[Dysphagia] Logemnn Robbins study

[CarrollLR at ramsayhealth.com.au (Carroll, Leone)]

Hi all
Despite all the to-ings and fro-ings that have been going on since
Irene's initial point, we agree that dysphagia management of the elderly
requires considerable review, that there still isn't sufficient evidence
for or against thickened fluids. We have been conducting a study using a
Water Protocol with mostly elderly patients with various medical
diagnoses and co-morbidities, using a Single Subject (Experimental)
Research Design with multiple replications. This is one attempt to
commence amassing evidence also, for "safety" of at least supplementing
with water. So far with positive results. We are presenting a paper
describing the results at the upcoming Speech Pathology Australia
Conference in Sydney, at the end of this month. We have also submitted a
literature review/discussion paper for publication as a Forum.

Regards
Leone Carroll, Meg Ledger, Liz Swift, Naomi Cocks

Leone Carroll
Manager, Speech Pathology
Hollywood Private Hospital
Monash Ave
Nedlands  WA  6009
 
Ph: 08 9346 6286 (direct line)
           9386 6000, pager 6286
           9386 6384 (AH Reception)
Fax: 08 9346 6144
 
 

-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Irene
Campbell-Taylor
Sent: Wednesday, 9 May 2007 10:20 AM
To: dysphagia at b9.com
Subject: [Dysphagia] Logemnn Robbins study

I wonder how individuals are altering their management practices in
light of the recent revelation of the dehydrating effects of thickeners
and the failure of thickening and chin tuck to prevent aspiration. The
authors acknowledge that the ciliary clearance of aspirated thickened
fluids probably causes the resultant pneumonia.  This is undoubtedly
more true of gum based thickeners. It would seem that management,
especially of the elderly, requires immediate alteration.

Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at dysphagia.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum

NOTICE: CONFIDENTIAL COMMUNICATION
This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message 
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately 
advise the sender by return e-mail, or telephone, listed below.
You must destroy the original transmission and its contents. 
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care. 
This communication should not be copied or disseminated 
without permission.
------------------------------------------------------------------------