[Dysphagia] Re: Dysphagia Digest, Vol 30, Issue 2 (away from office)

[Candace.Myers at cancercare.mb.ca (Candace Myers)]

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>>> dysphagia 05/03/06 13:01 >>>

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Today's Topics:

   1. B12 Deficiency (acellucc@bidmc.harvard.edu)
   2. Transition to Solids for premature infants (Michelle Stevens)
   3. Re: Loss of lemon swabs (Sandi Lancaster)
   4. RE: Transition to Solids for premature infants
      (Shaker, Catherine S.)


----------------------------------------------------------------------

Message: 1
Date: Tue, 2 May 2006 15:13:05 -0400
From: <acellucc@bidmc.harvard.edu>
Subject: [Dysphagia] B12 Deficiency
To: <dysphagia@b9.com>
Message-ID:
	<0BC2E1A10F99DC459310A9FB03CA3E0F01D485E9@EVS2.its.caregroup.org>
Content-Type: text/plain;	charset="us-ascii"


Hi all,
I am trying to follow up on an outpatient I recently examined and am
wondering about the potential link between B12 deficiency and dysphagia,
I am in the process now of a lit review, but thought if anyone out there
already had something at their fingertips or new something about this,
they might be able to pass it along a little quicker. 
Thanks in advance. 

Alexandria Cellucci

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------------------------------

Message: 2
Date: Wed, 03 May 2006 08:33:00 +1200
From: "Michelle Stevens" <Michelle.Stevens@huttvalleydhb.org.nz>
Subject: [Dysphagia] Transition to Solids for premature infants
To: <dysphagia@b9.com>
Message-ID: <s4586ad5.047@GW.hvh.co.nz>
Content-Type: text/plain; charset=US-ASCII

A colleague  and I were discussing when to recommend parents of
premature babies to begin trialling solids.  We realized that there is
conflicting information in the literature about this.  Does anyone know
whether you go by their adjusted age and how many weeks/months you are
meant to wait?  Any research out there that you know of would be greatly
appreciated. 

Regards
Michelle

Michelle Stevens
Child Development Team Coordinator
Speech-Language Therapist - Paediatric Feeding
Hutt Valley District Health Board


------------------------------

Message: 3
Date: Tue, 2 May 2006 15:14:41 -0700 (PDT)
From: Sandi Lancaster <swlslp@yahoo.com>
Subject: Re: [Dysphagia] Loss of lemon swabs
To: sorriso@adelphia.net, CHAZMAN143@aol.com
Cc: dysphagia@b9.com
Message-ID: <20060502221441.14051.qmail@web60024.mail.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1

I am posting this for a colleague of mine who uses lemon glycerin swabs  during dysphagia tx with patients who are NPO...does anyone have a  suggestion for an alternative to lemon glycerin swabs (used as part of  dysphagia therapy, not for an oral care protocol) that do not have the  negative side effects noted below?
  
  Thanks,
  
  Sandi

sorriso@adelphia.net wrote:You  should be overjoyed at their loss. I've got a permanent right frontal  indentation from banging my head against the wall at the facilities  where I work trying to accomplish the banning of lemon glycerine swabs.

Please repost with the citations.

Tell  us about the oral care protocol. Hopefully no more toothettes! I think  you're very lucky to work someplace that is ramping up their oral care  practices.

Linda A. Zanchi, MA CCC-SLP

---- CHAZMAN143@aol.com wrote: 
> One of the acute care hospitals where I contract has recently implemented a  
> "no lemon swab" policy and removed all lemon swabs from the facility, citing  
> several studies from the mid-90s which indicated increased tooth 
> deterioration,  decreased saliva production, and lack of improved oral  moisturizing  from 
> the swabs.  While I don't have the specific  studies at hand, they were listed 
> on the memo and I would be happy to  provide to those interested via direct 
> email.  FYI:   Coincidentally (?!), a "new" oral care policy and a line of oral 
> care products  were introduced at the same time...  Has anyone else seen our 
> swabs  disappear??
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia

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Sandi Lancaster, M.A. CCC-SLP
Speech-Language Pathologist
		
---------------------------------
New Yahoo! Messenger with Voice. Call regular phones from your PC and save big.

------------------------------

Message: 4
Date: Wed, 3 May 2006 06:49:55 -0500
From: "Shaker, Catherine S." <Catherine.Shaker@wfhc.org>
Subject: RE: [Dysphagia] Transition to Solids for premature infants
To: "Michelle Stevens" <Michelle.Stevens@huttvalleydhb.org.nz>,
	<dysphagia@b9.com>
Message-ID:
	<3DD3BD5FD259654ABBA8DC218993A51203D19A42@WFEXBE01.wfsi.priv>
Content-Type: text/plain;	charset="us-ascii"

You would use the infant's adjusted age as the primary guideline, just
as you would use his/her adjusted age to reference all other
developmental expectations. 

Look also of course at readiness from other perspectives, i.e., postural
control/sensory-motor status, respiration, swallowing ability etc. Most
typically developing premies will begin solids by spoon at 3-4 months
adjusted age, of course with input from the MD, whose practice patterns
may dictate otherwise. For chronically ill premies with a remarkable
history, it is often a different course.

Hope this is helpful.

Catherine
Catherine S. Shaker M.S./CCC, BRS-S
Speech-Language Pathologist
Board Recognized Specialist in Swallowing and Swallowing Disorders
St. Joseph Regional Medical Center - NICU/Pediatrics
5000 West Chambers Street
Milwaukee, WI  53210
414-447-2797 Phone
414-874-4104  Fax
NOTE NEW ADDRESS: Catherine.Shaker@wfhc.org


-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of Michelle Stevens
Sent: Tuesday, May 02, 2006 3:33 PM
To: dysphagia@b9.com
Subject: [Dysphagia] Transition to Solids for premature infants


A colleague  and I were discussing when to recommend parents of
premature babies to begin trialling solids.  We realized that there is
conflicting information in the literature about this.  Does anyone know
whether you go by their adjusted age and how many weeks/months you are
meant to wait?  Any research out there that you know of would be greatly
appreciated. 

Regards
Michelle

Michelle Stevens
Child Development Team Coordinator
Speech-Language Therapist - Paediatric Feeding
Hutt Valley District Health Board
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------------------------------

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End of Dysphagia Digest, Vol 30, Issue 2
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