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[Dysphagia] Cross Training
--- Brenda Logsdon <bklslp@earthlink.net> wrote:
We are only just now recognizing and
> correcting our errors of the past two decades (and I
> don't want to get started on these topics): overuse
> of thickened liquids and tube feedings, lack of
> appreciation of the effects of poor oral hygiene,
> dehydration, malnutrition on dysphagia and
> vice-versa, and we still don't officially include
> the lower esophagus as part of our assessment or
> treatment plan of care.
*** It is unfortunate that ASHA, CASLPA and other
professional organizations have and continue to, one
must assume, wilfully, ignore and or denigrate those
who have attempted to educate re these issues for over
twenty years and may well be either running out of
steam or in danger of a self-induced pre-frontal
lobotomy from the proverbial brick wall. For example,
I have, many times, been asked, in all seriousness,
why we should examine eye signs in a clinical exam for
swallowing and why do we need to know such things as
whether or not the patient can whistle or spit. Let's
not even go to the conviction that blowing up the
cheeks with air is a test of velopharyngeal competence
and other myths still promulgated. I am tempted to
think, given the several responses both private and
public on this topic, that it may not be such a bad
idea for some not to attempt to teach others before
learning a great deal more. Being an autodidact is
fine as long as one knows what to learn but most need
considerable direction.
Irene.
How can we really claim
> this as our field of expertise and limit others
> access to this information when we don't have it all
> yet?
>
> I see ASHA has updated its technical report and has
> a stronger statement admonishing its members that
> "SLPs should not train....(those) from other
> professions....." So, I might have this
> conversation with them again, but for now, I sign
> myself
>
> Brenda Logsdon, CCC/SLP; ASHA member since 1990;
> self-taught dysphagia therapist, and instructor of
> AOTA and ASHA approved continuing education
> seminars.
>
>
> Brenda Logsdon CCC/SLP
> http://home.earthlink.net/~bklslp/index.html
> CE Instructor for Dynamic Online
> www.dynamic-online.com
> "First seek to understand, then to be understood"
> bklslp@earthlink.net
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
=====
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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