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Showing page 1 of 4 (36 total posts)
  • The Benefits of FEES in Long-Term Care

    Fiberoptic endoscopic evaluation of swallow, or FEES, is a good alternative to the modified barium swallow study, or MBSS, in the long-term care setting for many reasons. In the past year, the rehabilitation company I work for has contracted with another company to provide FEES at our facility. Their speech-language pathologist arrives with her ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on August 28, 2014
  • Feeding Therapy for Children Diagnosed with Cerebral Palsy

    This week I am exploring feeding issues found with children diagnosed with cerebral palsy. The information surrounding this topic is very vast and extensive. My goal for this post is to provide useful information and resources for both therapists and parents. Let's begin with WHO is capable of addressing feeding issues with young children. ...
    Posted to Early Intervention Speech Therapy (Weblog) on April 9, 2013
  • Dysphagia Education

    Northern Speech Services' Dysphagia is an essential app for every SLP working with adults with swallowing dysfunction. It provides images of the anatomy seen in a video fluoroscopic swallow study (VFSS or MBS), with videos of a normal swallow in two views and several types of impairments in an adult. The images are the ones used in the MBSImPTM ...
    Posted to Speaking of Apps (Weblog) on March 18, 2013
  • Hiatal Hernias

    Hiatal hernia is a diagnosis commonly seen by SLPs in adult and geriatric settings, and can often be hidden by other complaints and symptoms of disorders that affect swallowing, leading to the hiatal hernia being undiagnosed. A hiatal hernia specifically refers to the protrusion of part of the stomach through the esophageal opening, or hiatus, ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on January 31, 2013
  • Treating the Dementia Patient at Mealtime, Part 4

    Caregivers often become quite upset over a loved one's behaviors during meals. A family might think that a relative would love to visit a favorite restaurant, only to witness a catastrophic reaction as the person with dementia is faced with a change in routine, a place that may be unfamiliar,  and ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on November 15, 2012
  • Treating the Dementia Patient at Meal Time, Part 2

     Here is another installment in dining strategies for people with dementia. I think the educated and motivated clinician can provide caregivers with many options to use in order to promote the patient's ability to dine as independently as possible, while maintaining and healthy nutritional status.   The patient eats too quickly or is ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on November 2, 2012
  • Treating the Dementia Patient at Meal Time, Part 1

     Many patients with dementia are described by family and caregivers as having decreased appetites or as having lost interest in meals. Many of these same patients will continue to eat sweets, snacks, or consume beverages, but will not sit for long enough to eat a meal, or will not eat with utensils. I observe all of my patients while eating, ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on October 25, 2012
  • Choosing Diets

    In the SNF, therapists often get accustomed to choosing pureed, mechanical soft, or regular diet textures. At times, I request a mechanical soft meal with pureed meats, and some facilities ask us to specify mechanical soft with chopped meats or mechanical soft with ground meats. In some facilities, mechanical soft texture is by default softer ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on September 20, 2012
  • Looking Closely at Goals for Dysphagia

    In long term care, the title of Speech Pathologist is often more closely associated with swallowing than with communication. In my experience, most referrals are due to patients either not consuming an adequate amount of foods and liquids, to patients coughing during meals, or to patients demonstrating texture aversion and/or behaviors such as ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on June 1, 2012
  • Goal-Writing Goals

    Recently, I have been thinking of goals and how we write them. Many of us use a ''goal bank'' at our jobs, which is helpful because we don't have to type the same wording over and over; however, we have to be very careful not to fall into the pitfall of ''cookie-cutter'' goals. We all learned to write clear, measurable goals in graduate school, ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on May 10, 2012
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