|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] Re: The actual .....diet.
Again it is appalling that there are people out there who accept information
that is totally senseless without thinking.
> From: Irene Campbell-Taylor <eripley@yahoo.com>
> Date: Sat, 17 Sep 2005 15:16:30 -0700 (PDT)
> To: <dysphagia@b9.com>
> Subject: [Dysphagia] Re: The actual .....diet.
>
> For once in my life I am actually speechless...although not really surprised,
> given the source (VitalStim, I mean). the appalling thing, to me, is the
> amount of incorrect, nonsensical, dangerous so-called "information" that is
> out there and being accepted because the recipients have a) been fed incorrect
> data during training, b) have no scientific background whatsoever and c) lack
> the capacity for logical thinking.
> Seriously, to have individuals with no basic sciences, far less medical
> knowledge involved in an area that is purely medical still scares the wits out
> of me. How did this ever come about?
>
> dysphagia-request@b9.com wrote:
> Send Dysphagia mailing list submissions to
> dysphagia@b9.com
>
> To subscribe or unsubscribe via the World Wide Web, visit
> http://lists.b9.com/mailman/listinfo/dysphagia
> or, via email, send a message with subject or body 'help' to
> dysphagia-request@b9.com
>
> You can reach the person managing the list at
> dysphagia-owner@b9.com
>
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of Dysphagia digest..."
>
>
> Today's Topics:
>
> 1. the actual cricopharyngeal diet (sorriso@adelphia.net)
> 2. RE: cricopharyngeal diet (pressmah@sjhmc.org)
> 3. RE: the actual cricopharyngeal diet (Copeland, Karen)
> 4. Re: Cricopharyngeal Diet (NeuroSP@aol.com)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 15 Sep 2005 16:14:34 -0400
> From:
> Subject: [Dysphagia] the actual cricopharyngeal diet
> To: dysphagia@b9.com
> Message-ID:
> <24658682.1126815274834.JavaMail.root@web10.mail.adelphia.net>
> Content-Type: text/plain; charset=utf-8
>
> Here's the "diet" as requested by a member of the ASHA list from the VitalStim
> people:
>
> Initial Diet for Patients with Cricopharyngeal Dysfunction
>
> The following diet has been shown to be effective to the author (Marcy Freed)
> for the patients who have a degree of cricopharyngeal dysfunction:
>
> 1. Crunchy consistency
> a. Fritos
> b. Potato chips
> c. All crackers
> d. Pepperidge Farms Bordeaux cookies
> e. Toast with butter
>
>
> 2. Thinned puree consistency
> a. Thinned Oatmeal or Cream of Wheat
> b. Yogurt without fruit
> c. Strained creamed soups
> d. Mousse
> e. Soft drinks
> f. Tomato soup or pea soup
>
> 3. Soft/Slippery consistency
> a. Angel hair pasta and olive oil
> b. Sweet potatoes with butter or margarine
> c. Soft boiled eggs
> d. Poached eggs
> e. Squash ??? butternut or acorn
> f. Waffles that are cut into tiny pieces
> g. Meat loaf
> h. Whipped potatoes
>
> The patient may progress as the cricopharyngeal problem improves. Don???t mix
> food and liquid! First swallow food and then have a drink.
>
> 4. Foods NEVER tolerated
> a. Pudding
> b. Applesauce
> c. Pureed foods
> d. Mashed potatoes
> e. Red meats such as steak
>
> The viscosity of food a,b,c and d contribute to increased vallecular and
> pyriform sinus retention. Lower viscosity foods clear more easily.
>
>
>
> ------------------------------
>
> Message: 2
> Date: Fri, 16 Sep 2005 07:53:37 -0400
> From: pressmah@sjhmc.org
> Subject: RE: [Dysphagia] cricopharyngeal diet
> To: OdonneK@doh.health.nsw.gov.au, sorriso@adelphia.net,
> dysphagia@b9.com, m.sanscartier@videotron.ca
> Message-ID: <9FE5266F7C76D31197A20050DA1355570C2153D2@itr-mail>
> Content-Type: text/plain; charset="iso-8859-1"
>
> Goldfish crackers are crackers in the shape of goldfish. Crunchy and small.
> Very popular with the kids RD is Registered Dietician
>
> -----Original Message-----
> From: Kimberley ODonnell [mailto:OdonneK@doh.health.nsw.gov.au]
> Sent: Tuesday, September 13, 2005 7:56 PM
> To: sorriso@adelphia.net; dysphagia@b9.com; m.sanscartier@videotron.ca
> Subject: Re: [Dysphagia] cricopharyngeal diet
>
>
>
> Hi all
> Please excuse my ignorance, hopefully just due to the fact that I am from
> Australia, but what is a goldfish cracker and what does RD stand for?
> Thanks in advance.
> Kim
>
> Kimberley O'Donnell
> Speech Pathologist - BAppSc MSPAA CPSP
> Royal Rehab. Centre Sydney
> ph:(02) 9808 9210 or (02) 9807 1144 - pager 48
> 59 Charles Street RYDE NSW 2112
>
>>>> Michel Sanscartier 14/09/2005 9:04:48 am
>>>>
> That is something else!
>
> Cricopharyngeal diet!!!
>
>
>
> First, as I always answer to that group, why don't you ask the
>
> RD you work with?
>
> Linda, did you ask him or her?
>
> Did you ask her also to discuss with you if the patient had an esophageal
> dysphagia.
>
> I know that in the US, RDs don't dare to do much in upper dysphagia
> problems.
>
> BUT, they know a lot in esophageal dysphagia and they work everyday with
> that.
>
> GERD and all the esophageal problems is clinical nutrition 101 for us.
>
>
>
> Second, viscosity is for liquid PLEASE.
>
>
>
> A FOOD properties analysis is a class that all RD take (at least in Canada).
>
> There are many levels of organoleptic properties of food but only 3 are
> relevant for dysphagia:
>
>
>
> - Texture for all food (machines, utensils and mouth can measure it).
>
> Texture is usually used in the industry for solid food. The qualifying would
> be : hard, soft, puree, * (there are at least 25 others).
>
>
>
> - Consistency is an empirical measure that can be defined by a consistometer
> (there's honey, nectar and clear consistencies). It's like asking: what is
> your height: the answer would tall or short or medium. The liquid is
> submitted to the gravity. The little metal container cost over $500 us last
> time I called.
>
>
>
> - Viscosity is measure by a viscosimeter. That little machine cost over $10
> 000 us.
>
> It's precise but as you will probably read soon, there's no link between
> viscosity of liquids and consistency (except maybe for honey). The measures
> are in Kpascal / sec or in centipoise. It's like asking someone the same
> question: what is your height: in that case, the answer would be 152 cm or 5
> feet.
>
>
>
> I'm sure that the RD you work with could have told you the same things.
>
>
>
> Third, if your patient has a Wallenberg syndrome or a stroke that wasted his
> CN IX, X and/or XI there are many things that you could try. You probably
> know it for rehab (Mendelson) but the diet? Please, work with the RD from
> your hospital. I sincerely hope that RDs will become more involved in
> dysphagia. We can make a great team, I know it.
>
>
>
> In case someone corrects my mistakes like that last time, please know that
> I'm a French Canadian speaking and that I'm far from being perfect
> bilingual. I'm doing my best here.
>
>
>
>
> Michel Sanscartier RD, MSc
> 1900 rue Beaudry
> Montr?al, Qc
> H2L 3E9
> 514-522-3847
> m.sanscartier@videotron.ca
> ----- Original Message -----
> From:
> To: "dysphagia listserv"
> Sent: Tuesday, September 13, 2005 5:23 PM
> Subject: [Dysphagia] cricopharyngeal diet
>
>
>> There has been a discussion going on on the ASHA Division 13 list
>> regarding what the heck a cricopharyngeal diet is. In response to a post
>> requesting assistance with a patient, one therapist suggested a
>> cricopharyngeal diet, prompting the question, "what is it?"
>>
>> We've come to learn that it stems from vitalstim education and the
>> identification of and significance of cricopharyngeal dysfunction in
>> dysphagia. The diet evidently refers to a solid food's viscosity and fat
>> content in that a goldfish cracker is "better" than applesauce for the
>> identified patient. No research evidence has been cited in the
>> discussion.
>>
>> There, you know as much as I do (for those of you who didn't already
>> know).
>>
>> My question to this list is, what do you know about the cricopharyngeal
>> diet? Can you add more to the discussion? Is this a valid premise? Is
>> there research?
>>
>> Linda A. Zanchi, MA CCC-SLP
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>>
>
>
>
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
> ______________________________________________________________________
> This email has been scanned for the NSW Department of Health by the
> MessageLabs Email Security System. For more information please visit
> http://www.messagelabs.com/email
> ______________________________________________________________________
>
> Disclaimer: This message is intended for the addressee named and may
> contain confidential information. If you are not the intended
> recipient, please delete it and notify the sender. Views
> expressed in this message are those of the individual sender,
> and are not necessarily the views of NSW Health.
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
>
>
> ------------------------------
>
> Message: 3
> Date: Fri, 16 Sep 2005 08:49:23 -0500
> From: "Copeland, Karen"
> Subject: RE: [Dysphagia] the actual cricopharyngeal diet
> To: ,
> Message-ID:
>
> Content-Type: text/plain; charset="US-ASCII"
>
> BBBWWWWWAAAAAHHHHHHHAAAAAAAHHHHHAAAAAAA!!!!!!
>
> Karen :)
> p.s. when you read the diet while drinking coffee, you are at risk for
> having an episode of nasal regurgitation during laughter. Does she get
> any kickback for naming specific products?
>
>
> -----Original Message-----
> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
> Behalf Of sorriso@adelphia.net
> Sent: Thursday, September 15, 2005 3:15 PM
> To: dysphagia@b9.com
> Subject: [Dysphagia] the actual cricopharyngeal diet
>
> Here's the "diet" as requested by a member of the ASHA list from the
> VitalStim people:
>
> Initial Diet for Patients with Cricopharyngeal Dysfunction
>
> The following diet has been shown to be effective to the author (Marcy
> Freed) for the patients who have a degree of cricopharyngeal
> dysfunction:
>
> 1. Crunchy consistency
> a. Fritos
> b. Potato chips
> c. All crackers
> d. Pepperidge Farms Bordeaux cookies
> e. Toast with butter
>
>
> 2. Thinned puree consistency
> a. Thinned Oatmeal or Cream of Wheat
> b. Yogurt without fruit
> c. Strained creamed soups
> d. Mousse
> e. Soft drinks
> f. Tomato soup or pea soup
>
> 3. Soft/Slippery consistency
> a. Angel hair pasta and olive oil
> b. Sweet potatoes with butter or margarine
> c. Soft boiled eggs
> d. Poached eggs
> e. Squash - butternut or acorn
> f. Waffles that are cut into tiny pieces
> g. Meat loaf
> h. Whipped potatoes
>
> The patient may progress as the cricopharyngeal problem improves. Don't
> mix food and liquid! First swallow food and then have a drink.
>
> 4. Foods NEVER tolerated
> a. Pudding
> b. Applesauce
> c. Pureed foods
> d. Mashed potatoes
> e. Red meats such as steak
>
> The viscosity of food a,b,c and d contribute to increased vallecular and
> pyriform sinus retention. Lower viscosity foods clear more easily.
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
>
>
> ------------------------------
>
> Message: 4
> Date: Fri, 16 Sep 2005 10:08:48 EDT
> From: NeuroSP@aol.com
> Subject: Re: [Dysphagia] Cricopharyngeal Diet
> To: ldcrabtr@pmt.org, dysphagia@b9.com
> Message-ID: <208.9789efb.305c2bf0@aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
> Just so you know.....I have not taken the Vital Stim course, and a number of
> patients who I have seen in my practice, have presented with swallowing
> difficulties which have been attributed to cricopharyngeal dysfunction.
>
> John
>
>
> ------------------------------
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
>
> End of Dysphagia Digest, Vol 22, Issue 19
> *****************************************
>
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
|
|