[Dysphagia] Swallowing evaluations-Physiatrists

[bjm at francomm.com (Barbara Morrison)]

We have a physiatrist who is the medical director of our rehab department.
She is mostly
involved with PT and OT and knows very little about Speech Pathology aside
from common
knowledge. I would be interested to hear about physiatrists who do have
dysphagia knowledge.


----- Original Message ----- 
From: <neurosp@aol.com>
To: <malindam@samhealth.org>; <dysphagia@b9.com>
Sent: Saturday, December 03, 2005 3:06 PM
Subject: [Dysphagia] Swallowing evaluations


> Has anyone heard of physiatrists doing swallowing evaluations in acute
care and rehab settings, instead of the SLP.  If so, where and why??
> Thanks.
> -----Original Message-----
> From: malindam@samhealth.org
> To: dysphagia@b9.com
> Sent: Fri, 2 Dec 2005 10:40:30 -0800
> Subject: RE: [Dysphagia] Dementia Patient Feeding
>
>
> I agree that this swallowing behavior is consistent with end stage
dysphagia and
> with Hilda's recommendations.  In addition I would encourage you to look
at her
> med list for any meds with sedation or dry mouth, including any of the
> benzidiazapenes.  Some meds can have a devisating effect on swallowing in
> demented and/or elderly patients.  Malinda Moore
>
> -----Original Message-----
> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
> Behalf Of pressmah@sjhmc.org
> Sent: Friday, December 02, 2005 10:34 AM
> To: maddoglynz@aol.com; dysphagia@b9.com
> Subject: RE: [Dysphagia] Dementia Patient Feeding
>
>
> This type and level of difficulty is consistent with end stage dysphagia.
> In addition to the things that you are trying I would suggest, with straw
> drinking, that the feeder remove the straw from the person's mouth after
> they sip.  I have found that patients often cannot coordinate sucking and
> swallowing and will only swallow once the straw is withdrawn.  Hilda
> Pressman
>
> -----Original Message-----
> From: maddoglynz@aol.com [mailto:maddoglynz@aol.com]
> Sent: Thursday, December 01, 2005 9:46 AM
> To: dysphagia@b9.com
> Subject: [Dysphagia] Dementia Patient Feeding
>
>
> Any advice on how to feed a low-functioning dementia patient who is
holding
> food and liquid in her mouth for a very long time, to the point of
choking?
> I don't believe the holding is intentional.  I believe she is having
> difficulty triggering the swallow.  We have tried alternating hot food
items
> with ice cream and other cold food items in an attempt to increase
> sensation.  The holding is intermittent, in other words, she does fairly
> well with some meals and with other meals she holds almost constantly.
The
> patient is nonverbal and cannot follow directions.  Thanks for any advice.
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