[Dysphagia] Increased oral sensation

[drolfe at nsccahs.health.nsw.gov.au (Deanna Rolfe)]

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I had a patient like this once.
We put in place a desensitisation regime, starting using his own finger to stroke his lips/tongue, progressively moving backwards until he had the sensation to gag, and then moving forwards again.
We then did the same thing with a foam brush (Toothette) until he could tolerate, and then food consistencies.
He did this himself numerous times during the day and got very quick results. We had him on a full oral diet within a week.
Because he was doing it himself he could tolerate more.

He's the only one I've seen, so it may have been something else which changed, but maybe worth giving it a go.

Deanna Rolfe
Speech Pathologist
Hornsby Hospital

>>> "Langdon, Claire" <Claire.Langdon@health.wa.gov.au> 12/12/2005 12:39:53 PM >>>
Hi Jennie

Is she triggering a gag reflex that is causing her difficulty?

Cheers

Claire
Claire Langdon
Senior Speech Pathologist
Sir Charles Gairdner Hospital
Hospital Avenue Nedlands
West Australia

Phone: 61-8-9346-2044
email: Claire.Langdon@health.wa.gov.au


-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Morgan Jennie (RXP) Speech & Language Therapy
Sent: Friday, 9 December 2005 19:33
To: dysphagia@b9.com
Cc: Bhabra Mandeep (RXP) Speech & Language Therapist
Subject: [Dysphagia] Increased oral sensation


I was wondering if anyone could help. My colleague has a patient who following a stroke has increased oral sensation. She has dysphagia (I'm unsure how severe) but also cannot tolerate anything in her mouth beyond the tip of her tongue. Obviously this is making eating impossible and she is due to have a PEG inserted in the near future to provide full nutrition and hydration. We were wondering if any of you know of any suitable exercises of research into this so that she can increase her tolerance of food in her mouth, and recommence oral intake.

Thank you in advance.

Jennie Morgan
Specialist Speech and Langauge Therapist
University Hospital of North Durham

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