[Dysphagia] diet modification question

[dgrabo at nycap.rr.com (dgrabo@nycap.rr.com)]

Dear Sandi,
   I agree with you.  As long as I am confident the person can chew the food into a "pureed/fine ground" bolus, then I don't see the need to put that person on a pureed diet (or modified textured diet however you want to label it).  Diane

----- Original Message -----
From: Sandi Lancaster <swlslp@yahoo.com>
Date: Monday, April 11, 2005 8:42 pm
Subject: [Dysphagia] diet modification question

> Hi all,
> 
> I have a diet modification question that I have
> occasionally wondered about...(There are no stupid
> questions, right?)  :)    
> 
> Is there any reason why a patient who has pharyngeal
> dysphagia but who has no known oral dysphagia would
> need to be on soft/chopped foods?  I guess what I'm
> questioning is this: If a person has a normal
> functional oral swallow, then for all intents and
> purposes, aren't they modifying a regular consistency
> bolus (through the process of the oral stage of the
> swallow) so that it's comparable to a soft/chopped
> bolus by the time it's ready to be swallowed?  Or is
> that not a fair assumption?
> 
> I have often seen MBS reports that indicate that a
> patient did not have any oral stage difficulties, only
> pharyngeal dysphagia, and recommending soft/chopped
> foods.  Are we assuming in these instances that a
> fully processed regular consistency bolus is not
> equivalent to a fully processed soft/chopped bolus?
> 
> Any thoughts?
> 
> -Sandi
> 
> 
> Sandi Lancaster, M.A. CCC-SLP
> Speech-Language Pathologist
> 
> 
>        	
> __________________________________ 
> Do you Yahoo!? 
> Yahoo! Small Business - Try our new resources site!
> http://smallbusiness.yahoo.com/resources/
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>