[Dysphagia] non compliance w/recommendations

[vderooy at ckha.on.ca (Valerie DeRooy)]

See below for article info on following/not following SLP recommendations


Valerie De Rooy, SLP ? Reg. CASLPO
Speech-Language Pathologist
Chatham-Kent Health Alliance
Phone: (519) 352-6400 ext. 6984
Fax: (519) 436-2500
Email: vderooy@ckha.on.ca <mailto:vderooy@ckha.on.ca> 

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To:	vderooy@ckha.on.ca <mailto:vderooy@ckha.on.ca> 
Subject:	swallow recommendations

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Documents	 

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Nancy Colodny (1  February). Dysphagic Independent Feeders' Justifications
for Noncompliance With Recommendations by a Speech-Language Pathologist.
American Journal of Speech - Language Pathology,61-70. Retrieved , from
ProQuest Nursing Journals database. (Document ID: 825854941).

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Document 1 of 1	



Nancy Colodny (1  February). Dysphagic Independent Feeders' Justifications
for Noncompliance With Recommendations by a Speech-Language Pathologist.
American Journal of Speech - Language Pathology,61-70. Retrieved , from
ProQuest Nursing Journals database. (Document ID: 825854941).
Subjects:	 Defense mechanisms,  Medical disorders,  Noncompliance,
Cognitive therapy,  Medical diagnosis	 
Author(s):	 Nancy Colodny	 
Document types:	 Feature	 
Section:	 Research	 
Publication title:	 American Journal of Speech - Language Pathology.
Rockville: Feb 2005. Vol. 14, Iss.  1;  pg. 61, 10 pgs	 
Source type:	 Periodical	 
ISSN/ISBN:	 10580360	 
ProQuest document ID:	 825854941	 
Text Word Count	 8225	 
Document URL:
http://proquest.umi.com/pqdweb?did=825854941&Fmt=4&clientId=69282&RQT=309&VN
ame=PQD
<http://proquest.umi.com/pqdweb?did=825854941&Fmt=4&clientId=69282&RQT=309&V
Name=PQD> 	 
Abstract (Document Summary)	 
The purpose of this study was to examine the various ways in which
independent-feeding patients with dysphagia justified their noncompliance
with swallowing recommendations suggested by a speech-language pathologist
(SLP). Sixty-three independent-feeding dysphagia patients between the ages
of 65 and 100 years who had been identified by the SLP or staff as
noncompliant with SLP recommendations were interviewed about their reasons
for noncompliance. Reasons were classified into 8 categories: (a) denial of
a swallowing problem, (b) dissatisfaction with the preparations such as
thickened liquids or pureed foods, (c) assuming a calculated risk for
noncompliant behaviors, (d) rationalizing their noncompliance in the face of
contradictory evidence, (e) minimization of the severity of their problem,
(f) verbal accommodation while maintaining noncompliance, (g) projection of
blame toward the SLP, and (h) deflection of noncompliance by referring to an
external authority. Reasons for noncompliance were discussed in light of
theory and research on denial, coping mechanisms, and the social-cognitive
transition model. Implications were drawn for SLP practice in dealing with
noncompliant independent-feeding patients with dysphagia. [PUBLICATION
ABSTRACT]

Key Words: dysphagia, noncompliance, coping, defense mechanisms,
social-cognitive transition model

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