Clinical Management of Swallowing Disorders, Fifth Edition


Book Description

Clinical Management of Swallowing Disorders, Fifth Edition is a textbook for speech-language pathology programs that examines the diagnosis and treatment of swallowing disorders in children and adults. Thoroughly updated, this popular text emphasizes evidence-based practice, multidisciplinary team management, swallowing safety, nutrition, behavioral treatments, and management following surgical options. Authored by two speech-language pathologists and an otolaryngologist for a multidisciplinary approach, the Fifth Edition continues to be easy-to-understand text for students and also serves as an up-to-date reference for practicing clinicians who treat swallowing disorders in hospitals, rehabilitation centers, nursing homes, and private outpatient clinics. New to the Fifth Edition *New chapter on the aging population *The Anatomy and Physiology chapter has been thoroughly updated and 15 beautiful, new full color illustrations have been added *More images and enhanced figures, including additional FEES and fluoroscopy video studies of swallowing disorders in head and neck cancer and stroke patients *Many new references, easy-to-read tables, and “treatment hints” *Information on pediatric feeding and swallowing has been updated and expanded *Evidence-based practice methods have been updated *Content has been edited to be more concise, applicable, and reader friendly The text features numerous pedagogical aids to reinforce student understanding *Case study inserts in many chapters and 9 extended case studies in the final chapter *32 videos *Discussion questions and answers for each chapter *Bolded and boxed key terms throughout with an end-of-book glossary *Clinical tips, clinician’s roles, areas of emphasis, and key learning points highlighted in boxes throughout the chapters *8 appendices featuring helpful tests and tools for clinicians *NEW full clinical swallowing examination record form included in appendix Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.







Dysphagia - E-Book


Book Description

Develop the understanding and clinical reasoning skills you'll need to confidently manage dysphagia in professional practice! This logically organized, evidence-based resource reflects the latest advancements in dysphagia in an approachable, student-friendly manner to help you master the clinical evaluation and diagnostic decision-making processes. Realistic case scenarios, detailed review questions, and up-to-date coverage of current testing procedures and issues in pediatric development prepare you for the conditions you'll face in the clinical setting and provide an unparalleled foundation for professional success. - Comprehensive coverage addresses the full spectrum of dysphagia to strengthen your clinical evaluation and diagnostic decision-making skills. - Logical, user-friendly organization incorporates chapter outlines, learning objectives, case histories, and chapter summaries to reinforce understanding and create a more efficient learning experience. - Clinically relevant case examples and critical thinking questions throughout the text help you prepare for the clinical setting and strengthen your decision-making skills. - Companion Evolve Resources website clarifies key diagnostic procedures with detailed video clips. - NEW! Expanded content on infant and child swallowing will help readers learn the insights needed for this growing area of practice. - NEW! Updated content and references throughout reflect the most up to date research in existence.




Management of Speech and Swallowing in Degenerative Diseases


Book Description

The ability to communicate is critical for people with life-threatening conditions. With loss of communication, they can no longer control their health care, make necessary financial and legal arrangements, or remain close to the family and friends whose support they desperately need. The ability to eat safely is no less critical. When eating becomes so difficult that it loses all enjoyment, patients usually eat too little and their health rapidly declines. These two vital aspects of managing a degenerative disease are typically the responsibility of the speech-language pathologist. Yorkston, Miller, and Strand, speech-language pathologists at a neuromuscular speech and swallowing disorders clinic, set forth the state-of-the-art in compassionate and effective speech and swallowing intervention for four degenerative diseases: amyotrophic lateral sclerosis (ALS), Parkinson's disease, Huntington's disease, and multiple sclerosis (MS). Because restoration of normal speech is an unrealistic goal, the authors emphasize ways to preserve functional communication. They present compensatory techniques for the typical features of each dysarthria and illustrate how to introduce augmentative communication gradually to supplement natural speech, ensuring a smooth transition to nonvocal communication. The authors stress the importance of maintaining adequate hydration and caloric intake in the face of progressive dysphagia. For each stage of involvement, they suggest compensatory strategies and dietary modifications you can implement to allow the patient to eat as safely and independently as possible. You'll read about the different feeding tube options and the transition to supplementary tubefeedings, then to complete alimentation by tube. You'll find scales for rating the deterioration of speech and swallowing in ALS, Parkinson's disease, Huntington's disease, and MS, plus reproducible clinical interview and evaluation forms. The patient and family education section provides handouts about normal speech and swallowing, information about each of the four diseases, and compensatory techniques for speech and swallowing that you can customize for each individual. With Management of Speech and Swallowing in Degenerative Diseases, Yorkston, Miller, and Strand have made an important contribution to improving the quality of care and the quality of life for people living with progressive neuromuscular disease.




Pediatric Dysphagia


Book Description

Pediatric Dysphagia: Etiologies, Diagnosis, and Management is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. Therefore, this text includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children’s Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.




Pediatric Swallowing and Feeding


Book Description

Pediatric Swallowing and Feeding: Assessment and Management, Third Edition provides information to practitioners interested in and involved with children who demonstrate swallowing and feeding disorders. Since the 2002 publication of the second edition, there has been an exponential increase in the number of medically fragile and complex children with swallowing/feeding disorders. A corresponding proliferation in the related basic and clinical research has resulted in the increased appreciation of the complicated inter-relationships between structures and systems that contribute to swallowing/feeding development, function, and disorders. Case studies throughout the book provide examples for decision making and highlight salient points. New to the Third Edition: * Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is welcomed as co-editor. She brings extensive research expertise and clinical practice in pediatric dysphagia and feeding. * All chapters contain significant updated evidence-based research and clinical information. * New chapters focus on the genetic testing and conditions associated with swallowing and feeding disorders, and the pulmonary manifestations and management of aspiration. * World Health Organization (WHO) description of an International Classification of Functioning, Disability, and Health (ICF) sets the stage for an in-depth discussion of clinical feeding evaluation procedures, interpretation, and management decision making. Pediatric Swallowing and Feeding continues to be the leading text on pediatric dysphagia that provides practical information for clinicians seeing children with swallowing and feeding disorders. The overall importance of an appropriate fund of knowledge and shared experience employing team approaches is emphasized throughout this third edition as in the earlier editions of this book. From the Foreword: "The Editors have recognized the advances and changes in the understanding in the information now available for the care of pediatric swallowing and feeding challenges. They have recruited an outstanding group of contributors for this newest edition. There are numerous critically important updates and additions in the third edition. They have included World Health Organizations International Classification of Functioning, Disability and Health is the functional basis in all areas of the book. This text has its importance as there has been an increased number of children with complex medical and healthcare conditions which are risk for feeding and swallowing disorders. This edition stresses the need for team approaches and also documents the use of “virtual” teams ...Pediatric Swallowing and Feeding: Assessment and Management, Third Edition is the fundamental holistic source for all healthcare providers providing the care for swallowing and feeding in children. This book will be utilized by all caring for children with feeding and swallowing problems throughout the world. The previous editions have been and now this updated third edition continues to be the standard source for the information concerning diagnosis and care of these children." —Robert J. Ruben, MD, FAAP, FACS Distinguished University Professor Departments of Otorhinolaryngology – Head and Neck Surgery and Pediatrics Albert Einstein College of Medicine Montefiore Medical Center Bronx, New York







Dysphagia Assessment and Treatment Planning


Book Description

Dysphagia Assessment and Treatment Planning: A Team Approach, Fourth Edition is an ideal resource for dysphagia courses in speech-language pathology graduate programs. The unique value of this book is its multidisciplinary approach. Too often, speech- language pathologists function clinically with insufficient interaction with, or understanding of, the roles of other professionals involved with their patients. This text incorporates information pertinent to the roles, tools, and views of a multidisciplinary dysphagia team, including physicians, speech pathologists, nurse specialists, and dietitians, who work together on a daily basis. In this fourth edition, the organization has changed, with chapters concerned with assessment techniques coming first, and material addressing special populations comprising the latter portion of the text. This reflects what is likely a more typical approach to dysphagia in graduate courses concerned with the topic and one that complements teaching of the subject matter. Updates to the fourth edition include: The treatment chapter (Chapter 10) has been updated to reflect the current status of therapeutic approaches previously considered in treating dysphagic patients. Chapters dealing with nursing (Chapter 11) and nutrition (Chapter 12) have been updated to incorporate the latest recommendations in nursing care and dietary considerations for patients experiencing dysphagia. The pediatrics chapter (Chapter 13) has been expanded to address specific problems and needs not only of infants but also the entire spectrum of childhood. A chapter devoted to the esophagus (Chapter 14) addresses new information on the management of esophageal disorders, including the novel double-balloon dilation of the UES and a device for manually opening the upper esophagus. Chapters addressing special populations, including neurogenic disease (Chapter 15) and head and neck cancer (Chapter 16), incorporate the latest informatio




The Adult Dysphagia Pocket Guide


Book Description

The Adult Dysphagia Pocket Guide: Neuroanatomy to Clinical Practice is a concise, easily portable reference guide designed specifically for the dysphagia clinician. It centers on the clinical application of normal and abnormal swallowing physiology as it relates to cranial nerves, muscles, and innervations. The text merges clinical neurophysiology of the swallow directly to assessment and treatment of dysphagia to provide quick access of key clinical information and solutions for clinicians as they are completing their swallowing assessments. A discussion of laboratory values and medications in chapters three and four and how they can impact dysphagia adds another layer of uniqueness to this guide. Recurring "clinician's note" and "research to practice" boxes are based on the current research and provide practical and useful tips for clinicians. The Adult Dysphagia Pocket Guide is a "quick reference" that answers the need for a practical guide that new clinicians, graduate students, and even seasoned clinicians can carry with them and readily access while they are completing their evaluations. It is a must-have resource for any speech-language pathologist treating dysphagia. KEY FEATURES: Compact, yet portable designSuccinct, yet thorough evidence based informationClinically relevant charts and tables make information easy to find




Essential Anesthesia


Book Description

Essential Anesthesia is a concise, accessible introduction to anesthetic practice. Now in its second edition, it provides a thorough overview of the science and practice of anesthesia. Part I describes the evaluation of the patient, the different approaches to anesthesia, and the post-operative care of the patient in pain. Part II introduces the essentials of physiology and pharmacology and their role in understanding the principles of anesthesia. The final part presents a step-by-step description of 14 clinical cases. These clinical vignettes give a very real introduction to the practicalities of anesthesia and will give the non-anesthetist physician an idea of how to prepare a patient for a surgical procedure. All chapters have been expanded and updated and an entirely new chapter on safety in healthcare has been added. This is the perfect introductory text for medical students, junior doctors and all operating theatre and critical care staff.