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[Dysphagia] Cross Training
Back in the late 70s in California the OTs were primary for dysphagia care
in my experience also.
I thank heaven that one of my SLP placement supervisors was able to quietly
teach me a whole level of swallowing assessment and care beyond what the OTs
were doing. She showed me how SLP knowledge of voice, oral function,
laryngeal function, cognitive -linguistic function, respiratory status and
the awareness f the social/emotional aspects of eating added a while new
level to the patients assessment and recovery plan.
She showed me that each discipline had alot to offer (each from our own
research and knowledge base).
In my experience, 22 years of full time primarily acute care hospital work
....'HANDS DOWN' it has been the field of Speech Language Pathology, it's
dedicated SLPs and our talented researchers who have taught me the most.
Pat Buen BS, MA CCC C SLP
----- Original Message -----
From: "Pasekoff, Deanna" <pasekoffde@upmc.edu>
To: <SuzMorris@aol.com>; <JMeyer@mail.twu.edu>; <Dysphagia@b9.com>
Sent: Friday, October 08, 2004 2:11 PM
Subject: RE: [Dysphagia] Cross Training
Back in the 70's when I worked in pediatrics, it was the OTs and ONLY the
OTs who worked with feeding and swallowing issues in the dd population.
Deanna Pasekoff, M.A. CCC/SLP
Speech-Language Pathologist
UPMC South Side
412-488-5673
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-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of SuzMorris@aol.com
Sent: Friday, October 08, 2004 5:02 PM
To: JMeyer@mail.twu.edu; Dysphagia@b9.com
Subject: Re: [Dysphagia] Cross Training
In the area of Pediatrics there are nearly as many well-qualified
occupational therapists who are doing feeding and swallowing assessment and
treatment
programs as there are SLPs. In many cases where OTs in a program are
taking the
lead in doing feeding/swallowing programs, their training and background is
better than that of the SLPs in their facility. Even though oral anatomy
is
more covered in education programs for speech-language pathologists, an
understanding of overall body anatomy and movement dynamics (especially of
the upper
body) is much more completely addressed in the professional training of an
occupational therapist. In the workshops I teach at least 50% of the
participants are occupational therapists working with children with
feeding/swallowing
problems. If speech-language pathologists are to do a competent job in
working with feeding/swallowing disorders, they absolutely must learn the
content
on dynamic positioning and movement that is not covered in our training
programs. In the same way, occupational therapists learn from us the more
detailed
dynamics of oral -pharyngeal-esophageal anatomy and function that is
less-well covered in their training and education.
Is ASHA honestly saying that we are to provide no input to our colleagues
when they enroll in a course? That is the height of absurdity!!! I feel
that
it is important to stand up for what we believe and challenge ASHA on their
position.
Suzanne
Suzanne Evans Morris, Ph.D.
New Visions
1124 Roberts Mountain Rd.
Faber, VA 22938
(434) 361-2285 ext. 5
www.new-vis.com
In a message dated 10/8/04 4:08:13 PM, JMeyer@mail.twu.edu writes:
> As someone beginning to teach more and more workshops, I am very concerned
> about this "FYI" from ASHA. I called and spoke with ASHA (Janet Brown's
> office) They were very nice and helpful, but told me that it is their
stance
> that you are committing an Ethics Violation if you allow other disciplines
in
> your course and you are teaching specific tx techniques. However, someone
has
> to be reported for doing it (by someone attending the course, charged with
> the violation, and have an Ethics Committe hearing to see if it is going
to
> hold up. So who would like to go first?
> I am personally extremely appalled by this. I have learned more from OT's
> in the field than many SLP's. And if we think that we as a profession have
> all the answers to Dysphagia, we are grossly arrogant and dangerously
> ignorant. What do we do to stop this insanity??
>
> I know that may of us on the listserv are teaching workshops. What do YOU
> do?
>
> Jennifer Meyer, SLP
> Assistant Clinical Professor
> Texas Woman's University
>
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