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FW: [Dysphagia] RE: Dysphagia Digest, Vol 18, Issue 11
- Subject: FW: [Dysphagia] RE: Dysphagia Digest, Vol 18, Issue 11
- From: CShaker at covhealth.org (Shaker, Catherine S.)
- Date: Wed May 18 07:52:23 2005
-----Original Message-----
From: Shaker, Catherine S.
Sent: Wednesday, May 18, 2005 4:55 AM
To: 'robert newman'
Cc: 'dysphagia@b9.com'
Subject: RE: [Dysphagia] RE: Dysphagia Digest, Vol 18, Issue 11
Nice articulation of a what I see as a key concept for analysis and
management of swallowing disorders. With the pediatric population, I
often work with the entire tongue, including all intrinsic muscle
groups. I view base of tongue integrity as providing an essential
foundational component for oral integrity for the swallow. One has only
to consider the anatomy of the oral-pharyngeal and laryngeal area to
appreciate the synactive relationship of this highly complex muscular
system.
Catherine S. Shaker M.S./CCC, BRS-S
Speech-Language Pathologist
Board Recognized Specialist in Swallowing and Swallowing Disorders St.
Joseph Regional Medical Center/Pediatrics 5000 West Chambers Street
Milwaukee, WI 53210
Phone: 414-447-2797
Fax: 414-874-4104
-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of robert newman
Sent: Tuesday, May 17, 2005 7:56 PM
To: dysphagia@b9.com
Subject: [Dysphagia] RE: Dysphagia Digest, Vol 18, Issue 11
Seldom do I see a separation between oral and pharyngeal phases of the
swallow. In other words, dysphagia in only the oral or only the
pharyngeal phases of the swallow. I do work in acute care so our pts are
weak and often very acutely ill. It's also very difficult for me to
agree that the tongue base is not considered part of the oral phase of
the swallow. The whole tongue is the connection between the oral and
pharyngeal phases. So, I RESPECTFULLY disagree with the previous email
separating the oral exercises from tongue base exercises/stim. Our
alimentary system is a system of connected phases and I feel, after many
years of treating dysphagia, that the muscles of the tongue should be
one of the primary targets of our therapy. I mean the whole tongue.
Especially if the dysphagia is considered an oral-pharyngeal dysphagia.
It makes me think of the ole bone song, you know the one, the leg bone
is connected to the hip bone... Well, that could be translated to the
genioglossus is connected to the hyoglossus etc, etc etc, until we are
connecting to the the hyoid bone, epiglottis, and pharyngeal muscles. I
know, a little corny, but hopefully, you get my
point. By the way, I love the Masako technique. I agree that it is a
great
exercise.
As always, thanks for the thought provoking dialogue.
Kelly L. Newman, CCC-SLP
Columbus, Ohio
-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of dysphagia-request@b9.com
Sent: Tuesday, May 17, 2005 2:01 PM
To: dysphagia@b9.com
Subject: Dysphagia Digest, Vol 18, Issue 11
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When replying, please edit your Subject line so it is more specific than
"Re: Contents of Dysphagia digest..."
Today's Topics:
1. Re: RE: Food Holding (kathleen wright)
2. Where's Irene? (sorriso@adelphia.net)
3. Help finding a SLP (Morgan Jennie (RXP) Speech & Language Therapy)
4. Re: Help finding a SLP (ERIKA KAYE)
5. ng tubes affecting swallowing (Amy Colin)
6. Base of tongue exercise (Sandi Lancaster)
7. RE: Base of tongue exercise (Janet.finger@kindredhealthcare.com)
8. SLP Position Vacancy (Sanders, Liza)
----------------------------------------------------------------------
Message: 1
Date: Mon, 16 May 2005 15:23:53 -0400
From: "kathleen wright" <hillivie423@adelphia.net>
Subject: Re: [Dysphagia] RE: Food Holding
To: "Walsh, Linda" <LiWalsh@serha.ca>, <dysphagia@b9.com>
Message-ID: <004101c55a4c$cd87f1a0$79acaa44@DD34HY41>
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
reply-type=original
The MBS he had this afternoon demonstrated no physiological reasons for
the
changes in his eating skills. He is scheduled for a dementia screening.
I
plan to try the good suggestions I have received from everyone, and will
keep you posted on what works with him.
Thank you all for your kind responses.
----- Original Message -----
From: "Walsh, Linda" <LiWalsh@serha.ca>
To: <dysphagia@b9.com>
Sent: Monday, May 16, 2005 8:37 AM
Subject: [Dysphagia] RE: Food Holding
> hillivie423 wrote:
> "Does anyone have any suggestions to support a 72 year old gentleman
> who has profound mental retardation...He has recently shown some
> changes that might suggest a dementia" KHouts wrote:
> "The first thing that crosses my mind is to talk to a Dr. & look for
> reversible possibilities that caused his decline, ie dehydration,
> electrolyte imbalance, low grade infections or heaven forbid Normal
> Pressure Hydrocephalus."
>
> I would also wonder if he has had a CVA that may have affected
> feeding/swallowing as well as other functions. If so, a MBS would be
> useful in ruling out pharyngeal problems before trying
> postures/techniques that may
> icrease risk of aspiration.
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com http://lists.b9.com/mailman/listinfo/dysphagia
>
------------------------------
Message: 2
Date: Mon, 16 May 2005 21:09:43 -0400
From: <sorriso@adelphia.net>
Subject: [Dysphagia] Where's Irene?
To: dysphagia listserv <dysphagia@b9.com>
Message-ID:
<19362746.1116292183273.JavaMail.root@web2.mail.adelphia.net>
Content-Type: text/plain; charset=utf-8
I've done this twice before in the past, here I go again...
I've noticed no responses from Irene Campbell-Taylor for at least a
month. Irene, are you there?
Linda A. Zanchi, MA CCC-SLP
------------------------------
Message: 3
Date: Tue, 17 May 2005 09:50:52 +0100
From: "Morgan Jennie \(RXP\) Speech & Language Therapy"
<Jennie.Morgan@cddah.nhs.uk>
Subject: [Dysphagia] Help finding a SLP
To: "dysphagia listserv" <dysphagia@b9.com>
Message-ID:
<7AC1D487490A924B99B34E671C61B26C68A0E8@UHND_EX.xcddahn.nhs.uk>
Content-Type: text/plain; charset="utf-8"
Dear all,
I'm hoping that someone may be able to help. We've recently had a
patient admitted to University Hospital of North Durham (UK) who had a
stroke whilst on holiday in Florida. His wife reports that he was being
treated at 'Engelwood Community Hospital', possibly by 'Les'. Does
anyone on the list work there or know how to contact someone who does
work there. It would be really useful to have some background on this
patient as very little specific to his swallowing and communication came
with him, other that the fact that he had a PEG inserted within 8 days
of his stroke.
Thank you in advance.
Jennie
Jennie Morgan (Mrs)
Specialist Speech and Language Therapist
Department of Speech and Language Therapy
University Hospital of North Durham
North Road
Durham
DH1 5TW
Tel/Fax: 0191 3332608
Email: jennie.morgan@cddah.nhs.uk
------------------------------
Message: 4
Date: Tue, 17 May 2005 08:46:54 -0400
From: "ERIKA KAYE" <ekaye@wakemed.org>
Subject: Re: [Dysphagia] Help finding a SLP
To: dysphagia@b9.com, Jennie.Morgan@cddah.nhs.uk
Message-ID: <s289af9e.018@wmc008.wakemed.org>
Content-Type: text/plain; charset=us-ascii
A quick Google search found this:
Englewood Community Hospital
700 Medical Blvd.
Englewood, FL 34223
Telephone: (941) 475-6571
www.englewoodcommhospital.com
Good luck in your search!
Erika
>>> "Morgan Jennie (RXP) Speech & Language Therapy"
<Jennie.Morgan@cddah.nhs.uk> 05/17/05 4:50 AM >>>
Dear all,
I'm hoping that someone may be able to help. We've recently had a
patient admitted to University Hospital of North Durham (UK) who had a
stroke whilst on holiday in Florida. His wife reports that he was being
treated at 'Engelwood Community Hospital', possibly by 'Les'. Does
anyone on the list work there or know how to contact someone who does
work there. It would be really useful to have some background on this
patient as very little specific to his swallowing and communication came
with him, other that the fact that he had a PEG inserted within 8 days
of his stroke.
Thank you in advance.
Jennie
Jennie Morgan (Mrs)
Specialist Speech and Language Therapist
Department of Speech and Language Therapy
University Hospital of North Durham
North Road
Durham
DH1 5TW
Tel/Fax: 0191 3332608
Email: jennie.morgan@cddah.nhs.uk
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------------------------------
Message: 5
Date: Tue, 17 May 2005 10:09:50 -0400
From: "Amy Colin" <colin@email.chop.edu>
Subject: [Dysphagia] ng tubes affecting swallowing
To: <Dysphagia@b9.com>
Message-ID: <s289c2f8.096@email.chop.edu>
Content-Type: text/plain; charset=US-ASCII
I was wondering if anyone knew of any research concerning the effects of
ng tubes on swallowing especially in the infant and pediatric
population? Also, what are your thoughts on removing vs keeping the ng
in place during MBSS?
Thanks,
Amy Colin
Children's Hospital of Philadelphia
------------------------------
Message: 6
Date: Tue, 17 May 2005 08:43:56 -0700 (PDT)
From: Sandi Lancaster <swlslp@yahoo.com>
Subject: [Dysphagia] Base of tongue exercise
To: dysphagia listserve <dysphagia@b9.com>
Message-ID: <20050517154356.72461.qmail@web60024.mail.yahoo.com>
Content-Type: text/plain; charset=us-ascii
Hi all,
Just curious what (if any) exercises people have had
the most success with for improving base of tongue retraction...? (e.g.
for patients with residue in the vallecula post-swallow)
(I know, initiating any discussion of oral motor
exercise is always like opening a can of worms...) :)
Thanks in advance for any responses.
-Sandi
Sandi Lancaster, M.A. CCC-SLP
Speech-Language Pathologist
__________________________________________________
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------------------------------
Message: 7
Date: Tue, 17 May 2005 13:15:17 -0400
From: <Janet.finger@kindredhealthcare.com>
Subject: RE: [Dysphagia] Base of tongue exercise
To: <dysphagia@b9.com>
Message-ID:
<C1BB8AADB10E5749B7409C82DD18A1363F8210@VAEXMB08.prod.ishealth.net>
Content-Type: text/plain; charset="iso-8859-1"
It's not really initiating a discussion of oral motor exercises. The
base of tongue is pharyngeal - not oral. There are several exercises. My
favorite two are effortful swallows (which really improve overall
pharyngeal musculature but tongue base retraction in particular) and
masako swallows (which improve posterior pharyngeal wall movement to
help compensate for poor tongue base retraction). Both are relatively
easier for pts to complete & I think you get the most bang for your buck
with them.
-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Sandi Lancaster
Sent: Tuesday, May 17, 2005 9:44 AM
To: dysphagia listserve
Subject: [Dysphagia] Base of tongue exercise
Hi all,
Just curious what (if any) exercises people have had
the most success with for improving base of tongue retraction...? (e.g.
for patients with residue in the vallecula post-swallow)
(I know, initiating any discussion of oral motor
exercise is always like opening a can of worms...) :)
Thanks in advance for any responses.
-Sandi
Sandi Lancaster, M.A. CCC-SLP
Speech-Language Pathologist
__________________________________________________
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Message: 8
Date: Tue, 17 May 2005 13:43:36 -0400
From: "Sanders, Liza" <liza.sanders@cvtc.dmhmrsas.virginia.gov>
Subject: [Dysphagia] SLP Position Vacancy
To: "'dysphagia@b9.com'" <dysphagia@b9.com>
Cc: "Blob, Burk" <burk.blob@cvtc.dmhmrsas.virginia.gov>, "Bradley,
Mark" <mark.bradley@cvtc.dmhmrsas.virginia.gov>
Message-ID: <13CDCA7DC43ED311809400902762830B01E342C8@CVTC03>
Content-Type: text/plain; charset="iso-8859-1"
SLP Vacancy at Central Virginia Training Center in Lynchburg, Virginia
Our residential facility for persons with mental retardation offers the
opportunity for professional growth and creativity. Increase your
dysphagia skills on a trans-disciplinary nutritional management team.
Use on-site MBS services geared to our clients' needs. Provide creative
AAC solutions with a low therapy caseload. We strongly support
continued training and development of our staff.
Requirements include a Master's Degree in Speech-Language Pathology and
licensure in SLP from the Va Department of Health Professions/Board of
Examiners for Audiology and Speech-Language Pathology. Full time.
Comprehensive Virginia state benefits. CF's are welcome at no reduction
in pay.
For more information on Central Virginia Training Center go to:
www.cvtc.dmhmrsas.virginia.gov <http://www.cvtc.dmhmrsas.virginia.gov>
For more information on position availability, go to:
http://www1.dhrm.state.va.us/RECRUIT/JobDetail.aspx?JID=431170
<http://www1.dhrm.state.va.us/RECRUIT/JobDetail.aspx?JID=431170>
Email Contacts: Liza Sanders, SLP Director at:
Liza.Sanders@cvtc.dmhmrsas.virginia.gov
<mailto:Liza.Sanders@cvtc.dmhmrsas.virginia.gov>
or Mark Bradley, Employment Supervisor at:
Mark.Bradley@cvtc.dmhmrsas.virginia.gov
<mailto:Mark.Bradley@cvtc.dmhmrsas.virginia.gov>
------------------------------
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End of Dysphagia Digest, Vol 18, Issue 11
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