[Dysphagia] Cross Training

[smhjr at surfbest.net (smhjr@surfbest.net)]

How does ASHA handle institutions like Mayo Clinic where OTs are the
primary providers of dysphagia assessment and treatment?

---- Original Message ----
From: eripley@yahoo.com
To: bklslp@earthlink.net, dysphagia@b9.com
Subject: Re: [Dysphagia] Cross Training
Date: Mon, 11 Oct 2004 07:53:26 -0700 (PDT)

>
>--- Brenda Logsdon <bklslp@earthlink.net> wrote:
>
>  We are only just now recognizing and
>> correcting our errors of the past two decades (and I
>> don't want to get started on these topics): overuse
>> of thickened liquids and tube feedings, lack of
>> appreciation of the effects of poor oral hygiene,
>> dehydration, malnutrition on dysphagia and
>> vice-versa, and we still don't officially include
>> the lower esophagus as part of our assessment or
>> treatment plan of care.
>
>*** It is unfortunate that ASHA, CASLPA and other
>professional organizations have and continue to, one
>must assume, wilfully, ignore and or denigrate those
>who have attempted to educate re these issues for over
>twenty years and may well be either running out of
>steam or in danger of a self-induced pre-frontal
>lobotomy from the proverbial brick wall. For example,
>I have, many times, been asked, in all seriousness,
>why we should examine eye signs in a clinical exam for
>swallowing and why do we need to know such things as
>whether or not the patient can whistle or spit.  Let's
>not even go to the conviction that blowing up the
>cheeks with air is a test of velopharyngeal competence
>and other myths still promulgated. I am tempted to
>think, given the several responses both private and
>public on this topic, that it may not be such a bad
>idea for some not to attempt to teach others before
>learning a great deal more. Being an autodidact is
>fine as long as one knows what to learn but most need
>considerable direction.
>Irene.
>
>  How can we really claim
>> this as our field of expertise and limit others
>> access to this information when we don't have it all
>> yet?  
>> 
>> I see ASHA has updated  its technical report and has
>> a stronger statement admonishing its members that
>> "SLPs should not train....(those) from other
>> professions....."  So, I might have this
>> conversation with them again, but for now, I sign
>> myself
>> 
>> Brenda Logsdon, CCC/SLP; ASHA member since 1990;
>> self-taught dysphagia therapist, and instructor of
>> AOTA and ASHA approved continuing education
>> seminars.
>> 
>> 
>> Brenda Logsdon CCC/SLP
>> http://home.earthlink.net/~bklslp/index.html
>> CE Instructor for Dynamic Online
>> www.dynamic-online.com
>> "First seek to understand, then to be understood"
>> bklslp@earthlink.net
>> _______________________________________________
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>> 
>
>
>=====
>Dr I Campbell-Taylor
>Clinical Neuroscientist
>Exclusive Distributor:
>www.interactivetherapy.com
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