[Dysphagia] Sjogren's Syndrome

[pazakh at yahoo.com (Heather Pazak)]

I'd like some feedback about what I am about to share.

A nurse where I work has been diagnosed with Sjogren's
Syndrome and presents with the classic signs of
xerophthalmia (dry eyes) for which she's had for years
and currently xerostomia. Due to the xerostomia she,
in her words, "can't swallow" which understandably
must be quite difficult. However, someone somewhere
along the lines felt that she needed to have VFSS
done. Well, obviously enough the xerostomia is the
cause of 'difficulty' as the food as a hard time
moving and eating moist foods is best. But, the
speech-language pathologist at the hospital
recommended DPNS!!!! As I was speechless and ready to
ramble at the same time as I questioned about the
justification of the recommendation, the nurese
informed me the SLP told her it was for stimulation of
the salivary glands. From other professionals who have
taken the DPNS course, it is my understanding that the
'deep pharyngeal muscles' are stimulated by the use of
lemon glycerin swabs. Lemon glycerin swabs are known
to have a drying effect on the mouth. SO DOES ANYONE
ELSE FIND THIS RECOMMENDATION SLIGHTLY SOMEWHAT
ABSURD?
Any feedback would be appreciated. Heather (yes, her
doctor has prescribed her oral moistners and other
medication to help with mucosal dryness)



		
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