[Dysphagia] Project 201

[beadnwire at aol.com (beadnwire at aol.com)]

 i use it (chin tuck) when the patient needs additional time to organize the swallow; gravity keeps the liquid in the mouth then when the person feels ready, it's go time.  In that sense, it can help with airway protection, and i've seen it confirmed on VFSS.
 i've also found it useful in the way Marcia reports- for vallecular residue and pill dysphagia.  
 
happy thanksgiving- lots of swallowing practice opportunities :)
kelly
 
 
-----Original Message-----
From: mbuckie at dmc.org
To: jfurstoss at acmedctr.org; dysphagia at medonline.com
Sent: Wed, 22 Nov 2006 11:24 AM
Subject: Re: [Dysphagia] Project 201


On a personal/professional level,
I do and will cont. to utilize the "updated" (quotes mine) in my
clinical management of patient, in my exchanges with referring
physicians, and in training of students.

I haven't looked at this study in depth, but I have long seen the chin
tuck as the "magic bullet" by nurses, therapists and the summary that
was posted said patients who use chin tuck still got pneumonia. I wasn't
aware that was the purpose of the chin tuck..that's a pretty big leap to
make. I recommend for patients who have a lot of vallecular residue, or
tend to large pills stuck in their throat, more for comfort.

At one time, somebody told me it "helped" protect the airway, but I
haven't really found that to make sense , it often makes it worse,
depending on anatomy, nature of swallow dysfunction.

Marcia

-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
Behalf Of Furstoss, Jeanne ACMC
Sent: Tuesday, November 21, 2006 11:55
To: 'dysphagia at b9.com'
Subject: [Dysphagia] Project 201

Colleagues,

Can we ask: what will will each of us do today to insure that benefit
utilizing widespread dysphagia intervention myths...thick liquids, chin
tuck... are agressively dispelled?

Jeanne
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