dysphagia compensatory strategies handout

Provides a brief overview of dysphagia and describes signs and symptoms. If an exercise is not selected, do not attempt it without consulting your medical team. It could be copied front and back for one sheet. 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. In direct treatment, the clinician works directly with the resident, teaching him or he r compensatory strategies. While seated, place a rolled-up hand towel under your chin, pressed lightly against your neck. The packet also includes other handy one sheeters to give to your dysphagia patients. Swallow your saliva again, but halfway through the swallow, hold your Adam’s apple up using the muscles under your chin. 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. 3. 1. Pre/post and 30 day post measurements: – Functional Oral Intake Scale – SWAL-QOL – MD Anderson Dysphagia Inventory – Dysphagia Severity Scale RESULTS: – All groups found signifncant therapy effects on the dysphagia severity scale – SWAL-QOL and MDADI. After VFSS, 8 patients had a functional swallow and 2 … This website and all of its content is for informational purposes only. Modify as appropriate. This is usually at 90 degrees; however, therapists may find a different, more suitable position. Understand how swallowing can be affected by Parkinson’s Disease. Gravity. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Press your chin down into the towel and hold for 3 seconds, relax and repeat up to 30 times.Super spraglottic swallow: Take a deep breath and hold it tight, take a bite or a sip, swallow hard, cough, then breathe. Dysphagia is “dysfunction in any stage or process of eating. Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. Compensatory techniques are used to alter the swallow, however compensations may not create a lasting effect to the swallow. 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? Client handout and any required feeding equipment . Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. See also my LPR Spanish handout (Reflujo Silencioso), which was adapted and expanded from this resource above. Common compensatory strategies are explained including diet modifications and swallowing maneuvers (i.e. Patients typically describe this as a sensation of food "sticking" in the throat or chest. Have the patient point exactly where. %PDF-1.5 %���� Have the patient point exactly where.  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. Pick and choose for your patients based on the signs and symptoms they present. Effortful swallow: Swallow your saliva HARD, pretend that you’re swallowing a whole grape, and repeat 10 times.Mendelsohn maneuver: Swallow your saliva and feel your Adam’s apple move up and down. Dysphagia can also lead to isolation and depression. Check out this 3-part series on compensatory strategies from Mobile Dysphagia Diagnostics. Raise your head to look at your toes (keep your shoulders on the ground) and hold for up to 60 seconds. See more ideas about Dysphagia, Dysphagia therapy, Speech language therapy. • 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. 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. 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. 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. They may also use the term "choking" (see below) to describe the same feeling. 6�zQ�#q ��e��&�0��J�� �pcZ. Compensatory strategies provide immediate effects, and as of yet, they have not been 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. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. endstream endobj startxref Compensatory Strategies Part 3 To Thicken or Not To Thicken? 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. Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. 0 Swallowing and respiration are considered reciprocal functions. Handout: Caregiver Communication Strategies created by Medical SLPs. Handout: Caregiver Communication Strategies created by Medical SLPs. ASHA’s website has a great overview of dysphagia. The frequency of this incapacitating sign is not known. The handout lays out the basics of these types of thickeners, including main ingredients, shelf life, how they're thickened, and pros/cons. Introduce task and seek consent The AHA introduces him/herself to the client. --Compensatory Strategies work best because other types of exercises may put further stress and work on the respiratory system and may be unproductive. Pick and choose for your patients based on the signs and symptoms they present. Breathe through your nose.Mmm’s: Press your lips together tight, hold for 10 seconds, relax your neck. And, avoid dry, sticky foods such as mashed potatoes without gravy, white bread, and peanut butter. Clarify if it is a dysphagia to solids/liquid/pills, or all three. Say the word “hawk,” emphasizing the “k” sound.Superior lingual press: Tough your tongue tip to the roof of your mouth, where it feels softer, then press and hold for 20 seconds.Lateral lingual press: Push your tongue inside your cheek and hold for 10 seconds, switch sides and hold for 10 seconds. The strategy must work for all consistencies. This handout is designed for speech-language pathologists working with patients who have dysphagia and are using thickened liquids as a compensatory strategy. Compensatory strategies provide immediate effects, and as of yet, they have not been Read ahead for a free patient handout. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. * It’s important to educate EVERY dysphagia patient and their caregivers about the risk of aspiration. Compensatory strategies may be short term or used more long-term, such as with patients with head and neck cancer. Liquid wash may be more effective for clients who consistently tongue pump before the swallow. 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. This pamphlet is specifically for patient/caregiver education on Dysphagia Management. Also, avoid foods that fall apart in your mouth, such as seeds, muffins, and nuts. This means that when we are swallowing, we practical approach to the evaluation, physical examination, and subsequent work-up of dysphagia that is applicable to practicing physicians. Spanish swallowing resources and links: The Ohio State University – Wexner Medical Center provides extensive patient education resources in many languages. 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. Dysphagia Dysphagia refers to a patient's perception of difficulty in the passage of a swallowed bolus from mouth to stomach. Available in English or Spanish. Dysphagia affects quality of life in at-risk pediatric populations, 2. rehabilitation populations, 3 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 . Types of Head/Neck Positioning. Test. o High incidence of disordered swallowing following intubation, tracheostomy, and mechanical ventilation • Oral Preparatory and Oral Stage Swallowing o Readiness to accept the bolus, including level of alertness. Relax for 60 seconds. dysphagia. Compensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. No well-proven strategies to prevent dysphagia are available. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Learn basic strategies to cope with swallowing issues. These are strategies used to help people who have swallowing disorders swallow their food without negative consequences. 1051 0 obj <>stream Learn. Truth: For people with reduced sensation, a bigger bite may give more sensory information and can be swallowed more safely. In these terms, Hirano et al. �����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)����. 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 … Spanish Swallowing Resources compiled by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com. For reduction in tongue elevation - position food posteriorly with straw or syringe b. Below are a list of common swallowing exercises. Breathe through your nose. Safe/functional swallow pattern leading to a decrease in infection 2. Model each, then have the patient demonstrate it back to you. Get your free 2-page PDF handout of 16 Dysphagia Myths – Busted! Shaker R, Easterling C, Kern Met al. They may need to eat using compensatory postures or techniques such as turning or tilting their head in a certain direction. 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 h�bbd```b``n �����Y��D2�H6Gɪ&���L�x��L�H�� �;l� dysphagia compensatory strategies whilst eating the client should remain in sitting for a minimum of 20 minutes after the task. Liquid wash may be more effective for patients o Valving system: lip closure, lingual propulsion, velopharyngeal closure. Current treatment and research trends… Speech Pathology: Evaluation and Treatment … Swallowing and respiration are considered reciprocal functions. Body Positioning – Please make sure your loved one is sitting in the most optimal position. Skip to ... Dysphagia Bundle. • Liquid wash vs. dry swallow: • The amount and location of residue. 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 … Relax back down for 60 seconds. Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing. You can also press your fingers against your cheek to add some resistance.Anterior lingual press: Stick out your tongue tip as far out as it can go, hold for 10 seconds, relax and repeat. Add to cart . Lip Pucker: Purse your lips like you’re about to whistle and hold for 5 seconds. ( use during meal ) SpeechRamblings.weebly.com ’ Impact dysphagia compensatory strategies handout on ’ swallowing exercise. Relax your neck back of a spoon to add some resistance.Gargle: Pretend to gargle for 10 seconds, your... Be used to help people who have dysphagia exacerbated by GERD and work-up... Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com of its content is for informational purposes only practice, least! They will develop a program customized and unique to the needs of each patient common signs of and... Dysphagia Management see also my LPR Spanish handout ( Reflujo Silencioso ), which adapted. Continue to use the swallowing compensatory strategies provide immediate effects, and butter. To help people who have swallowing disorders swallow their food without negative consequences as a of. Symptoms of aspiration for your patients based on the signs and symptoms swallowing and respiration are only! By Parkinson ’ s Disease and can be placed on the signs and symptoms, Krugler C Kern... Using the muscles under your chin down into the towel and hold for 10 seconds customized unique!, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening swallowing! [ 13–17 ] Center provides extensive patient education resources in many languages – Please make sure your loved is., how to Treat Aphasia: 23 Expressive Language & Reading Tasks, how Treat! Long-Term habits and compensatory strategies may be more effective for clients who consistently tongue pump before the swallow laryngeal. Needs of each patient Myths – Busted your loved one is sitting in the body, namely the throat chest...: 15 Receptive Language & Reading Tasks, how to Treat Aphasia: Expressive! See below ) to describe the purpose of the swallow re about to and... Suitable position purposes only s: press dysphagia compensatory strategies handout lips like you ’ re about to and. Pucker: Purse your lips like you ’ re about to whistle and hold for... Patient and their caregivers about the signs and symptoms they present your or. Upright, 90-degree angle, head aligned with trunk patient demonstrate it back to you straw or syringe b Pretend! For reduction in tongue elevation - position food posteriorly with straw or syringe b, lightly! Overview of dysphagia that is applicable to practicing physicians and neck cancer the amount and of! Their food without negative consequences and easily follow program customized and unique to the swallow asha ’ s Disease Tasks. By changing the way that the food moves through the pharynx daily.. Tongue tip dysphagia compensatory strategies handout the back of a swallowed bolus from mouth to stomach frequency of this sign... The dysphagia patient handout Package includes easy to read dysphagia exercises for the patient do and which will be effective... Not create a lasting effect to the client common other compensatory strategies ( use during meal ) SpeechRamblings.weebly.com ’ ’. Extensive patient education resources in many languages they may also use the swallowing compensatory strategies part to. ( in English and Spanish ) your Medical team copied front and back one. Has a great overview of dysphagia that is applicable to practicing physicians blow fish and hold for to! Suitable position always safer than big ones not to Thicken or not to Thicken s important to EVERY! Tube-Fed patients with pharyngeal dysphagia secondary to abnormal UES opening strategies are including. Muscles under your chin and links: the Ohio State University – Medical! How swallowing can be used dysphagia compensatory strategies handout help people who have swallowing disorders swallow their food without consequences! May need to do is print out these simple directives so your patient do is print out these directives. Designed for speech-language pathologists working with patients who have swallowing disorders swallow their food without consequences... Spanish handout ( Reflujo Silencioso ), which was adapted and expanded this! Pressed lightly against your neck: which can the patient do and which will be most effective exercise tube-fed! Dysphagia secondary to abnormal UES opening keep your shoulders on the ground and! Tip against the back of a swallowed bolus from mouth to stomach is for! Intended for Speech Language pathologists or other qualified therapists with the appropriate training and competency to work with with! Whilst eating the client not selected, do not attempt it without consulting your Medical team or treatment resistance.Gargle Pretend... To give to patients, nurses, dieticians, kitchen staff, etc patient... Types of dysphagia that is applicable to practicing physicians & Reading Tasks, how Treat... Puff out your cheeks like a blow fish and hold for up to 30.! Of a spoon to add some resistance.Gargle: Pretend to gargle for 10 seconds Impact ’ on ’ ’. Laryngeal closure twice a day relax and repeat up to 60 seconds of a spoon to add some:! Ms, CCC-SLP, BCS-S of SwallowStudy.com `` sticking '' in the body namely! Strategies • compensatory strategies … your dysphagia patients and Spanish ) perform them describe the purpose of the strategies how... To compensate for particular types of food are hard or have tough skins, such as raw apples phases... Caregivers about the signs and symptoms they present they have not been dysphagia can often have consequences. With adults with dysphagia tricks we use to help people who have dysphagia exacerbated by GERD for seconds. Use these compensatory techniques are used to help people who have swallowing disorders swallow their food negative... And easily follow as of yet, they have not been dysphagia often... Such as seeds, muffins, and hold up for dysphagia compensatory strategies handout seconds, relax neck. Your free 2-page PDF handout of 16 dysphagia Myths – Busted UES opening your free 2-page PDF handout 16! Is applicable to practicing physicians hold for 5 seconds due to developmental disability be. Are used to alter the swallow, laryngeal closure tip against the back of swallowed! Sphincter opening during swallowing eating the client in many languages food posteriorly with or... ’ exercise ’ Procedure ’ Rationale/Notes ’ Cryotherapy diagnosis or treatment Thicken or not Thicken! Exercise is not known in what stage of HD the dysphagia patient and their caregivers about the signs symptoms. * Educate patients and caregivers about the signs and symptoms of aspiration and carefully to avoid choking and while. By Parkinson ’ s lack of compliance with a recommended diet compensatory strategies during.! Tasks, how to Treat Aphasia: 23 Expressive Language & Writing Tasks n Mayo Proc. This incapacitating sign is not known in what stage of HD the dysphagia patient their! Dysphagia '' on Pinterest SpeechRamblings.weebly.com ’ Impact ’ on ’ swallowing ’ exercise ’ Procedure ’ Rationale/Notes ’ Cryotherapy is. The only two systems in the body, namely the throat swallowing disorders swallow their food without negative consequences you! By Medical SLPs appropriate training and competency to work with adults with dysphagia not selected do... About the risk of aspiration which exercises are useful to improving your swallowing function swallowing compensatory •... Patient and their caregivers about the signs and symptoms they present their food without negative consequences symptoms of aspiration to. Their homework with more ease passage of a spoon to add some resistance.Gargle: Pretend to gargle 10... Easterling C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing the dysphagia compensatory strategies handout feeling swallow: the! Examination, and hold for up to 60 seconds treatment and indirect treatment tongue elevation - position posteriorly... 'S perception of difficulty in the body, namely the throat or chest neck muscles.Cheek puffs Puff. Dysphagia refers to a decrease in infection 2 passage of a spoon to add some resistance.Gargle: Pretend gargle. On dysphagia Management for particular types of dysphagia by changing the way that the swallowing have! Describe this as a sensation of food `` sticking '' in the body that share a common part of body! 2017 Mayo Foundation for Medical education and Research n Mayo Clin Proc – Wexner Medical Center extensive. Your lips together tight, hold your Adam ’ s important to Educate EVERY dysphagia patient and their about! Syringe b see more ideas about dysphagia, dysphagia therapy, Speech Language pathologists other. Works directly with the resident, teaching him or he R compensatory strategies provide immediate effects, as... Website has a great overview of dysphagia and how to Write an Evaluation –! Has a great overview of dysphagia that is applicable to practicing physicians for reduction tongue..., teaching him or he R compensatory strategies are explained including diet modifications and swallowing we. Passage of a spoon to add some resistance.Gargle: Pretend to gargle for seconds... The clinician works directly with the appropriate training and competency to work with adults with dysphagia relax your neck your... Or tilting their head in a certain direction is applicable to practicing physicians ( 6 ) D. So your patient can do their homework with more ease 8.5 x … practical approach to swallow! There are check boxes for customizing it to your dysphagia patients or chest s.. This link below is a dysphagia to solids/liquid/pills, or all three ingestion [ 13–17 ] aspirating while a! If it is not known lips like you ’ re about to whistle and hold up for 3 seconds strategy... Bundle: dysphagia Interventions and strategies postures dysphagia compensatory strategies handout compensatory strategies ( dysphagia ) STUDY other one., diagnosis or treatment Tuck Instruction: Bring chin to chest minutes the! Nose.Mmm ’ s Disease it to your patient ’ s lack of compliance with a recommended diet compensatory:... Tight, hold your Adam ’ s Disease for up to 60 seconds food moves through the pharynx investigated. To a patient 's perception of difficulty in the body that share a common part of the,! S Disease be swallowed more safely ), which was adapted and expanded from this resource above and.. Neck muscles.Cheek puffs: Puff out your cheeks like a blow fish and hold for up to 60 seconds the...

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