[Dysphagia] RE: Dysphagia Digest, Vol 25, Issue 10

[Julia.Brett at rgh.sa.gov.au (Brett, Julia (RGH))]

Re xerostomia and radiotherapy
Might find a FEES useful if cannot tolerate MBS give him biofeedback, may well have reduced Base of tongue and hyolaryngeal excursion impacting on efficiency of swallow exacerbated by xerostomia
Does he have odynophagia?

Julia Brett
Speech Pathologist
Repatriation General Hospital
Adelaide
South Australia

-----Original Message-----
From: dysphagia-request@b9.com [mailto:dysphagia-request@b9.com]
Sent: Friday, December 09, 2005 05:43
To: dysphagia@b9.com
Subject: Dysphagia Digest, Vol 25, Issue 10


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Today's Topics:

   1. acute care screenings (Barbara Morrison)
   2. Re: Tx for Bell's Palsy (neurosp@aol.com)
   3. xerostomia post rad and diet choices (Clarke-Goertz, Kim (PAPHR))


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Message: 1
Date: Thu, 8 Dec 2005 06:50:08 -0500
From: "Barbara Morrison" <bjm@francomm.com>
Subject: [Dysphagia] acute care screenings
To: <dysphagia@b9.com>
Message-ID: <000e01c5fbed$8de5dd80$4d6c0cd0@DH9XPD11>
Content-Type: text/plain;	charset="iso-8859-1"

I am looking for input regarding screenings
in acute care. JCAHO requires that Rehab
have a means to screen patients for services 
(PT, OT, SLP). We receive ours based
on the information that the nurses fill out during
the nursing admission assessment. If the RN
marks "yes" for the question "Swallow Difficulty?"
or writes anything under the heading "Speech"
(ie., garbled, slurred, etc.), it automatically triggers 
an SLP screening which prints out in our department.
This seemed like a good idea when our
director implemented it earlier
this year, however, we are receiving so many
inappropriate screenings. We are not capturing the
patients that we need to capture. We are looking to
make changes.............I would really appreciate info
on how other acute care facilities screen patients. 
Thank you!

 

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Message: 2
Date: Thu, 08 Dec 2005 08:33:46 -0500
From: neurosp@aol.com
Subject: Re: [Dysphagia] Tx for Bell's Palsy
To: pressmah@sjhmc.org, JMeyer@mail.twu.edu, kcopeland@sjmc.org,
	dysphagia@b9.com
Message-ID: <8C7CA132690438B-A9C-694A@FWM-M10.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"

E-stim has traditionally been used by PT's to treat Bell's Palsy.  However, a typical therapeutic protocol would also include daily facial massage/ exercises as well.  Try it can,t hurt.   
 
-----Original Message-----
From: pressmah@sjhmc.org
To: JMeyer@mail.twu.edu; kcopeland@sjmc.org; dysphagia@b9.com
Sent: Tue, 6 Dec 2005 12:48:56 -0500 
Subject: RE: [Dysphagia] Tx for Bell's Palsy


It is my understanding that in something like 90% of cases Bell's Palsy
spontaneoulsy resolves in 2-3 weeks  I have not looked at recent literature.
Hilda Pressman

-----Original Message-----
From: Meyer, Jennifer [mailto:JMeyer@mail.twu.edu]
Sent: Tuesday, December 06, 2005 12:34 PM
To: Copeland, Karen; dysphagia@b9.com
Subject: RE: [Dysphagia] Tx for Bell's Palsy


One of my graduate students developed a Bell's Palsy this semester.  She did
not want to go the medication route so since we have some e-stim equipment
on hand, we used it to help limit muscle atrophy while the condition ran
it's course.  She had only 5 sessions which lasted approx. 30 min. each.
during which she performed OM ex. or simply ate her lunch.  Within 2-3 weeks
her Palsy was completely resolved.  I DO NOT claim the e-stim was
responsible for a rather quick resolution of the condition, but it might
merit further study?
Jennifer S. Meyer, M.A. CCC-SLP
Asst. Clinical Professor
Texas Woman's University

    -----Original Message----- 
    From: dysphagia-bounces@b9.com on behalf of Copeland, Karen 
    Sent: Mon 12/5/2005 8:27 AM 
    To: dysphagia@b9.com 
    Cc: 
    Subject: [Dysphagia] Tx for Bell's Palsy
    
    



    I am looking for any information regarding SLP involvement in the
    treatment of Bell's Palsy.  Specifically, what, if any, treatment
    interventions are appropriate and effective?  Also, any good support
    resources would be helpful.  I have a friend who has a friend
diagnosed
    following childbirth and they are seeking guidance. 
    
    Thanks in advance.
    karen
    
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------------------------------

Message: 3
Date: Thu, 8 Dec 2005 12:41:44 -0600 
From: "Clarke-Goertz, Kim (PAPHR)" <kgoertz@paphr.sk.ca>
Subject: [Dysphagia] xerostomia post rad and diet choices
To: "'dysphagia@b9.com'" <dysphagia@b9.com>
Message-ID:
	<0528614E554C8045984C7227C67337640249F754@mailhost.paphr.sk.ca>
Content-Type: text/plain;	charset="iso-8859-1"

Hi all,
I am writing to ask if any of you have any dietary suggestions for a fellow
I am following.  He is 4 mos post-radiation for scc of the tonsil.  He has
experienced significant xerostomia since.  We trialed an oral lubricant
which was not well received.  
I encouraged regular oral care with mouthwash (biotene) and frequent oral
hydration with water and thicker fluids as thin liquids are not well
tolerated.
He does have a PGJ so oral nutrition/hydration is by choice at this point.
He is anxious to wean and wants suggestions for oral intake.
I have suggested adding sauces/liquids for ease of oral transfer to any soft
solids.  He reports trying scrambled eggs recently and having difficulty
with transfer b/c of the dryness.

What I guess I'm asking of the group is does anyone have any prepared diet
suggestions for folks who fit this criteria?  Or any suggested resources?

ps No, I have not done a video, as nausea has been an issue in the recent
past and drinking barium is not an option at this point.  I do believe the
nausea is resolving.

Thanks in advance,
Kim





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End of Dysphagia Digest, Vol 25, Issue 10
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