[Dysphagia] Dysphagia and medications

[pressmah at sjhmc.org (Pressman, Hilda)]

And if you think it is bad with water (i.e. not getting enough to wash it down) watch most nurses give meds mixed in applesauce with just the one spoon of applesauce

-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com]On
Behalf Of JoAnn Eaton
Sent: Wednesday, January 31, 2007 5:05 PM
To: Smith Emily (5K9) Croydon PCT; dysphagia at b9.com
Subject: Re: [Dysphagia] Dysphagia and medications


I think the research here is trial and error on a case-by-case basis. 
Medications and administration with water would be akin to "mixed textures" 
in my mind. Medication administration is part of my eval because that's 
something the nurses are concerned about. There is no particular one safe 
method as patients are different. With some, it may be "crushed in pudding" 
Of course there are always some meds that can't be crushed. Then you find 
out if it's available in liquid form. If not, can the dose be offered whole 
in pudding, etc. However, be aware that research does say that medication is 
designed to be offered with 8 oz. of water to prevent pill burn or sticking 
in the esophagus. Does ANY nurse do that? I've never found one. So I try to 
get them educated about the benefits of giving the patient several swallows 
of liquids before administering medication to lubricate the mucousa and 
explain why it's so important.  That's why I always liked doing breakfast 
evals, because medication passes happened then, too.
JoAnn Eaton
----- Original Message ----- 
From: "Smith Emily (5K9) Croydon PCT" <Emily.Smith at croydonpct.nhs.uk>
To: <dysphagia at b9.com>
Sent: Wednesday, January 31, 2007 8:29 AM
Subject: [Dysphagia] Dysphagia and medications


> Hi I am a speech therapist working across the hospital and community
> setting. We have had a number of issues recently in regard to how our
> dysphagic patients are taking their medications and have been playing a
> bigger role in advising (in consultation with the pharmacists) the
> safest way for them to be administered e.g. tablet form/liquid
> form/crushed.
> Does anyone know of any research or evidence in to the safest way
> dysphagic patients should take meds. What do other people advise in
> their service?
>
> Many thanks, Emily
>
> -----Original Message-----
> From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
> Behalf Of dysphagia-request at b9.com
> Sent: 30 January 2007 19:00
> To: dysphagia at b9.com
> Subject: Dysphagia Digest, Vol 38, Issue 24
>
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> Today's Topics:
>
>   1. Oeoesophageal tube feeding article (Irene Campbell-Taylor)
>   2. Short Course on Dysphagia (J.O.H.N.C.Y.)
>   3. Re: Short Course on Dysphagia (Janet Brown)
>   4. Re: Short Course on Dysphagia (Furstoss, Jeanne  ACMC)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Mon, 29 Jan 2007 15:31:03 -0800 (PST)
> From: Irene Campbell-Taylor <eripley at yahoo.com>
> Subject: [Dysphagia] Oeoesophageal tube feeding article
> To: dysphagia at b9.com
> Message-ID: <925659.88830.qm at web30204.mail.mud.yahoo.com>
> Content-Type: text/plain; charset=iso-8859-1
>
> See:
>
> http://www.blackwell-synergy.com/doi/pdf/10.1111/j.1600-0404.2005.00534.
> x
>  Intermittent oro-esophageal tube feeding in acute stroke patients ? a
> pilot study
>
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
>
> ------------------------------
>
> Message: 2
> Date: Tue, 30 Jan 2007 05:31:11 +0000 (GMT)
> From: "J.O.H.N.C.Y." <johncyrose at yahoo.com>
> Subject: [Dysphagia] Short Course on Dysphagia
> To: dysphagia at b9.com
> Message-ID: <925375.75512.qm at web31107.mail.mud.yahoo.com>
> Content-Type: text/plain; charset=iso-8859-1
>
> Hello,
>
>  I am a speech pathologist from the Philippines. I am interested in
> swallowing. So would any one know of any short course on dysphagia to be
> held any time this year in UK, US, Australia, or any where else?
>
>  Any information would be greatly appreciated.
>
>  Thank you.
>
>  Johncy
>
>
>                    JOHNCY ROSE M. CONCEPCION, CSP-PASP Speech
> Pathologist
>  Voice and Swallowing Laboratory, ENT-HNS Center, The Medical City,
> Pasig City (632) 689-8201
>  Voice, Swallowing and Sinus Center, St. Luke's Medical Center, Quezon
> City. (632) 723 0199 loc 4715
>  sENTro Head and Neck Surgery and Medicine, Inc., 414 West East Center,
> Taft Ave. Manila, (632) 524 4455
>
>
>
>
>
>
>
>
>
>
>
> Send instant messages to your online friends
> http://uk.messenger.yahoo.com
>
> ------------------------------
>
> Message: 3
> Date: Tue, 30 Jan 2007 07:36:25 -0500
> From: "Janet Brown" <JBROWN at asha.org>
> Subject: Re: [Dysphagia] Short Course on Dysphagia
> To: "J.O.H.N.C.Y." <johncyrose at yahoo.com>, <dysphagia at b9.com>
> Message-ID:
> <94D9AF8794045B489FB48E865CE8E560017C5FDB at EXCH2005.hq.asha.org>
> Content-Type: text/plain; charset="us-ascii"
>
> Dear Johncy,
> ASHA's Health Care Conference on March 31-April 1 will have two days of
> dysphagia sessions. It is not a hands-on course, but will have the
> latest evidence-based information on dysphagia, including electrical
> stimulation, recovery from dysphagia after stroke, and dysphagia in
> individuals with head and neck cancer and Parkinson's disease.
>
> For more information about the conference, go to
> http://www.asha.org/about/events/hcare-conf/
>
>
> Janet
>
> -----Original Message-----
> From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
> Behalf Of J.O.H.N.C.Y.
> Sent: Tuesday, January 30, 2007 12:31 AM
> To: dysphagia at b9.com
> Subject: [Dysphagia] Short Course on Dysphagia
>
> Hello,
>
>  I am a speech pathologist from the Philippines. I am interested in
> swallowing. So would any one know of any short course on dysphagia to be
> held any time this year in UK, US, Australia, or any where else?
>
>  Any information would be greatly appreciated.
>
>  Thank you.
>
>  Johncy
>
>
>                    JOHNCY ROSE M. CONCEPCION, CSP-PASP
> Speech Pathologist
>  Voice and Swallowing Laboratory, ENT-HNS Center, The Medical City,
> Pasig City (632) 689-8201
>  Voice, Swallowing and Sinus Center, St. Luke's Medical Center, Quezon
> City. (632) 723 0199 loc 4715
>  sENTro Head and Neck Surgery and Medicine, Inc., 414 West East Center,
> Taft Ave. Manila, (632) 524 4455
>
>
>
>
>
>
>
>
>
>
>
> Send instant messages to your online friends
> http://uk.messenger.yahoo.com
> _______________________________________________
> Dysphagia mail list: Normal and disordered swallowing information
> Dysphagia at b9.com
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>
> ------------------------------
>
> Message: 4
> Date: Tue, 30 Jan 2007 06:58:06 -0800
> From: "Furstoss, Jeanne  ACMC" <jfurstoss at acmedctr.org>
> Subject: Re: [Dysphagia] Short Course on Dysphagia
> To: "'dysphagia at b9.com'" <dysphagia at b9.com>
> Message-ID:
>
> <2FC9FB8695144D41B3EE180354463BBD03DEF7F1 at acmc-mail3.acmedctr.ad>
> Content-Type: text/plain; charset="iso-8859-1"
>
> Re:
> "ASHA's Health Care Conference on March 31-April 1 will have two days of
> dysphagia sessions. It is not a hands-on course, but will have the
> latest evidence-based information on dysphagia, including electrical
> stimulation, recovery from dysphagia after stroke, and dysphagia in
> individuals with head and neck cancer and Parkinson's disease."
>
>
> ****Will ASHA make the disclaimer to the attendees of the two day
> dysphagia
> sessions, that completion of the workshop does not imply that persons
> are
> ready to receive dysphagia referrals  without extensive clinical
> supervision
> and demonstration of competency?
>
> Jeanne
>
>
> ------------------------------
>
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> End of Dysphagia Digest, Vol 38, Issue 24
> *****************************************
>
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