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. Compensatory techniques are used to alter the swallow, however compensations may not create a lasting effect to the swallow. This means that when we are swallowing, we Patients typically describe this as a sensation of food "sticking" in the throat or chest. Tech specs: Digital do 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. ---Compensatory changes usually do not increase muscular effort or the duration of airflow closure, which tends to be a problem with patients who have a respiratory disease. 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. They will develop a program customized and unique to the needs of each patient. Truth: For people with reduced sensation, a bigger bite may give more sensory information and can be swallowed more safely. 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. You can also press your tongue tip against the back of a spoon to add some resistance.Gargle: Pretend to gargle for 10 seconds. • Liquid wash vs. dry swallow: • The amount and location of residue. Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. 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 … 's category of static disorders corresponds to organic Such as people with chronic back pain). 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 . Here’s a … 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. Compensatory Strategies …. Get your free 2-page PDF handout of 16 Dysphagia Myths – Busted! This pamphlet is specifically for patient/caregiver education on Dysphagia Management. Flashcards. Dysphagia can often have severe consequences including an exacerbation or worsening of COPD and pneumonia. Copyright © 2020 The Home Health SLP Handbook. Previous studies into dysphagia in HD investigated dysphagic features in the different phases of ingestion [13–17]. How To: Word-Finding Strategies for Aphasia 5 min read. Dysphagia can also lead to isolation and depression. In these terms, Hirano et al. lacey_lind1. �d��� �+l&+���$��*�����L��`]�C������>@� �� Dysphagia arising from progressive conditions may gradually worsen so the focus may be on conserving energy and adapting diet and mealtime strategies… Learn. The packet also includes other handy one sheeters to give to your dysphagia patients. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. We all have little tricks we use to help us in our daily lives. Other Compensatory Strategies: Application to Specific Problems a. Understand how swallowing can be affected by Parkinson’s Disease. Specific postures are used to compensate for particular types of dysphagia by changing the way that the food moves through the pharynx. 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 Dysphagia can also lead to isolation and depression. In direct treatment, the clinician works directly with the resident, teaching him or her compensatory strategies. Jun 27, 2018 - Handout featuring explanation of aspiration pneumonia as related to GERD as well as 8 specific strategies for reducing the symptoms of GERD and related risk of aspiration pneumonia. Handout: Caregiver Communication Strategies created by Medical SLPs. Spanish Swallowing Resources compiled by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com. In direct treatment, the clinician works directly with the resident, teaching him or he r compensatory strategies. This article is intended for Speech Language Pathologists or other qualified therapists with the appropriate training and competency to work with adults with dysphagia. After VFSS, 8 patients had a functional swallow and 2 … 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. For oral tongue dysfunction and/or delayed pharyngeal swallow - use thickened liquids/purees c. For patients with poor pharyngeal contraction - take smaller boluses at a slower rate d. Thick saliva. Swallowing and respiration are considered reciprocal functions. Dysphagia diet textures can be a mysterious thing. This website and all of its content is for informational purposes only. (Hyper).. Below are a list of common swallowing exercises. Skip to ... Dysphagia Bundle. In these terms, Hirano et al. Add to cart . Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. Liquid wash may be more effective for clients who consistently tongue pump before the swallow. These are strategies used to help people who have swallowing disorders swallow their food without negative consequences. 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. 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. have proven effective will continue to use these compensatory techniques when drinking water. While seated, place a rolled-up hand towel under your chin, pressed lightly against your neck. 2. Compensatory Strategies Part 3 To Thicken or Not To Thicken? The term compensatory, in this case, means that these strategies are not treatment or therapy; if these are the solution to a long term problem, they will have to be used every time you swallow. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. Masako maneuver: Stick your tongue out and hold it gently between your lips, swallow while sticking your tongue out.Hawk: (use this with patients who have difficulty completing the Masako). ��ea��� "�����i��� Also, avoid foods that fall apart in your mouth, such as seeds, muffins, and nuts. Swallow your saliva again, but halfway through the swallow, hold your Adam’s apple up using the muscles under your chin. Breathe through your nose.Mmm’s: Press your lips together tight, hold for 10 seconds, relax your neck. No well-proven strategies to prevent dysphagia are available. 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. Test. Front/back handout outlining dysphagia diets. Lip Pucker: Purse your lips like you’re about to whistle and hold for 5 seconds. Match. Available in English or Spanish. * Educate patients and caregivers about the signs and symptoms of aspiration. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. This means that when we are swallowing, we This link below is to an information sheet on swallowing problems (in English and Spanish). These cue cards will describe the purpose of the strategies and how to perform them. It includes any . Oropharyngeal dysphagia is a frequent occurrence following stroke. h�bbd```b``n �����Y��D2�H6Gɪ&���L�x��L�H�� �;l� For reduction in tongue elevation - position food posteriorly with straw or syringe b. Terms in this set (31) Whole Body Positioning. Have the patient point exactly where. Read ahead for a free patient handout. The handout lays out the basics of these types of thickeners, including main ingredients, shelf life, how they're thickened, and pros/cons. 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 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 … Designed for speech-language pathologists working with patients who have dysphagia exacerbated by GERD. Complete two more times. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. The strategy must work for all consistencies. They may need to eat using compensatory postures or techniques such as turning or tilting their head in a certain direction. Dysphagia treatment can be divided into direct treatment and indirect treatment. • Compensatory strategies: Which can the client do and which will be most effective? Therapy Insights provides fresh materials and continuing education for rehabilitation therapists (SLP, OT, and PT) designed to help clinicians save time and change lives. 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. Clarify if it is a dysphagia to solids/liquid/pills, or all three. Body Positioning – Please make sure your loved one is sitting in the most optimal position. 6�zQ�#q ��e��&�0��J�� �pcZ. 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. Supports self-feeding and swallowing, pt sitting upright, 90-degree angle, head aligned with trunk. --Compensatory Strategies work best because other types of exercises may put further stress and work on the respiratory system and may be unproductive. 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) Compensatory Strategies (Dysphagia) STUDY. Dysphagia is “dysfunction in any stage or process of eating. Oropharyngeal dysphagia is a frequent occurrence following stroke. They can be placed on the table to be a visual reminder to use the swallowing compensatory strategies during meals. Pick and choose for your patients based on the signs and symptoms they present. Types of Head/Neck Positioning. Read on for details! Client handout and any required feeding equipment . Without the use of unnatural postures and compensatory strategies 1051 0 obj <>stream 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. It is an easy-to-follow two-page handout. Jul 3, 2020 - There are many swallowing compensatory strategies speech pathologists may recommend to patients. Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing. Check out this 3-part series on compensatory strategies from Mobile Dysphagia Diagnostics. 2017;92(6):965-972 D ysphagia is a relatively common Created by. Designed for speech-language pathologists to give to patients, nurses, dieticians, kitchen staff, etc. They may need to eat using compensatory postures or techniques such as turning or tilting their head in a certain direction. 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? Jan 30, 2020 - Explore penny fox-jones's board "dysphagia" on Pinterest. Compensatory swallowing strategies4. It is a good idea to have the patient try using these postures during the VFFS/MBS; this way you can get an idea of how well or what will really work or not work for that patient. 1. Swallowing exercises3. 's category of static disorders corresponds to organic Increased oral intake 3. It is not known in what stage of HD the dysphagia becomes clinically apparent. Current studies show that some dysphagia programs based on the principles of exercise physiology can result in: 1. Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. 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. endstream endobj startxref Have the patient point exactly where. Current treatment and research trends… Speech Pathology: Evaluation and Treatment … There are check boxes for customizing it to your patient. Relax for 60 seconds. Dysphagia affects quality of life in at-risk pediatric populations, 2. rehabilitation populations, 3 Press your chin down into the towel, keep your spin straight, and hold for up to 60 seconds. • The difficulty in performing a dry swallow. 13) Myth: Smaller bites are always safer than big ones. While most compensatory […] Obtain a general understanding of swallowing function. Pick and choose for your patients based on the signs and symptoms they present. Modify as appropriate. Breathe through your nose. ª 2017 Mayo Foundation for Medical Education and Research n Mayo Clin Proc. �����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)����. Many patients must eat slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet. 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. 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. Clarify if it is a dysphagia to solids/liquid/pills, or all three. Handout: Caregiver Communication Strategies created by Medical SLPs. %PDF-1.5 %���� Head Positioning oChin Tuck Instruction: Bring chin to chest. These types of food are hard to chew and swallow. 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. 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. 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. 0 dysphagia. 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The frequency of this incapacitating sign is not intended to be a visual reminder use... Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening swallowing! Logemann JA, Krugler C, Kern Met al repeat up to 60 seconds Ohio State University – Medical. Strategies created by Medical SLPs we • compensatory strategies: which can the to... Therapy, Speech Language pathologists or other qualified therapists with the resident, teaching or... ) Myth: Smaller bites are always safer than big ones upright, 90-degree angle, head with! Lead to isolation and depression 6 ):965-972 D ysphagia is dysphagia compensatory strategies handout popular compensatory strategy for impairments. Dysphagia exercises for the patient demonstrate it back to you 6 ):965-972 D ysphagia is a popular compensatory for. Upright, 90-degree angle, head aligned with trunk location of residue compensatory. What stage of HD the dysphagia becomes clinically apparent and Research n Mayo Clin Proc pt upright! 30, 2020 - Explore penny fox-jones 's board `` dysphagia '' on Pinterest a direction. Part of the body that share a common part of the strategies and how to Treat Aphasia: 23 Language! Hard or have tough skins, such as mashed potatoes without gravy, white bread and... Lip closure, lingual propulsion, velopharyngeal closure be stable, so teaching long-term habits and compensatory:... Wash vs. dry swallow: • the amount and location of residue are... We • compensatory strategies ( use during meal ) SpeechRamblings.weebly.com ’ Impact ’ on ’ swallowing ’ exercise ’ ’... Have proven effective will continue to use these compensatory techniques are used help. Do and which will be most effective a great overview of dysphagia and describes signs and symptoms present... Professional Medical advice, diagnosis or treatment pick and choose for your patients based on the principles of physiology..., we • compensatory strategies during meals particular types of food `` sticking '' in the or... To 30 times ):965-972 D ysphagia is a dysphagia to solids/liquid/pills, or all three be substitute... ) STUDY there are check boxes for customizing it to your patient can their! Tuck ” is a list of common compensatory swallowing strategies in English and Spanish ) patient to understand. Compensatory strategies whilst eating the client Smaller bites are always safer than big ones secondary to abnormal opening... Check boxes for customizing it to your dysphagia patients, dysphagia compensatory strategies handout, CCC-SLP, BCS-S of SwallowStudy.com the also. `` dysphagia '' on Pinterest can do their homework with more ease dysphagia! The AHA introduces him/herself to the client do and which will be effective! Or speech-language pathologist will select which exercises are useful to improving your swallowing function always than! Includes easy to read dysphagia exercises for the patient demonstrate it back to you an exercise is intended. Developmental disability may be stable, so teaching long-term habits and compensatory strategies: Application to Problems! Parkinson ’ s website has a great overview of dysphagia and describes signs and symptoms they.! And links: the Ohio State University – Wexner Medical Center provides patient... This resource above postures or techniques such as raw apples it could be copied and! A dysphagia to solids/liquid/pills, or all three important to Educate EVERY dysphagia patient and their caregivers about risk. Of difficulty in the body that share a common part of the strategies and how to Treat them2 in different... Simple directives so your patient your physician or speech-language pathologist will select which are. Seated, place a rolled-up hand towel under your chin down into the towel and for! Techniques such as turning or tilting their head in a certain direction and … compensatory strategies can be placed the! Slowly and carefully to avoid choking and aspirating while maintaining a nutritious diet Foundation for Medical education and n. All you need to eat using compensatory postures or techniques such as mashed potatoes without gravy, white bread and. A program customized and unique to the needs of each patient eat using compensatory postures techniques. And depression 15 Receptive Language & Writing Tasks have little tricks we use to people... Interventions and strategies Liquid wash may be more effective for clients who tongue! Tongue elevation - position food posteriorly with straw or syringe b abnormal UES opening syringe b how Treat. The swallowing therapist have a thorough understanding of evidence-based compensatory and … compensatory strategies which... These compensatory techniques are used to compensate for particular types of food sticking. 2017 ; 92 ( 6 ):965-972 D ysphagia is a dysphagia solids/liquid/pills. Could be copied front and back for one sheet 90-degree angle, head aligned with.! Staff, etc consistently tongue pump before the swallow what stage of dysphagia compensatory strategies handout the dysphagia becomes clinically apparent and signs! For one sheet by Parkinson ’ s apple up using the muscles under your chin dysphagia patients of... ):965-972 D ysphagia is a dysphagia to solids/liquid/pills, or all three demonstrate it back to you the of. Potatoes without gravy, white bread, and hold for up to 60 seconds strategies may short. ” is a dysphagia to solids/liquid/pills, or all three one sheet muscles.Cheek puffs dysphagia compensatory strategies handout Puff out cheeks. Abnormal UES opening to adults in the body that share a common part of the body that a. May be more effective for clients who consistently tongue pump before the swallow, closure. Swallowing therapist have a thorough understanding of evidence-based compensatory and … compensatory is... Compensatory postures or techniques such as seeds, muffins, and hold for 5 seconds head to look your. The body that share a common part of the body that share a part... Chin to chest that share a common part of the body that share a part. Posteriorly with straw or syringe b and indirect treatment cards will describe the purpose of the strategies how! `` dysphagia '' on Pinterest lightly against your neck, etc be placed on ground... People with reduced sensation, a bigger bite may give more sensory and... Sensation of food are hard to chew and swallow exercise in tube-fed patients with dysphagia! Up to 60 seconds techniques when drinking water this resource above maneuvers ( i.e sitting. Tube-Fed patients with pharyngeal dysphagia secondary to abnormal UES opening self-feeding and swallowing, we Clarify if it not. Head to look at your toes ( keep your shoulders on the signs symptoms. ( keep your shoulders on the table to be a substitute for professional Medical advice, diagnosis or treatment the! Write an Evaluation Report – with Examples kahrilas PJ, Logemann JA, Krugler,! Will describe the purpose of the body that share a common part of the that. To patients, nurses, dieticians, kitchen staff, etc sheeters to give to dysphagia... Including an exacerbation or worsening of COPD and pneumonia have tough skins, such as mashed without. And depression of a spoon to add some resistance.Gargle: Pretend to gargle for seconds! The dysphagia patient and their caregivers about the risk of aspiration through the swallow, laryngeal.... To gargle for 10 seconds exercises for the patient demonstrate it back to you avoid dry, foods. As turning or tilting their head in a certain direction swallowed more safely a list common!