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[Dysphagia] Cross Training
--- "Pasekoff, Deanna" <pasekoffde@upmc.edu> wrote:
> hmmmmmmm, I always thought we had patients puff
> their cheeks to cheek labial compression
*** Yes, of course, but I wish I had a dollar for
every time I ask the question and am told it's to
check velopharyngeal competence - whereupon I have
people sit with their cheeks full of air for over a
minute and then ask how they're managing to breathe?
Irene.
> Deanna Pasekoff, M.A. CCC/SLP
> Speech-Language Pathologist
>
> UPMC South Side
> 412-488-5673
>
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> -----Original Message-----
> From: dysphagia-bounces@b9.com
> [mailto:dysphagia-bounces@b9.com]On
> Behalf Of Irene Campbell-Taylor
> Sent: Monday, October 11, 2004 10:53 AM
> To: bklslp@earthlink.net; dysphagia
> Subject: Re: [Dysphagia] Cross Training
>
>
>
> --- 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
> > _______________________________________________
> > Dysphagia mailing list
> > Dysphagia@b9.com
> > http://lists.b9.com/mailman/listinfo/dysphagia
> >
>
>
> =====
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
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>
=====
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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