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[Dysphagia] Shaker exercise and chair
I would really be cautious about using a hyperextension of the neck/head over a back of a chair before consulting with a P.T. about potential harm to the neck with trying to modify the Shaker exercise and will it even target the muscles you are trying to trigger with this positional difference?
Polly Ubben, M.A., CCC-SLP
Speech Pathology Coordinator
Saint Elizabeth Regional Medical Center
555 South 70th Street
Lincoln, NE
68510 Ph. (402)219-8745 Fax (402)219-7327
-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com]On Behalf Of
dysphagia-request at dysphagia.com
Sent: Wednesday, April 18, 2007 1:00 PM
To: dysphagia at dysphagia.com
Subject: Dysphagia Digest, Vol 41, Issue 16
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Today's Topics:
1. Florida Job Opportunity (mfriedman at bellsouth.net)
2. Help with doctorate: an unusual job request (Copeland, Karen)
3. Shaker exercise - contraindicated? (Dave & Lisa Tews)
4. Florida Peds Job (mfriedman at bellsouth.net)
5. VA Speech Pathology Positions in West Los Angeles
(shfarnworth at aol.com)
6. Re: Shaker exercise - contraindicated? (Dolinger, Eric)
----------------------------------------------------------------------
Message: 1
Date: Tue, 17 Apr 2007 15:23:48 -0400
From: <mfriedman at bellsouth.net>
Subject: [Dysphagia] Florida Job Opportunity
To: <dysphagia at b9.com>
Message-ID:
<20070417192349.NIPI27044.ibm64aec.bellsouth.net at mail.bellsouth.net>
Content-Type: text/plain; charset=ISO-8859-1
Full time job opening for Spanish-speaking SLP!
Bethesda Memorial Hospital in Boynton Beach, Palm Beach County, Florida. Bethesda is a growing community hospital with 4 additional Rehab. sites nearby.
Primarily Pediatric Outpatient, Inpatient caseload.
Interest or experience in NICU as well as pediatric dysphagia/feeding a plus.
Work in a stimulating, team oriented environment with 5 fulltime and 8 per diem SLPs and occupational and physical therapists as well.
Salary commensurate with experience and comparable to other hospitals in our area.
OR
Half time job opeing, with benefits, for English speaking SLP.
As noted above.
Please visit our website at bethesdaweb.com for information about our hospital or to apply on line. You may wish to email me privately to inquire further.
Sincerely,
Margie Wells-Friedman, MS, CCC
------------------------------
Message: 2
Date: Tue, 17 Apr 2007 14:59:30 -0500
From: "Copeland, Karen" <kcopeland at sjmc.org>
Subject: [Dysphagia] Help with doctorate: an unusual job request
To: <dysphagia at b9.com>
Message-ID:
<652AA27A7C57EE448A338752349BE198577496 at sjhsmail4.sjmc.org>
Content-Type: text/plain; charset="US-ASCII"
Forwarding the message below in case anyone can be of assistance.
-----Original Message-----
From: Christina Bronson-Lowe [mailto:crlowe at mindspring.com]
Sent: Tuesday, April 17, 2007 2:33 PM
To: Division 2 Discussion List
Subject: [asha-div2] help with doctorate: an unusual job request
Greetings all,
I've been accepted to the PhD program at U Illinois Urbana-Champaign and
am very excited about that, but thus far my husband has not been able to
find a job anywhere nearby. Does anyone familiar with the area have
suggestions for an epidemiologist? He has his PhD and has been working
as the vaccine-preventable diseases epidemiologist for the State of
Arizona. His primary interest is infectious diseases/ public health but
he's willing to branch out. He's already checking into several UIUC
departments, the two hospitals near the university campus, Sara Busch
(spelling?) hospital in...uhoh, another thing I am not sure how to
spell...Matoon?-Charleston, and the regional health office in U-C. Any
other ideas would be very very appreciated. We're willing to put up
with something of a commute, but not to actually be separated.
Sorry for clogging up everyone's mailbox with something that won't apply
to most of you, but we've only got until April 30 to figure out if I can
accept admission or not, and I figure if I want to make noise about the
profession needing PhDs, then I'd better try everything to make it
possible for me to get one. :) Anyone who wishes to reply, please do so
directly to me - unless there's someone else out there who really wants
to know about epi jobs in Illinois!
Thanks,
Christina
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Message: 3
Date: Tue, 17 Apr 2007 21:16:46 -0500
From: "Dave & Lisa Tews" <pleasantville at netexpress.net>
Subject: [Dysphagia] Shaker exercise - contraindicated?
To: <dysphagia at dysphagia.com>
Message-ID: <001701c7815f$9d9da8e0$9801a8c0 at thecfg.com>
Content-Type: text/plain; charset="iso-8859-1"
Does anyone have information on whether the Shaker exercise is contraindicated for patients with severe GERD?
There is a patient on our Rehab unit that has an extensive medical history which began last October - perforation of esophagus during laparascopic chole., subsequent esophagectomy as the perforation was unsuccessfully repaired, resp distress with trach, was on the vent, had MI x2, aspiration pneumonia, and has J-tube for nutrition. He is very debilitated but is off the vent, has been decannulated and is doing well other than his swallowing musculature is very weak. He had silent aspiration on previous MBS's; pharyngeal stage was severe with poor hyolaryngeal excursion and moderate residue. He has recently had issues re. reflux of bile which is a concern since the Shaker requires the patient to lie flat. He is so motivated to do any and all exercises. Just wondering if it's appropriate to slowly start him with a few reps of Shaker exs as he tolerates, scheduling them between his bolus feedings. If he shouldn't lie flat, is there any safe degree of elevation that would r!
educe the reflux but still provide the benefits of the exercise?
Any input would be greatly appreciated!
Lisa Tews, M.A., CCC/SLP
------------------------------
Message: 4
Date: Wed, 18 Apr 2007 11:02:56 -0400
From: <mfriedman at bellsouth.net>
Subject: [Dysphagia] Florida Peds Job
To: <dysphagia at dysphagia.com>
Message-ID:
<20070418150256.WDJZ26174.ibm68aec.bellsouth.net at mail.bellsouth.net>
Content-Type: text/plain; charset=ISO-8859-1
SPEECH PATHOLOGIST
Full Time: Spanish Speaking required
Part Time : English speaking
BETHESDA MEMORIAL HOSPITAL
Boynton Beach, Palm Beach County, Florida.
CASELOAD: Primarily Pediatric Outpatient, Inpatient, 1 hr./day in NICU.
Interest or experience in NICU as well as pediatric dysphagia/feeding a plus. Early intervention experience helpful.
WORK ENVIRONMENT: A supportive, stimulating, team-oriented environment with 5 fulltime and 8 per diem SLPs as well as pediatric occupational and physical therapists.
Salary commensurate with experience and comparable to other hospitals in our area.
Apply on line at bethesdaweb.com
Contact me privately if you have questions, but do not reply to this listserve.
Thanks
Margie Wells-Friedman, MS, CCC
Supervisor of Speech and Hearing
------------------------------
Message: 5
Date: Wed, 18 Apr 2007 12:35:19 -0400
From: shfarnworth at aol.com
Subject: [Dysphagia] VA Speech Pathology Positions in West Los Angeles
To: dysphagia at dysphagia.com
Message-ID: <8C94FEEAFEC3A45-172C-2074 at FWM-D08.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
We're currently recruiting for three SLP positions, two permanent and one temporary (three years). All are full-time positions with excellent pay and benefits. A recruitment/relocation incentive has been authorized for the permanent positions. The positions and their descriptions are listed on the USA Jobs website:
http://www.usajobs.opm.gov/
Come join our dynamic team in SUNNY and WARM southern California!
Susan Farnworth, M.S., CCC-SLP
VA Medical Center
West Los Angeles, CA
________________________________________________________________________
AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com.
------------------------------
Message: 6
Date: Wed, 18 Apr 2007 12:53:17 -0400
From: "Dolinger, Eric" <EDolinger at Christianacare.org>
Subject: Re: [Dysphagia] Shaker exercise - contraindicated?
To: "Dave & Lisa Tews" <pleasantville at netexpress.net>,
<dysphagia at dysphagia.com>
Message-ID: <680A778B42ACB647B5BBB7273F4C314736022F at eschrmb01.mcd.pri>
Content-Type: text/plain; charset="us-ascii"
You could probably do it semi-reclined or how bout with neck
hyperextended over the back of a chair,
Maybe you can fashion some kind of head weight to counteract the loss of
gravity.
another consideration....is exercise, even low effort, going to increase
abdominal pressure and possibly exacerbate the GER
Eric Dolinger, MA CCC-SLP
Senior Speech Pathologist
Christiana Care Health System
Phone 302-733-1015
Fax 302-733-1061
edolinger at christianacare.org
-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Dave & Lisa Tews
Sent: Tuesday, April 17, 2007 10:17 PM
To: dysphagia at dysphagia.com
Subject: [Dysphagia] Shaker exercise - contraindicated?
Does anyone have information on whether the Shaker exercise is
contraindicated for patients with severe GERD?
There is a patient on our Rehab unit that has an extensive medical
history which began last October - perforation of esophagus during
laparascopic chole., subsequent esophagectomy as the perforation was
unsuccessfully repaired, resp distress with trach, was on the vent, had
MI x2, aspiration pneumonia, and has J-tube for nutrition. He is very
debilitated but is off the vent, has been decannulated and is doing well
other than his swallowing musculature is very weak. He had silent
aspiration on previous MBS's; pharyngeal stage was severe with poor
hyolaryngeal excursion and moderate residue. He has recently had issues
re. reflux of bile which is a concern since the Shaker requires the
patient to lie flat. He is so motivated to do any and all exercises.
Just wondering if it's appropriate to slowly start him with a few reps
of Shaker exs as he tolerates, scheduling them between his bolus
feedings. If he shouldn't lie flat, is there any safe degree of
elevation that would r!
educe the reflux but still provide the benefits of the exercise?
Any input would be greatly appreciated!
Lisa Tews, M.A., CCC/SLP
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End of Dysphagia Digest, Vol 41, Issue 16
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