|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] RE: Dysphagia Digest, Vol 5, Issue 13
- Subject: [Dysphagia] RE: Dysphagia Digest, Vol 5, Issue 13
- From: scohen at larabida.org (Cohen, Stephanie)
- Date: Fri Apr 9 08:17:42 2004
I've attended courses with Rona Alexander that I've found very helpful,
most recently the Advanced Clinical Problem-Solving in Pediatric Oral
Motor, Feeding/Swallowing, and Respiratory Coordination Function course.
I've also heard that the ABC Modules at the University of
Wisconsin-Milwaukee that she teaches with Bob Beecher are very good, but
I haven't taken any of them (there are 5, two of which I believe have
now been marketed as video rentals). I've also taken an Introduction to
NDT Treatment of the Infant, which I enjoyed, which focused on entire
body function as well, not solely feeding. As you might expect, none of
the courses I've attended have addressed motor and sensory-based feeding
disorders as separate entities, but instead addressed how the systems
impact each other, and I'm interested to know how the SOS Approach will
integrate the two. Do you work with children as well as adults?
Stephanie
Stephanie Cooper Cohen, M.A., CCC-SLP
Speech-Language Pathology
La Rabida Children's Hospital and Research Center
E. 65th Street at Lake Michigan
Chicago, IL 60649
(773) 363-6700 x489
scohen@larabida.org
-----Original Message-----
From: dysphagia-request@b9.com [mailto:dysphagia-request@b9.com]
Sent: Thursday, April 08, 2004 4:47 PM
To: dysphagia@b9.com
Subject: Dysphagia Digest, Vol 5, Issue 13
Send Dysphagia mailing list submissions to
dysphagia@b9.com
To subscribe or unsubscribe via the World Wide Web, visit
http://lists.b9.com/mailman/listinfo/dysphagia
or, via email, send a message with subject or body 'help' to
dysphagia-request@b9.com
You can reach the person managing the list at
dysphagia-owner@b9.com
When replying, please edit your Subject line so it is more specific
than "Re: Contents of Dysphagia digest..."
Today's Topics:
1. RE: Water protocol? (Nicole Cugnet-LPM)
2. Water Protocol (Ralph and Patti)
3. Re: pediatric dysphagia courses (Irene Campbell-Taylor)
4. RE: Water protocol? (Irene Campbell-Taylor)
----------------------------------------------------------------------
Message: 1
Date: Thu, 8 Apr 2004 15:12:04 -0500
From: "Nicole Cugnet-LPM" <ncugnet@lpm.rha-central.mb.ca>
Subject: RE: [Dysphagia] Water protocol?
To: "'Irene Campbell-Taylor'" <eripley@yahoo.com>, <KJTor@aol.com>,
<LCDM11@aol.com>, <mbventura@att.net>, <dysphagia@b9.com>
Message-ID: <004901c41da5$c3490b50$47ae1aac@LPMW007>
Content-Type: text/plain; charset="us-ascii"
Forgive my ignorance, but how is this delivered then?
-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf
Of Irene Campbell-Taylor
Sent: Thursday, April 08, 2004 2:45 PM
To: ncugnet@lpm.rha-central.mb.ca; KJTor@aol.com; LCDM11@aol.com;
mbventura@att.net; dysphagia@b9.com
Subject: RE: [Dysphagia] Water protocol?
Nicole Cugnet-LPM <ncugnet@lpm.rha-central.mb.ca> wrote:
unfortunately IV hydration is not even an option in our LTC
facilities.
You don't use I.V. you use subcutaneous - hypodermoclysis, overnight 2-3
times a week. Medicare has a code for it and you don't need an RN. Home
caregivers do it all the time. It's the most widely used form of
rehydration
in LTC in the world - outside of the US that is. I find many physicians
won't order it simply because they don't know how to write the order
_(No,
I'm not kidding) - so I write it for them e.g. I recommend
(Route \ fluid type \ fluid amount \ flow rate of fluid \ over what
period of time.)
I/S 2/3 & 1/3, 1000cc to run wide open q.h.s x 3
(Read: Interstitial, two thirds and one third, 1000 cc's, to flow as
fast as body interstitium will absorb, every night, for the next three
nights.[or however often or p.r.n. etc.]
is similar to traditional intravenous fluid orders such as:
IV 2/3 & 1/3, 1000 cc @ 50cc/hr saturday and sunday only. Irene
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
-------------- next part --------------
An HTML attachment was scrubbed...
URL:
http://lists.b9.com/pipermail/dysphagia/attachments/20040408/740660f3/at
tachment-0001.htm
------------------------------
Message: 2
Date: Thu, 8 Apr 2004 16:39:11 -0400
From: "Ralph and Patti" <chcky619@bellsouth.net>
Subject: [Dysphagia] Water Protocol
To: <dysphagia@b9.com>
Message-ID: <004f01c41da9$8d0f86a0$2dd3d244@2risq>
Content-Type: text/plain; charset="iso-8859-1"
By now, everyone knows I am fighting this issue and each day I become
more and more resolved to make it my mission. The education from Irene
and the positive flavor of the listserve population gives me hope. I
also suspect that there is a commonality that runs state to state (with
the FEDS sticking their nose in it) and that this has become the band
wagon of the day. I would suggest that if enough of us rise up and
challenge them, someone will pay attention. I will either get their
attention in Atlanta at our appeal hearing or die trying. So, feet
don't fail me now! Patti
-------------- next part --------------
An HTML attachment was scrubbed...
URL:
http://lists.b9.com/pipermail/dysphagia/attachments/20040408/201373cf/at
tachment-0001.html
------------------------------
Message: 3
Date: Thu, 8 Apr 2004 14:37:18 -0700 (PDT)
From: Irene Campbell-Taylor <eripley@yahoo.com>
Subject: Re: [Dysphagia] pediatric dysphagia courses
To: "Cohen, Stephanie" <scohen@larabida.org>, dysphagia@b9.com
Message-ID: <20040408213718.17063.qmail@web14001.mail.yahoo.com>
Content-Type: text/plain; charset="us-ascii"
What is there for children with motor, not sensory, disorders?
"Cohen, Stephanie" <scohen@larabida.org> wrote:Amy-
There is a course coming up called:
When Children Won't Eat: The SOS (Sequential Oral Sensory) Approach to
Feeding, which focuses on just what you're asking about. The primary
focus is on kids ages 6 months to 6 years, however infants and older
children will also be addressed as part of Special Population workshops
on the third day. Kids with g-tubes and GERD, and Autism Spectrum
Disorders will also be discussed. It will be presented by Dr. Kay Toomey
and Erin Ross (SLP), in Glenview, IL May 14-16, 2004.
You can call Pathways Center at (847)729-6220 for more specific
information.
Stephanie Cooper Cohen, M.A., CCC-SLP
Speech-Language Pathology
La Rabida Children's Hospital and Research Center
E. 65th Street at Lake Michigan
Chicago, IL 60649
(773) 363-6700 x489
scohen@larabida.org
------------------------------
Message: 4
Date: Thu, 08 Apr 2004 11:56:10 -0500
From: "Amy Lehman"
Subject: [Dysphagia] pediatric dysphagia course?
To: Dysphagia@b9.com
Message-ID:
Content-Type: text/plain; format=flowed
I'm looking for a GOOD pediatric dysphagia continuing ed course focusing
on
sensory and behavioral issues in birth to three population. any ideas?
_________________________________________________________________
Check out MSN PC Safety & Security to help ensure your PC is protected
and
safe. http://specials.msn.com/msn/security.asp
------------------------------
_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia
End of Dysphagia Digest, Vol 5, Issue 11
****************************************
_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
-------------- next part --------------
An HTML attachment was scrubbed...
URL:
http://lists.b9.com/pipermail/dysphagia/attachments/20040408/4fc5f9e7/at
tachment-0001.htm
------------------------------
Message: 4
Date: Thu, 8 Apr 2004 14:45:23 -0700 (PDT)
From: Irene Campbell-Taylor <eripley@yahoo.com>
Subject: RE: [Dysphagia] Water protocol?
To: ncugnet@lpm.rha-central.mb.ca, KJTor@aol.com, LCDM11@aol.com,
mbventura@att.net, dysphagia@b9.com
Message-ID: <20040408214523.30090.qmail@web14004.mail.yahoo.com>
Content-Type: text/plain; charset="us-ascii"
Nicole Cugnet-LPM <ncugnet@lpm.rha-central.mb.ca> wrote:Forgive my
ignorance, but how is this delivered then?
Subcutaneously by a thin butterfly needle in the upper thigh, lower
abdomen or, in patients at home who want it during the day, in the upper
arm or shoulder. See the following. The full text article plus patient
handout explaining how it is done is available at the journal website.
Anyone can do it.
American Family Physician, November 1, 2001
Sasson M; Shvartzman P. Hypodermoclysis:An alternative infusion
technique. Am Fam Physician 2001;64:1575-8
Ben-Gurion University of the Negev, Be'er Sheva, Israel
Hypodermoclysis, the subcutaneous infusion of fluids, is a useful and
easy hydration technique suitable for mildly to moderately dehydrated
adult patients, especially the elderly. The method is considered safe
and does not pose any serious complications. The most frequent adverse
effect is mild subcutaneous edema that can be treated by local massage
or systemic diuretics. Approximately 3 L can be given in a 24-hour
period at two separate sites. Common infusion sites are the chest,
abdomen, thighs and upper arms. The preferred solution is normal saline,
but other solutions, such as half-normal saline, glucose with saline or
5 percent glucose, can also be used. Potassium chloride can be added to
the solution bag if needed. Hyaluronidase can also be added to enhance
fluid absorption. Hypodermoclysis can be administered at home by family
members or a nurse; the technique should be familiar to every family
physician.
-----Original Mes
sage-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Irene Campbell-Taylor
Sent: Thursday, April 08, 2004 2:45 PM
To: ncugnet@lpm.rha-central.mb.ca; KJTor@aol.com; LCDM11@aol.com;
mbventura@att.net; dysphagia@b9.com
Subject: RE: [Dysphagia] Water protocol?
Nicole Cugnet-LPM <ncugnet@lpm.rha-central.mb.ca> wrote: unfortunately
IV hydration is not even an option in our LTC facilities. You don't use
I.V. you use subcutaneous - hypodermoclysis, overnight 2-3 times a week.
Medicare has a code for it and you don't need an RN. Home caregivers do
it all the time. It's the most widely used form of rehydration in LTC in
the world - outside of the US that is. I find many physicians won't
order it simply because they don't know how to write the order _(No, I'm
not kidding) - so I write it for them e.g. I recommend
(Route \ fluid type \ fluid amount \ flow rate of fluid \ over what
period of time.)
I/S 2/3 & 1/3, 1000cc to run wide open q.h.s x 3
(Read: Interstitial, two thirds and one third, 1000 cc's, to flow as
fast as body interstitium will absorb, every night, for the next three
nights.[or however often or p.r.n. etc.]
is similar to traditional intravenous fluid orders such as:
IV 2/3 & 1/3, 1000 cc @ 50cc/hr saturday and sunday only. Irene
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
-------------- next part --------------
An HTML attachment was scrubbed...
URL:
http://lists.b9.com/pipermail/dysphagia/attachments/20040408/4ba67ab5/at
tachment.html
------------------------------
_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia
End of Dysphagia Digest, Vol 5, Issue 13
****************************************
|
|