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[Dysphagia] Esophageal dysphagia
Dear Irene,
YES, like your excellent course and many other courses that I took gave me
the knowledge to understand the role and the link between speech and
esophageal dysphagia. What I don't agree, it's what I see here since many
days that nutrition therapy must be given by SLPs.
Nutrition is not as simple as it looks like. You need to do a nutrition
assessment before to do so. I know that you took a lot of courses on
nutrition, biochemistry, neurology, microbiology, pharmacotherapy, gastro
intestinal physiology, food technology, .. All those courses are essential
to be able to give the good and safe nutrition therapy. Even you, since you
have all that knowledge, would you be ready to replace me in my job?
What would you say if I improvise myself with a 2 days conference on aphasia
and teach my colleagues RD here that works in NH (here it's the contrary, we
have RD in most NH but no SLP) to do the speech treatments. I would be the
first to not feel safe to do that. SLPs take 4 years of university here and
I respect your knowledge. I took 4 years to do my bachelor degree and 2 long
years of non stop work to do my master. Why wouldn't anyone respect that? I
know a lot of RD in the US and they say that SLPs are taking over in
esophageal dysphagia. They are pushed away and they have a hard time to find
a job. NH have the money to hire RD as well as SLP. Why the SLP that are
alone in a NH don't push to hire RD and help the patient to get the best
nutrition therapy they could have?
Michel Sanscartier RD MS
----- Original Message -----
From: "Irene Campbell-Taylor" <eripley@yahoo.com>
To: <dysphagia@b9.com>
Sent: Thursday, September 14, 2006 7:18 AM
Subject: [Dysphagia] Esophageal dysphagia
> Michel wrote:
>
> I really don't want to insult anyone but : what is the link between
> speech and esophageal dysphagia?
>
> *** Of course there is no connection between speech and esophageal
> dysphagia but there is a clear and unbreakable connection between
> oropharyngeal and esophageal dysphagia. I know that you took my course
> some years ago - and, clearly, I failed to make this point adequately.
> The deglutition mechanism is one functional unit from lips to duodenum
> (and probably farther). See Dua as well as Triadofilopoulos and others.
> That is not to say that a dietitian should not be involved whenever
> possible - of he/she should be intimately involved in the management of
> dysphagic patients but, often, there is not an RD around in NH etc.so that
> whoever is involved must have some working knowledge of the whole anatomy
> and physiology.
> As to University courses covering this - well, we all know the problems
> there. There are, however, many who have educated themselves, some with
> direct teaching after graduation so that I would not automatically assume
> a lack of knowledge on the part of all SLPs.
>
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
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>
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