dysphagia compensatory strategies handout

Encourage daily practice, at least twice a day. The strategy must work for all consistencies. Avoid foods that are hard or have tough skins, such as raw apples. • Continue to use the guidelines and strategies that are posted by the Speech-Language Pathologist located on the Dysphagia Guidelines card on the back of the patient’s chair. Common signs of dysphagia and how to treat them2. How to Treat Aphasia: 15 Receptive Language & Reading Tasks, How to Treat Aphasia: 23 Expressive Language & Writing Tasks. Examples of direct dysphagia treatment interventions include sensory stimulation, diet modification, muscle strengthening, ROM exercises, and caregiver training in feeding assistance. These cue cards will describe the purpose of the strategies and how to perform them. Have the patient point exactly where. The packet also includes other handy one sheeters to give to your dysphagia patients. Body Positioning – Please make sure your loved one is sitting in the most optimal position. This handout is designed for speech-language pathologists working with patients who have dysphagia and are using thickened liquids as a compensatory strategy. 8.5 x … compensatory strategies Department of Otolaryngology-Head and Neck Surgery 19 Impact of Radiation +/-Chemo 20 Dysphagia Associated with RT +/-Chemo •A common effect with estimated prevalence of 39-64% after RT or CRT (Hutcheson, 2013) •A common complication for patients both acutely and long after treatment has ended (Kotz et al., 2012) --Compensatory Strategies work best because other types of exercises may put further stress and work on the respiratory system and may be unproductive. Handout: Caregiver Communication Strategies created by Medical SLPs. 3. dysphagia. Therefore, we Current studies show that some dysphagia programs based on the principles of exercise physiology can result in: 1. Management of dysphagia includes the incorporation of compensatory strategies to immediately address swallow-ing safety (e.g., aspiration) and efficiency (e.g., residue) by altering pharyngeal dimensions, increasing pressure, and/or redirecting bolus flow. (Hyper).. • Compensatory strategies: Which can the client do and which will be most effective? Spell. Introduce task and seek consent The AHA introduces him/herself to the client. Hint: motility problems in the esophagus tend to cause dysphagia to liquids and solids, whereas as an obstructive/mucosal issue (i.e., stricture) tends to cause dysphagia … For oral tongue dysfunction and/or delayed pharyngeal swallow - use thickened liquids/purees c. For patients with poor pharyngeal contraction - take smaller boluses at a slower rate d. For oral tongue dysfunction and/or delayed pharyngeal swallow - use thickened liquids/purees c. For patients with poor pharyngeal contraction - take smaller boluses at a slower rate d. How to Write an Evaluation Report – with Examples! Below is a list of common compensatory swallowing strategies. Skip to ... Dysphagia Bundle. Do not tense your neck muscles.Cheek puffs: Puff out your cheeks like a blow fish and hold for 5 seconds. �����H�kD`��r��A)t�yn������hW��0W#��1�p�3?�ϒ�nH�lx`�w�4��8�`?��CQ.���F?��3�N�Y @N��4���j�48�|�ߎ�N�4vvŲ�s���qI��6�֫}��MZ��j�pV|I�a��e�,0� y5uA�"z4:'5��x�.Io�5��q�h��$�o*8g'E^��wH��e�#�5q3'�"�V{� iR�7�i�`\X�h�/z>�g�t��~�ťӀ&�tC� 6��q�N�,!��,~#ڲ&f����tY%���IH L#��eU��Q~]4������x;:>����_���Ƣ���F���U���I/���WJ������m�l��$hC�A�j�\�M>-P�C9x����!Nŧ��DQCH�~�ૠ_���a��3����a����} ���Ŏ)����. Client handout and any required feeding equipment . Designed for speech-language pathologists working with patients who have dysphagia exacerbated by GERD. Created by. Don’t hand out thickened liquids like Oprah (A Compensatory Strategy Review for Swallowing Disorders Part 2) Are your patient’s unable to cognitively follow compensatory strategies? Dysphagia treatment can be divided into direct treatment and indirect treatment. Patients typically describe this as a sensation of food "sticking" in the throat or chest. Liquid wash may be more effective for patients Dysphagia, or difficulty with swallowing, is a medical disorder that impacts as many as 15 million Americans, with approximately one million people annually receiving a new diagnosis of the condition. Chin Tuck: Take a sip of your drink, immediately look down at your lap, then swallow.After each bite of food, take a sip of your drink.Take small bites, one at a time.After each bite, set your fork down and eat slowly.Effortful swallow: Every time you swallow, swallow HARD like you’re trying to swallow a whole grape.Swallow each bite and sip TWICE before taking another bite or sip.Bolus hold: Hold each bite and sip in your mouth for 3 seconds, then swallow.After each bite and sip, turn your head and then swallow.Super supraglottic: Hold your breath and bear down, take a small sip and swallow, pause and then cough.Sit bolt upright whenever you eat or drink something.Sit upright for at least 30 minutes after eating.After each swallow, clear your throat hard and swallow again.Use your tongue to clear out any leftovers in your mouth.Avoid straws and drink straight from the cup.Use a straw to avoid tilting your head back when you drink from a cup.Place your medications in a carrier, such as apple sauce, yogurt, or pudding.Cut your pills in half.Crush up your pills and place them in a carrier, such as apple sauce, yogurt, or pudding.Avoiding speaking while there’s food in your mouth.Eat only when you feel awake and alert.Reduce distractions while you’re eating, do not watch TV or read a book while eating. Without the use of unnatural postures and compensatory strategies Types of Head/Neck Positioning. Clarify if it is a dysphagia to solids/liquid/pills, or all three. Clarify if it is a dysphagia to solids/liquid/pills, or all three. 0 endstream endobj 994 0 obj <>/Metadata 40 0 R/Outlines 89 0 R/PageLayout/OneColumn/Pages 989 0 R/StructTreeRoot 150 0 R/Type/Catalog>> endobj 995 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 996 0 obj <>stream For reduction in tongue elevation - position food posteriorly with straw or syringe b. Jan 30, 2020 - Explore penny fox-jones's board "dysphagia" on Pinterest. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. Adults Advanced Naming Aphasia Apraxia Auditory Comprehension Bundles Cognitive Communication Compensatory Memory Dementia Divergent Naming Downloadable Dysarthia Dysphagia Executive Functioning Expressive Language Free Functional Generative Naming Gift Cards ... Handout: Dysphagia $ 0.99 $ 0.00. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. Spanish swallowing resources and links: The Ohio State University – Wexner Medical Center provides extensive patient education resources in many languages. Dysphagia diet textures can be a mysterious thing. Increased oral intake 3. Understand how swallowing can be affected by Parkinson’s Disease. Compensatory Strategies …. You can also press your fingers against your cheek to add some resistance.Anterior lingual press: Stick out your tongue tip as far out as it can go, hold for 10 seconds, relax and repeat. Dysphagia can also lead to isolation and depression. Safe/functional swallow pattern leading to a decrease in infection 2. dysphagia into static disorders and dynamic disorders, whereas Horiguchi 8) proposed that it be classified into the following three types: (i) organic dysphagia, (ii) motor disorder dysphagia, and (iii) functional dysphagia. • Liquid wash vs. dry swallow: • The amount and location of residue. Specific postures are used to compensate for particular types of dysphagia by changing the way that the food moves through the pharynx. In direct treatment, the clinician works directly with the resident, teaching him or her compensatory strategies. • The difficulty in performing a dry swallow. After VFSS, 8 patients had a functional swallow and 2 … o High incidence of disordered swallowing following intubation, tracheostomy, and mechanical ventilation • Oral Preparatory and Oral Stage Swallowing o Readiness to accept the bolus, including level of alertness. Lip Pucker: Purse your lips like you’re about to whistle and hold for 5 seconds. Obtain a general understanding of swallowing function. Aug 2, 2013 - swallowing compensatory strategies - Bing Images Compensatory Strategies (Dysphagia) STUDY. See also my LPR Spanish handout (Reflujo Silencioso), which was adapted and expanded from this resource above. dysphagia compensatory strategies whilst eating the client should remain in sitting for a minimum of 20 minutes after the task. Relax back down for 60 seconds. Supports self-feeding and swallowing, pt sitting upright, 90-degree angle, head aligned with trunk. • The difficulty in performing a dry swallow. Oropharyngeal dysphagia is a frequent occurrence following stroke. Copyright © 2020 The Home Health SLP Handbook. Tucking the chin to the chest closes off the airway for many patients, but for others, it can make things worse and actually cause aspiration. Learn. Handout: Caregiver Communication Strategies created by Medical SLPs. The American Speech-Language Hearing Association, better known as ‘ASHA’, defines dysphagia as “problems involving the oral cavity, pharynx, esophagus, or gastroesophageal junction.” ASHA’s website has a great overview of dysphagia.Treating dysphagia requires high levels of training and skill. Tech specs: Digital do oropharyngeal and esophageal dysphagia. Learn basic strategies to cope with swallowing issues. Compensatory strategies provide immediate effects, and as of yet, they have not been The length of acute care hospitalization, however, has decreased over time with many individuals weak and frail upon admission for rehabilitation and possibly with continued dysphagia upon discharge. 1016 0 obj <>/Filter/FlateDecode/ID[]/Index[993 59]/Info 992 0 R/Length 115/Prev 149089/Root 994 0 R/Size 1052/Type/XRef/W[1 3 1]>>stream The term compensatory, in this case, means that these strategies are not treatment or therapy; if these are the solution to a long term problem, they will have to be used every time you swallow. It includes any . Check out this 3-part series on compensatory strategies from Mobile Dysphagia Diagnostics. Relax for 60 seconds. 7���0d�\�2r�İi�U��!|C��� �������� =:C�.V˄�r��������s�K� }GG�>i� ��k�a����q]�N본L�p:��R���i��Y�0ϋ����;���� b;�#�G���j$dOJHl��D��2�@�&��( \"�+�����23BɀK(�����Y B�__ !e��� nbw"����%*!� No well-proven strategies to prevent dysphagia are available. They can be placed on the table to be a visual reminder to use the swallowing compensatory strategies during meals. Such as people with chronic back pain). Dysphagia can often have severe consequences including an exacerbation or worsening of COPD and pneumonia. Provides a brief overview of dysphagia and describes signs and symptoms. Other Compensatory Strategies: Application to Specific Problems a. ��ea��� "�����i��� Read ahead for a free patient handout. * It’s important to educate EVERY dysphagia patient and their caregivers about the risk of aspiration. Gravity. Raise your head to look at your toes (keep your shoulders on the ground) and hold for up to 60 seconds. Compensatory swallowing strategies4. Dysphagia can often have severe consequences including an exacerbation or worsening of COPD and pneumonia. For reduction in tongue elevation - position food posteriorly with straw or syringe b. There are check boxes for customizing it to your patient. effortful swallow, chin tuck, etc. These types of food are hard to chew and swallow. Below are a list of common swallowing exercises. We all have little tricks we use to help us in our daily lives. Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. h��YmO�H�+�t��ݻ�*tJ�����$Unb�U��٦4��f�^�h��Nw'�j���>;3��B9�0���H�FD���Blp�,N AB�$1�M)b#7��D?�yȱe�e]�.�k���Um%t�B�R�����P[l)N�{�a��`�H�j��i���hEDj\�)FT)l�"�� Signs and symptoms of aspiration (FREE patient handout), Treatment: Thickened liquids, Labial exercises, Treatment: Modified diet textures, Lingual exercises, Treatment: Alternating bites and sips, Lingual exercises, Treatment: Thickened liquids, Small bites and sips, Bolus hold, Chin tuck, Lingual exercises, Treatment: Small bites and sips, Thinner consistencies, Masako maneuver, Mendelsohn maneuver, Shaker exercise, Treatment: Mendelsohn maneuver, Effortful swallow, Treatment: Dry swallow, Alternating bites and sips, Chin tuck, Effortful swallow, Mendelsohn maneuver, Lingual exercises, Masako maneuver, Treatment: Head turn. 993 0 obj <> endobj • Continue to use the guidelines and strategies that are posted by the Speech-Language Pathologist located on the Dysphagia Guidelines card on the back of the patient’s chair. Compensatory strategies used by our participants are consistent with clinical recommendations for patients who are experiencing dysphagia or increased residue in the valleculae and pharynx. • Compensatory strategies: Which can the patient do and which will be most effective? Relax for 60 seconds. This link below is to an information sheet on swallowing problems (in English and Spanish). Your physician or speech-language pathologist will select which exercises are useful to improving your swallowing function. While most compensatory […] Relax down and repeat up to 30 times.Chin tuck against resistance: (use in place of the Shaker exercise with patients physically unable to lay flat on their backs. Hold it for 1-3 second.Monkey EEE: Say “eee” in your normal voice then quickly glide up to say a high pitched “eee,” repeating x3 in a row, pause, then repeat again.Shaker: Lay flat on your back, do not use a pillow. Designed for speech-language pathologists to give to patients, nurses, dieticians, kitchen staff, etc. Compensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. Dysphagia affects quality of life in at-risk pediatric populations, 2. rehabilitation populations, 3 Truth: The “chin tuck” is a popular compensatory strategy for swallowing impairments. In these terms, Hirano et al. have proven effective will continue to use these compensatory techniques when drinking water. Thick saliva. 2017;92(6):965-972 D ysphagia is a relatively common ---Compensatory changes usually do not increase muscular effort or the duration of airflow closure, which tends to be a problem with patients who have a respiratory disease. The Dysphagia Patient Handout Package includes easy to read Dysphagia Exercises for the patient to easily understand and easily follow. 1051 0 obj <>stream Read on for details! This handout is designed for speech-language pathologists working with patients who have dysphagia and are using thickened liquids as a compensatory strategy. 's category of static disorders corresponds to organic Swallowing and respiration are considered reciprocal functions. Compensatory strategies that were effective for patients was a head back posture, Supraglottic Swallow, Mendelsohn Maneuver and subsequent swallows following initial swallow of the bolus. Always seek the advice of your physician and/or qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website. Swallowing exercises3. They may also use the term "choking" (see below) to describe the same feeling. Have the patient point exactly where. %PDF-1.5 %���� Oropharyngeal dysphagia is a frequent occurrence following stroke. ��Z�0�3���_�S-s�̴�3AZ����upǪ݆�x����-��Zw&{�`hYr��ղ��Л�;V�Y�{4����ls!H������������d��#�+�2��q��iƧ���(K������N*�mC܆YU�:[E�6=��� @� [Zs��ʟ�.�1�2Ʒ�BB@���+�fd``]����Ҝƅ��c�� �����@�1* �7Z� have proven effective will continue to use these compensatory techniques when drinking water. Therapy Insights provides fresh materials and continuing education for rehabilitation therapists (SLP, OT, and PT) designed to help clinicians save time and change lives. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. This handout is designed for speech-language pathologists who work with people who have dysphagia and use thickened liquids as a compensatory strategy due to a delayed swallow. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. It is an easy-to-follow two-page handout. h�b```���� Gastroenterology 2002;122:1314-1321. A good clinical history can decipher the type of dysphagia in approximately 80% of cases.11 If the patient describes difficulty initiating swallowing, nasopharyngeal regurgitation, or choking, this is suggestive of oropharyngeal dysphagia. It is a good idea to have the patient try using these postures during the VFFS/MBS; this way you can get an idea of how well or what will really work or not work for that patient. Then, raise your head and hold up for 3 seconds. difficulty in the passage of food, liquid, or medicine, during any stage of swallowing that impairs the client’s ability to swallow independently or safely.” 1. • Liquid wash vs. dry swallow: • The amount and location of residue. And, avoid dry, sticky foods such as mashed potatoes without gravy, white bread, and peanut butter. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Masako maneuver: Stick your tongue out and hold it gently between your lips, swallow while sticking your tongue out.Hawk: (use this with patients who have difficulty completing the Masako). 6�zQ�#q ��e��&�0��J�� �pcZ. Get your free 2-page PDF handout of 16 Dysphagia Myths – Busted! The strategy must work for all consistencies. Head Positioning oChin Tuck Instruction: Bring chin to chest. Dysphagia is “dysfunction in any stage or process of eating. o Positioning, dentition, and medications. They may need to eat using compensatory postures or techniques such as turning or tilting their head in a certain direction. Common compensatory strategies are explained including diet modifications and swallowing maneuvers (i.e. h�bbd```b``n �����Y��D2�H6Gɪ&���L�x��L�H�� �;l� Effortful swallow: Swallow your saliva HARD, pretend that you’re swallowing a whole grape, and repeat 10 times.Mendelsohn maneuver: Swallow your saliva and feel your Adam’s apple move up and down. 13) Myth: Smaller bites are always safer than big ones. This pamphlet is specifically for patient/caregiver education on Dysphagia Management. The length of acute care hospitalization, however, has decreased over time with many individuals weak and frail upon admission for rehabilitation and possibly with continued dysphagia upon discharge. Truth: For people with reduced sensation, a bigger bite may give more sensory information and can be swallowed more safely. 1. Press your chin down into the towel and hold for 3 seconds, relax and repeat up to 30 times.Super spraglottic swallow: Take a deep breath and hold it tight, take a bite or a sip, swallow hard, cough, then breathe. Compensatory strategies may be short term or used more long-term, such as with patients with head and neck cancer. Add to cart . ª 2017 Mayo Foundation for Medical Education and Research n Mayo Clin Proc. Swallow your saliva again, but halfway through the swallow, hold your Adam’s apple up using the muscles under your chin. This website and all of its content is for informational purposes only. The strategy must work for all consistencies. Dysphagia can also lead to isolation and depression. Write. lacey_lind1. The handout lays out the basics of these types of thickeners, including main ingredients, shelf life, how they're thickened, and pros/cons. Pick and choose for your patients based on the signs and symptoms they present.
dysphagia compensatory strategies handout 2021