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[Dysphagia] Practice approaches
I promote free water between meals, after oral care for my dysphagia
patients. I cannot, however, ignore the many videos that I have performed
that demonstrate quite clearly a person aspirating on thin and tolerating
thickened liquids. Nor can I ignore the patients who I follow over time
(LTC attached to hospital) who have experienced relief from chronic upper
respiratory symptoms, including repeated pneumonias after being placed on
thickened liquids.
Research and evidence based practice are important to my practice. However,
there is also evidence and knowledge to be gleaned from every patient that I
treat. Those patients and their outcomes tell me that although probably
overused, there is an appropriate place for thickened liquids in the LTC
setting.
Gerriann Jackson
-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com]On Behalf Of Vera Karger
Sent: Wednesday, June 13, 2007 9:39 PM
To: Irene Campbell-Taylor
Cc: dysphagia at b9.com
Subject: Re: [Dysphagia] Practice approaches
Irene,
I'm relieved to be able to return my patients to water. They are as
well.
Not having read the study directly, perhaps you can fill me - us - in
on whether it's suggested that a squeeze of lemon, lime or perhaps
juice for flavoring may be used? Some patients really dislike plain
water.
Vera Karger, M.S., CCCS
Monroe, CT
vkargerslp at mac.com
On Jun 13, 2007, at 9:26 PM, Irene Campbell-Taylor wrote:
> I have the impression from recent posts that few, if any, are
> paying heed to Logemann's findings on the dangers of thickened
> fluids in the elderly in long term care- dehydration, aspiration of
> thickened liquids etc. Why continue with something that has long
> been known and now proven to be dangerous?
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
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