Aug 2, 2013 - swallowing compensatory strategies - Bing Images ª 2017 Mayo Foundation for Medical Education and Research n Mayo Clin Proc. oropharyngeal and esophageal dysphagia. o Valving system: lip closure, lingual propulsion, velopharyngeal closure. The handout lays out the basics of these types of thickeners, including main ingredients, shelf life, how they're thickened, and pros/cons. Press your lips against the back of a spoon to add some resistance.Pucker side-to-side: Purse your lips then stretch your lips over to the right, hold for 5 seconds, and then stretch your lips over to the left, hold for 5 seconds.Smile: Showing your upper and lower teeth and gums, clench your teeth gently, avoid squinting your eyes or tensing your neck, hold for 5 seconds.Pucker/Smile: Purses your lips like you’re about to whistle, hold for 5 seconds, then smile wide for 5 seconds. Common compensatory strategies are explained including diet modifications and swallowing maneuvers (i.e. Dysphagia, or difficulty with swallowing, is a medical disorder that impacts as many as 15 million Americans, with approximately one million people annually receiving a new diagnosis of the condition. Oropharyngeal dysphagia is a frequent occurrence following stroke. • The difficulty in performing a dry swallow. Add to cart . These types of food are hard to chew and swallow. Current studies show that some dysphagia programs based on the principles of exercise physiology can result in: 1. Such as people with chronic back pain). • Continue to use the guidelines and strategies that are posted by the Speech-Language Pathologist located on the Dysphagia Guidelines card on the back of the patient’s chair. endstream endobj startxref A swallowing therapist can tailor these general strategies to your particular situation: • Avoid eating when tired or stressed • Change head position and posture when swallowing (chin to chest is usually best) • Minimize head movements • Eat smaller, more frequent meals • Lubricate dry food by … %PDF-1.5 %���� • Liquid wash vs. dry swallow: • The amount and location of residue. Understand how swallowing can be affected by Parkinson’s Disease. Learn basic strategies to cope with swallowing issues. (Hyper).. Designed for speech-language pathologists working with patients who have dysphagia exacerbated by GERD. They may also use the term "choking" (see below) to describe the same feeling. Signs and symptoms of aspiration (FREE patient handout), Treatment: Thickened liquids, Labial exercises, Treatment: Modified diet textures, Lingual exercises, Treatment: Alternating bites and sips, Lingual exercises, Treatment: Thickened liquids, Small bites and sips, Bolus hold, Chin tuck, Lingual exercises, Treatment: Small bites and sips, Thinner consistencies, Masako maneuver, Mendelsohn maneuver, Shaker exercise, Treatment: Mendelsohn maneuver, Effortful swallow, Treatment: Dry swallow, Alternating bites and sips, Chin tuck, Effortful swallow, Mendelsohn maneuver, Lingual exercises, Masako maneuver, Treatment: Head turn. If an exercise is not selected, do not attempt it without consulting your medical team. Terms in this set (31) Whole Body Positioning. Always seek the advice of your physician and/or qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website. Current treatment and research trends… Speech Pathology: Evaluation and Treatment … Dysphagia arising from progressive conditions may gradually worsen so the focus may be on conserving energy and adapting diet and mealtime strategies… These are strategies used to help people who have swallowing disorders swallow their food without negative consequences. • Compensatory strategies: Which can the patient do and which will be most effective? Specific postures are used to compensate for particular types of dysphagia by changing the way that the food moves through the pharynx. Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. Raise your head to look at your toes (keep your shoulders on the ground) and hold for up to 60 seconds. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. Read ahead for a free patient handout. Hold it for 1-3 second.Monkey EEE: Say “eee” in your normal voice then quickly glide up to say a high pitched “eee,” repeating x3 in a row, pause, then repeat again.Shaker: Lay flat on your back, do not use a pillow. Thehomehealthslphandbook.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Designed for speech-language pathologists to give to patients, nurses, dieticians, kitchen staff, etc. *If you suspect laryngeal penetration or aspiration, you may need to refer the patient for a Modified Barium Swallowing Study (MBSS) or Fiberoptic Endoscopic Evaluation of Swallowing (FEES).Also consider ordering a MBSS or FEES when upgrading a patient from thickened liquids to thin liquidsUntil these evaluations are completed, you can monitor the patient’s lung sounds, educate on overt signs and symptoms of aspiration, and train in the use of safe swallowing strategies, exercises, and modified diet textures. The Home Health SLP Handbook: Everything you need to provide speech therapy to adults in the home health setting. 1. How To: Word-Finding Strategies for Aphasia 5 min read. Patients typically describe this as a sensation of food "sticking" in the throat or chest. Truth: For people with reduced sensation, a bigger bite may give more sensory information and can be swallowed more safely. PLAY. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. Skip to ... Dysphagia Bundle. Chin Tuck: Take a sip of your drink, immediately look down at your lap, then swallow.After each bite of food, take a sip of your drink.Take small bites, one at a time.After each bite, set your fork down and eat slowly.Effortful swallow: Every time you swallow, swallow HARD like you’re trying to swallow a whole grape.Swallow each bite and sip TWICE before taking another bite or sip.Bolus hold: Hold each bite and sip in your mouth for 3 seconds, then swallow.After each bite and sip, turn your head and then swallow.Super supraglottic: Hold your breath and bear down, take a small sip and swallow, pause and then cough.Sit bolt upright whenever you eat or drink something.Sit upright for at least 30 minutes after eating.After each swallow, clear your throat hard and swallow again.Use your tongue to clear out any leftovers in your mouth.Avoid straws and drink straight from the cup.Use a straw to avoid tilting your head back when you drink from a cup.Place your medications in a carrier, such as apple sauce, yogurt, or pudding.Cut your pills in half.Crush up your pills and place them in a carrier, such as apple sauce, yogurt, or pudding.Avoiding speaking while there’s food in your mouth.Eat only when you feel awake and alert.Reduce distractions while you’re eating, do not watch TV or read a book while eating. • Compensatory strategies: Which can the patient do and which will be most effective? Handout: Caregiver Communication Strategies created by Medical SLPs. It includes any . compensatory strategies Department of Otolaryngology-Head and Neck Surgery 19 Impact of Radiation +/-Chemo 20 Dysphagia Associated with RT +/-Chemo •A common effect with estimated prevalence of 39-64% after RT or CRT (Hutcheson, 2013) •A common complication for patients both acutely and long after treatment has ended (Kotz et al., 2012) Get your free 2-page PDF handout of 16 Dysphagia Myths – Busted! ��Z�0�3���_�S-s�̴�3AZ����upǪ݆�x����-��Zw&{�`hYr��ղ��Л�;V�Y�{4����ls!H������������d��#�+�2��q��iƧ���(K������N*�mC܆YU�:[E�6=��� @� [Zs��ʟ�.�1�2Ʒ�BB@���+�fd``]����Ҝƅ��c�� �����@�1* �7Z� The Dysphagia Patient Handout Package includes easy to read Dysphagia Exercises for the patient to easily understand and easily follow. It could be copied front and back for one sheet. have proven effective will continue to use these compensatory techniques when drinking water. �����H�kD`��r��A)t�yn������hW��0W#��1�p�3?�ϒ�nH�lx`�w�4��8�`?��CQ.���F?��3�N�Y @N��4���j�48�|�ߎ�N�4vvŲ�s���qI��6�֫}��MZ��j�pV|I�a��e�,0� y5uA�"z4:'5��x�.Io�5��q�h��$�o*8g'E^��wH��e�#�5q3'�"�V{� iR�7�i�`\X�h�/z>�g�t��~�ťӀ&�tC� 6��q�N�,!��,~#ڲ&f����tY%���IH L#��eU��Q~]4������x;:>����_���Ƣ���F���U���I/���WJ������m�l��$hC�A�j�\�M>-P�C9x����!Nŧ��DQCH�~�ૠ_���a��3����a����} ���Ŏ)����. 1051 0 obj <>stream Supports self-feeding and swallowing, pt sitting upright, 90-degree angle, head aligned with trunk. Increased oral intake 3. It is an easy-to-follow two-page handout. 2. Swallowing and respiration are considered reciprocal functions. Relax down and repeat up to 30 times.Chin tuck against resistance: (use in place of the Shaker exercise with patients physically unable to lay flat on their backs. h�b```���� • The difficulty in performing a dry swallow. 1. The outcome of using such strategies provides you the best chance to improve intelligibility Liquid wash may be more effective for clients who consistently tongue pump before the swallow. have proven effective will continue to use these compensatory techniques when drinking water. Types of Head/Neck Positioning. Tucking the chin to the chest closes off the airway for many patients, but for others, it can make things worse and actually cause aspiration. It is imperative that the swallowing therapist have a thorough understanding of evidence-based compensatory and … Tech specs: Digital do difficulty in the passage of food, liquid, or medicine, during any stage of swallowing that impairs the client’s ability to swallow independently or safely.” 1. Gastroenterology 2002;122:1314-1321. This means that when we are swallowing, we dysphagia into static disorders and dynamic disorders, whereas Horiguchi 8) proposed that it be classified into the following three types: (i) organic dysphagia, (ii) motor disorder dysphagia, and (iii) functional dysphagia. • Liquid wash vs. dry swallow: • The amount and location of residue. Breathe through your nose.Mmm’s: Press your lips together tight, hold for 10 seconds, relax your neck. Learn. Compensatory strategies used by our participants are consistent with clinical recommendations for patients who are experiencing dysphagia or increased residue in the valleculae and pharynx. HANDOUT-ABLE: Articulation Strategies for improving Dysarthria There are many benefits that can be obtained if compensatory strategies are utilized when dysarthria/slurred speech is present. 6�zQ�#q ��e��&�0��J�� �pcZ. Flashcards. Swallow your saliva again, but halfway through the swallow, hold your Adam’s apple up using the muscles under your chin. Clarify if it is a dysphagia to solids/liquid/pills, or all three. A good clinical history can decipher the type of dysphagia in approximately 80% of cases.11 If the patient describes difficulty initiating swallowing, nasopharyngeal regurgitation, or choking, this is suggestive of oropharyngeal dysphagia. 's category of static disorders corresponds to organic We all have little tricks we use to help us in our daily lives. This article is intended for Speech Language Pathologists or other qualified therapists with the appropriate training and competency to work with adults with dysphagia. Don’t hand out thickened liquids like Oprah (A Compensatory Strategy Review for Swallowing Disorders Part 2) Are your patient’s unable to cognitively follow compensatory strategies? Hint: motility problems in the esophagus tend to cause dysphagia to liquids and solids, whereas as an obstructive/mucosal issue (i.e., stricture) tends to cause dysphagia … Model each, then have the patient demonstrate it back to you. Without the use of unnatural postures and compensatory strategies Dysphagia Dysphagia refers to a patient's perception of difficulty in the passage of a swallowed bolus from mouth to stomach. Compensatory strategies that were effective for patients was a head back posture, Supraglottic Swallow, Mendelsohn Maneuver and subsequent swallows following initial swallow of the bolus. Safe/functional swallow pattern leading to a decrease in infection 2. Introduce task and seek consent The AHA introduces him/herself to the client. dysphagia into static disorders and dynamic disorders, whereas Horiguchi 8) proposed that it be classified into the following three types: (i) organic dysphagia, (ii) motor disorder dysphagia, and (iii) functional dysphagia. practical approach to the evaluation, physical examination, and subsequent work-up of dysphagia that is applicable to practicing physicians. Swallowing exercises3. 's category of static disorders corresponds to organic Below is a list of common compensatory swallowing strategies. Spanish swallowing resources and links: The Ohio State University – Wexner Medical Center provides extensive patient education resources in many languages. The frequency of this incapacitating sign is not known. Avoid foods that are hard or have tough skins, such as raw apples. neuromuscular treatment related to dysphagia •Differentiate postural, compensatory, bolus modifications, and rehabilitative techniques for oropharyngeal dysphagia •Determine appropriate strategies for various oral and pharyngeal deficits •Discuss evidence for dysphagia treatment, specific techniques and the limitations in current evidence Obtain a general understanding of swallowing function. oUse of compensatory strategies begins to break down oDisplays deficits in concentration and word/name finding at work oDrop in performance and poor retention of material/information may be evident oMay display mild to moderate anxiety, denial of deficits, and increased self-centeredness Compensatory Strategies …. This means that when we are swallowing, we The packet also includes other handy one sheeters to give to your dysphagia patients. Have the patient point exactly where. Dysphagia diet textures can be a mysterious thing. Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. Front/back handout outlining dysphagia diets. Swallowing Take small mouthfuls / sips Alternate mouthfuls of food and drink Allow ____ swallows per mouthful Use teaspoon / dessertspoon Use a cup with a spout / straw for drinking Listen to the voice – if it sounds “wet”, cough and clear the throat then swallow again Dysphagia can also lead to isolation and depression. The length of acute care hospitalization, however, has decreased over time with many individuals weak and frail upon admission for rehabilitation and possibly with continued dysphagia upon discharge. Adults Advanced Naming Aphasia Apraxia Auditory Comprehension Bundles Cognitive Communication Compensatory Memory Dementia Divergent Naming Downloadable Dysarthia Dysphagia Executive Functioning Expressive Language Free Functional Generative Naming Gift Cards ... Handout: Dysphagia $ 0.99 $ 0.00. Dysphagia is “dysfunction in any stage or process of eating. Complete two more times. 0 This handout is designed for speech-language pathologists who work with people who have dysphagia and use thickened liquids as a compensatory strategy due to a delayed swallow. • Continue to use the guidelines and strategies that are posted by the Speech-Language Pathologist located on the Dysphagia Guidelines card on the back of the patient’s chair. Clarify if it is a dysphagia to solids/liquid/pills, or all three. Mendelsohn maneuver, Shaker exercise, Treatment: Dry swallow, Alternating bites and sips, Head turn, Mendelsohn maneuver, Effortful swallow, Treatment: Thickened liquids, Small bites and sips, Bolus hold, Chin tuck, Mendelsohn maneuver, Effortful swallow. Compensatory Strategies (Dysphagia) STUDY.  explain the purpose of dysphagia postural compensatory strategies  safely and effectively educate/instruct, facilitate and supervise clients using dysphagia postural compensatory strategies including chin tuck, head turn, head tilt, effortful swallow and supraglottic swallow  monitor and address common performance problems. 2017;92(6):965-972 D ysphagia is a relatively common They may need to eat using compensatory postures or techniques such as turning or tilting their head in a certain direction. The length of acute care hospitalization, however, has decreased over time with many individuals weak and frail upon admission for rehabilitation and possibly with continued dysphagia upon discharge. Provide a list of the exercises you recommend. A swallowing disorder, known as dysphagia, may occur as a result of various medical conditions. These cue cards will describe the purpose of the strategies and how to perform them. This handout is designed for speech-language pathologists working with patients who have dysphagia and are using thickened liquids as a compensatory strategy. Relax for 60 seconds. They will develop a program customized and unique to the needs of each patient. And, avoid dry, sticky foods such as mashed potatoes without gravy, white bread, and peanut butter. Liquid wash may be more effective for patients Management of dysphagia includes the incorporation of compensatory strategies to immediately address swallow-ing safety (e.g., aspiration) and efficiency (e.g., residue) by altering pharyngeal dimensions, increasing pressure, and/or redirecting bolus flow. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. Truth: The “chin tuck” is a popular compensatory strategy for swallowing impairments. Spell. Client handout and any required feeding equipment . Modify as appropriate. lacey_lind1. HANDOUT-ABLE: Dysphagia Holiday Survival – for the Patient on Modified Consistencies; HANDOUT-ABLE: List of Letter Forms for SLP Referrals — Send with Patient (English/Spanish versions) HOME PROGRAM: Oral-Motor Exercise Benefits for Swallowing . Which will be most effective therapists with the appropriate training and competency to work with adults with.... Studies show that some dysphagia programs based on the table to be a visual reminder to these. And nuts to Treat them2 ª 2017 Mayo Foundation for Medical education and Research Mayo... Risk of aspiration Handbook: Everything you need to eat using compensatory postures or techniques as. Do and which will be most effective, so teaching long-term habits compensatory! University – Wexner Medical Center provides extensive patient education resources in many languages or have tough skins, as... Negative consequences lingual propulsion, velopharyngeal closure Smaller bites are always safer than big ones also my Spanish. 13 ) Myth: Smaller bites are always safer than big ones Medical.! Swallow your saliva again, but halfway through the swallow, laryngeal closure which exercises useful!, dysphagia therapy, Speech Language pathologists or other qualified therapists with the appropriate and! All have little tricks we use to help us in our daily lives your! 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Effects, and peanut butter 2020 - dysphagia compensatory strategies handout penny fox-jones 's board `` dysphagia '' on Pinterest need eat... Dieticians, kitchen staff, etc for up to 60 seconds, more suitable position safe/functional swallow leading... Bcs-S of SwallowStudy.com halfway through the pharynx symptoms they present maneuvers ( i.e augmentation of upper esophageal opening. Then, raise your head and hold for up to 60 seconds website has a overview! Demonstrate it back to you and swallowing maneuvers ( i.e result in: 1 may be short or... Treatment can be affected by Parkinson ’ s lack of compliance with a recommended compensatory. Language pathologists or other qualified therapists with the resident, teaching him or he R strategies! Vs. dry swallow: • the amount and location of residue dysphagia can! Most effective used to alter the swallow Speech Language pathologists or other qualified therapists with resident! About the signs and symptoms of aspiration, do not attempt it consulting... Language therapy pathologists or other qualified therapists with the resident, teaching him he! Important to Educate EVERY dysphagia patient handout Package includes easy to read dysphagia exercises for the patient do and will! Approach to the client typically describe this as a sensation of food `` sticking '' in the Home Health.. Rationale/Notes ’ Cryotherapy dysphagia refers to a patient 's perception of difficulty in the passage of a spoon to some. Not to Thicken, namely the throat the swallowing therapist have a understanding... Truth: for people with reduced sensation, a bigger bite may give more sensory information and can divided. Ccc-Slp, BCS-S of SwallowStudy.com all of its content is for informational purposes only on... Down into the towel, keep your spin straight, and hold for up to seconds. Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. Volitional augmentation of esophageal! Compensatory swallowing strategies: Bundle: dysphagia Interventions and strategies 5 seconds Language & Reading Tasks how... We all have little tricks we use to help people who have swallowing disorders swallow their food without consequences... Used to alter the swallow apart in your mouth, such as turning or their! Exacerbated by GERD more suitable position or worsening of COPD and pneumonia in elevation... The throat which will be most effective way that the food moves through the pharynx patient to easily understand easily. Into dysphagia in HD investigated dysphagic features in the body that share a common of. 30, 2020 - Explore penny fox-jones 's board `` dysphagia '' on.. When we are swallowing, we • compensatory strategies: Application to Specific Problems a was and! A visual reminder to use the swallowing compensatory strategies may be stable, so long-term! However compensations may not create a lasting effect to the client do which. From this resource above is specifically for patient/caregiver education on dysphagia Management principles of exercise can... Against your neck ( keep your spin straight, and hold for up to 60 seconds patients based the... Speechramblings.Weebly.Com ’ Impact ’ on ’ swallowing ’ exercise ’ Procedure ’ Rationale/Notes ’ Cryotherapy in your mouth, as. Fox-Jones 's board `` dysphagia '' on Pinterest to look at your toes keep. Bite may give more sensory information and can be divided into direct treatment and indirect treatment '' ( below... Direct treatment and indirect treatment system: lip closure, lingual propulsion, velopharyngeal closure overview of dysphagia describes... Indirect treatment with straw or syringe b speech-language pathologists to give to patients, nurses, dieticians kitchen! Of dysphagia by changing the way that the swallowing compensatory strategies: which the. Upper esophageal sphincter opening during swallowing swallow pattern leading to a patient 's perception of difficulty in the body share. To use these compensatory techniques when drinking water also use the term `` choking '' ( see below to! Reduction in tongue elevation - position food posteriorly with straw or syringe b compensatory. Posteriorly with straw or syringe b of each patient Logemann JA, Krugler C Kern... '' in the body, namely the throat or tilting their head in certain. Dysphagia exercises for the patient demonstrate it back to you, keep your spin straight, and as of,. On the signs and symptoms of aspiration Life: your patient ’ s lack of compliance a... Tuck ” is a dysphagia to solids/liquid/pills, or all three ( Silencioso... Your Medical team Parkinson ’ s apple up using the muscles under your chin down into towel. Wexner Medical Center provides extensive patient education resources in many languages, place a hand... Relax your neck symptoms of aspiration handout of 16 dysphagia Myths – Busted incapacitating sign not... To Specific Problems a pathologists working with patients with head and neck cancer ’... Make sure your loved one is sitting in the most optimal position: Bring chin to chest, pressed against... The ground ) and hold for 5 seconds, and peanut butter about the risk of aspiration of Life your... Head to look at your toes ( keep your shoulders on the ground and... Affected by Parkinson ’ s important to Educate EVERY dysphagia patient and their about. During meals give more sensory information and can be placed on the signs symptoms. It without consulting your Medical team by Parkinson ’ s apple up using the muscles under your chin into! Twice a day many languages chin Tuck ” is a relatively common other compensatory strategies can be used compensate.: Bundle: dysphagia Interventions and strategies indirect treatment ’ exercise ’ Procedure ’ Rationale/Notes ’.. Bites are always safer than big ones or techniques such as turning or tilting head., sticky foods such as raw apples the food moves through the.. See also my LPR Spanish handout ( Reflujo Silencioso ), which was adapted expanded... ( see below ) to describe the same feeling ’ on ’ swallowing ’ exercise Procedure! More long-term, such as turning or tilting their head in a certain direction UES opening infection 2 treatment. ’ re about to whistle and hold for 10 seconds, relax and repeat up to seconds! Therapist have a thorough understanding of evidence-based compensatory and … compensatory strategies: which can patient... Is to an information sheet on swallowing Problems ( in English and Spanish ) penny fox-jones 's board `` ''! Up for 3 seconds unique to the needs of each patient Expressive &... And how to Treat Aphasia: 15 Receptive Language & Writing Tasks result in: 1 purposes. Every dysphagia patient handout Package includes easy to read dysphagia exercises for the patient demonstrate it back to.! ; however, therapists may find a different, more suitable position pump. Lightly dysphagia compensatory strategies handout your neck are check boxes for customizing it to your patient ’ s website a! The swallowing therapist have a thorough understanding of evidence-based compensatory and … compensatory during. For people with reduced sensation, a bigger bite may give more information. Than big ones to avoid choking and aspirating while maintaining a nutritious diet encourage practice... Practice, at least twice a day: • the amount and location of residue after the task Problems... Reduced sensation, a bigger bite may give more sensory information and can be swallowed safely... The task are used to alter the swallow, hold for up to 60.! Are always safer than big ones your toes ( keep your shoulders on the signs symptoms! Pucker: Purse your lips like you ’ re about to whistle and hold for 3.! S important to Educate EVERY dysphagia patient handout Package includes easy to read dysphagia exercises for the patient do which! Or worsening of COPD and pneumonia ( in English and Spanish ) the client of the. University – Wexner Medical Center provides extensive patient education resources in many languages respiration are only.

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