[Dysphagia] dysphagia therapy for COPD

[Isabelle_Sutula at mhhs.org (Sutula, Isabelle)]

I was curious if anyone did dysphagia therapy with patients with COPD.
We do the MBS and identify aspiration but we don't treat the patient
other than diet modification or compensatory techniques.

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Today's Topics:

   1. Re: Hypodermoclysis (Irene Campbell-Taylor)
   2. infant seating for MBS (ptesch@jdmc.org)


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Message: 1
Date: Mon, 3 Oct 2005 12:30:32 -0700 (PDT)
From: Irene Campbell-Taylor <eripley@yahoo.com>
Subject: Re: [Dysphagia] Hypodermoclysis
To: kathleen wright <hillivie423@adelphia.net>, dysphagia@b9.com,
	LOBSTERPAM@aol.com
Message-ID: <20051003193032.53159.qmail@web30206.mail.mud.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1



kathleen wright <hillivie423@adelphia.net> wrote:
Irene, what is your experience in using it with adults who have severe
to 
profound developmental disabilities? How do you keep them from harming 
themselves on the insertion device?

 

*** I have seen it used most often and most successfully with both
adults with profound DD and elders with dementing illnesses. It is used
overnight for perhaps 2 or 3 nights a week or whatever is prescribed,
with the needle placed on the lower abdomen under the appropriate
garment and the tube going out the end of the bed. The patient is not
aware that it is present once inserted (almost completely painless) and
I have never seen anyone trying to remove it.

----- Original Message ----- 
From: "Irene Campbell-Taylor" 
To: ; 
Sent: Monday, October 03, 2005 9:35 AM
Subject: [Dysphagia] Hypodermoclysis


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> Content preview: Thank you Pam for those two refs. that I didn't have.
> There are many others including a full article plus patient handout
> explaining how it is done at home at:
> http://www.aafp.org/afp/20011101/1575.html And, Medicare has a code
> for it. I still fail to understand how such a simple and widespread
> procedure is not used in the US except in a few, isolated instances.
> We find that it helps avoid NH admission for many elderly when it is
> prescribed and performed at home, either by the patient or a family
> caregiver. In LTC it is a safe and simple way to treat mild to
> moderate dehydration. If more is needed quickly, more than one site
> can be used simultaneously. this is a procedure that is more than 100
> years old and is s life saver. Irene. [...]
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Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com

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Message: 2
Date: Mon, 3 Oct 2005 16:01:08 -0500 (CDT)
From: ptesch@jdmc.org
Subject: [Dysphagia] infant seating for MBS
To: Dysphagia@b9.com
Message-ID: <1381.192.168.0.149.1128373268.squirrel@jdmc.org>
Content-Type: TEXT/plain; charset="iso-8859-1"

In the past I have used a tumbleform feeder seat in the smallest size
for
infants.  We set it on top of the regular dysphagia chair used for
adults.
 We used a gait belt or velcro type belt throught the holes in the back
of
it and wrapped it around the back of the dysphagia chair. Also had to
use
a pillow or two usually to get it propped in the right spot.  I liked
having some play in it so I could easily adjust the angle from reclined
to
more upright if I needed to during a study.  Also, with a newborn, I
observed a study once in which they placed the x-ray table down and put
pillows on the table and placed the baby on the table in a side-lying
position and propped with pillows to find the right angle.


Pennie Tesch, MA, CCC-SLP
Speech-Language Pathologist
JD McCarty Center



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End of Dysphagia Digest, Vol 23, Issue 6
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