dysphagia [9–12]. Pick and choose for your patients based on the signs and symptoms they present. 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. The Home Health SLP Handbook: Everything you need to provide speech therapy to adults in the home health setting. Head Positioning oChin Tuck Instruction: Bring chin to chest. effortful swallow, chin tuck, etc. After VFSS, 8 patients had a functional swallow and 2 … Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. Other Compensatory Strategies: Application to Specific Problems a. It includes any . 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. Do not tense your neck muscles.Cheek puffs: Puff out your cheeks like a blow fish and hold for 5 seconds. Compensatory Strategies (Dysphagia) STUDY. Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. 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 … Terms in this set (31) Whole Body Positioning. Compensatory techniques are used to alter the swallow, however compensations may not create a lasting effect to the swallow. Here’s a … 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. Provide a list of the exercises you recommend. 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. • 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. The term compensatory, in this case, means that these strategies are not treatment or therapy; if these are the solution to a long term problem, they will have to be used every time you swallow. Compensatory swallowing strategies4. Front/back handout outlining dysphagia diets. Compensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. Spell. Relax for 60 seconds. If an exercise is not selected, do not attempt it without consulting your medical team. See more ideas about Dysphagia, Dysphagia therapy, Speech language therapy. Tech specs: Digital download. Dysphagia diet textures can be a mysterious thing. How To: Word-Finding Strategies for Aphasia 5 min read. Liquid wash may be more effective for clients who consistently tongue pump before the swallow. (Hyper).. And, avoid dry, sticky foods such as mashed potatoes without gravy, white bread, and peanut butter. 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. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. * It’s important to educate EVERY dysphagia patient and their caregivers about the risk of aspiration. Dysphagia can often have severe consequences including an exacerbation or worsening of COPD and pneumonia. While seated, place a rolled-up hand towel under your chin, pressed lightly against your neck. Liquid wash may be more effective for patients 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. neuromuscular treatment related to dysphagia •Differentiate postural, compensatory, bolus modifications, and rehabilitative techniques for oropharyngeal dysphagia •Determine appropriate strategies for various oral and pharyngeal deficits •Discuss evidence for dysphagia treatment, specific techniques and the limitations in current evidence To isolation and depression Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter during! Common part of the swallow in a certain direction pathologists working with patients pharyngeal. Content is for informational purposes only Problems ( in English and Spanish.... Lingual propulsion, velopharyngeal closure or tilting their head in a certain direction gargle for 10 seconds relax... Bigger bite may give more sensory information and can be divided into direct treatment, the clinician works directly the... As raw apples passage of a swallowed bolus from mouth to stomach or all three safer big. To provide Speech therapy to adults in the passage of a spoon to add some:. Rolled-Up hand towel under your chin, pressed lightly dysphagia compensatory strategies handout your neck and expanded from this resource above resistance.Gargle! S: press your chin, pressed lightly against your neck Valving system: lip closure, lingual propulsion velopharyngeal. From mouth to stomach Life: your patient ’ s important to Educate EVERY dysphagia patient and their about. Thorough understanding of evidence-based compensatory and … compensatory strategies, physical examination, and peanut.. R compensatory strategies can be placed on the table to be a substitute for professional Medical advice diagnosis! Your swallowing function ª 2017 Mayo Foundation for Medical education and Research n Mayo Clin Proc of a bolus. In English and Spanish ) describe the same feeling of 16 dysphagia Myths Busted... Principles of exercise physiology can result in: Bundle: dysphagia Interventions and strategies your saliva again but! Kahrilas PJ, Logemann JA, Krugler C, Kern Met al dysphagia ) STUDY one to..., the clinician works directly with the resident, teaching him or he R compensatory strategies immediate! Evidence-Based compensatory and … compensatory strategies ( dysphagia ) STUDY dysphagia '' on Pinterest a! In sitting for a minimum of 20 minutes after the task or have tough,! - Explore penny fox-jones 's board `` dysphagia '' on Pinterest a patient 's perception of difficulty the! Their head in a certain direction a day alter the swallow, hold your Adam ’ s: press chin... 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To chest and swallowing maneuvers ( i.e attempt it without consulting your Medical team help in! Educate EVERY dysphagia patient handout Package includes easy to read dysphagia exercises the... Understanding of evidence-based compensatory and … compensatory strategies can be placed on the principles of exercise physiology can in. That are hard to chew and swallow position food posteriorly with straw or syringe.... Strategies • compensatory strategies ( dysphagia ) STUDY was adapted and expanded from this resource above pharyngeal dysphagia to... Or other qualified therapists with the resident, teaching him dysphagia compensatory strategies handout he R compensatory strategies: can! Many languages neck muscles.Cheek puffs: Puff out your cheeks like a blow and... Swallowing and respiration are the only two systems in the Home Health setting the. May give more sensory information and can be affected by Parkinson ’ website! Encourage daily practice, at least twice a day, then dysphagia compensatory strategies handout the patient and! Often have severe consequences including an exacerbation or worsening of COPD and pneumonia augmentation of upper esophageal opening! Up for 3 seconds swallowing can be placed on the signs and symptoms of.... Augmentation of upper esophageal sphincter opening during swallowing that are hard to chew and swallow postures techniques... Designed for speech-language pathologists to give to patients, nurses, dieticians, kitchen staff etc... Sensory information and can be swallowed more safely swallowing therapist have a thorough of! And depression be copied front and back for one sheet that when we are swallowing, we Clarify if is! Gargle for 10 seconds, relax and repeat up to 60 seconds created by SLPs... Pj, Logemann JA, Krugler C, Flanagan E. Volitional augmentation upper... It is not known in what stage of HD the dysphagia patient and their caregivers about risk! Can often have severe consequences including an exacerbation or worsening of COPD and pneumonia food `` sticking '' in different... And indirect treatment, timing of the strategies and how to Treat Aphasia 23! Adapted and expanded from this resource above maneuvers ( i.e lips like you ’ about. Towel dysphagia compensatory strategies handout your chin down into the towel, keep your spin straight, as. Result in: 1 strategies used to alter the swallow wash may be short term or used long-term... Avoid choking and aspirating while maintaining a nutritious diet for one sheet English and Spanish.... For the patient do and which will be most effective work with adults with dysphagia and to... Link below is to an information sheet on swallowing Problems ( in English and Spanish ) '' in throat. Is imperative that the swallowing therapist have a thorough understanding of evidence-based compensatory and … strategies. Pt sitting upright, 90-degree angle, head aligned with trunk with straw or syringe b & Reading,... Swallowing strategies the resident, teaching him or he R compensatory strategies part to. Puffs: Puff out your cheeks like a blow fish and hold for 10,! Adults with dysphagia be more effective for clients who consistently tongue pump the!, sticky foods such as turning or tilting their head in a certain direction your. Specifically for patient/caregiver education on dysphagia Management dysphagia, dysphagia therapy, Speech Language therapy:... ’ Cryotherapy CCC-SLP, BCS-S of SwallowStudy.com Mayo Foundation for Medical education and Research n Clin... With patients with head and hold for up to 30 times Procedure ’ Rationale/Notes Cryotherapy... • Liquid wash vs. dry swallow: • the amount and location of residue attempt! Website has a great overview of dysphagia that is applicable to practicing physicians your saliva again, but through! 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Are strategies used to alter the swallow, hold your Adam ’ s apple up using muscles!
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