Dysphagia Assessment and Treatment Planning: A Team Approach, Fourth Edition is ideal for graduate dysphagia courses in speech-language pathology programs. The unique value of this book is the multidisciplinary approach it presents. 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 dieticians, that 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 (Ch. 10) has been updated to reflect the current status of therapeutic approaches previously considered in treating dysphagic patients.
- Chapters dealing with nursing (Ch. 11) and nutrition (Ch. 12) have been updated to incorporate the latest recommendations in nursing care and dietary considerations for patients experiencing dysphagia.
- The pediatrics chapter (Ch. 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 (Ch. 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 (Ch. 15) and head and neck cancer (Ch. 16), incorporate the latest information regarding dysphagia and approaches to treatment pertinent to each group.
- A brand-new addition to the book is Ch. 18 which addresses dysphagia associated with alterations to the spine as a consequence of either disease or surgery.
- A major new inclusion in the current edition are materials utilizing a new software program, called "Swallowtail," that permits the all-in-one measurement, display and storage of timing, displacement and other measures from fluoroscopic studies.
Dysphagia Assessment and Treatment Planning comes with a PluralPlus companion website that includes videos of patient studies which were selected to represent impairments typically observed in clinical practice (inpatient and outpatient). Other media clips illustrate each instrumental assessment technique introduced in the book (e.g., endoscopic, transnasal esophagoscopy, high resolution manometry), performed on a variety of dysphagic patients.
Dysphagia Assessment and Treatment Planning Workbook, Fourth Edition, is also included in this package. It includes practical exercises accompanying each chapter. The exercises are designed to clarify and expand on information presented in the text and should be of interest not only to students but to practicing clinicians hoping to add new skills to their repertoires. The workbook has been thoroughly updated to reflect the new organization and content of the textbook.
Chapter 1. Anatomy and Physiology of Deglutition
Katherine A. Kendall
Chapter 2. Head and Neck Physical Exam
Katherine A. Kendall
Chapter 3. Clinical Swallow Evaluation
Susan J. Goodrich and Alice I. Walker
Chapter 4. Endoscopy in Assessing and Treating Dysphagia
Chapter 5. Radiographic Evaluation of the Pharynx and Esophagus
Chapter 6. Dynamic Fluoroscopic Swallow Study: Swallow Evaluation with Videofluoroscopy
Susan McKenzie and Rebecca Leonard
Chapter 7. DSS: A Systematic Approach to Analysis and Interpretation
Susan McKenzie and Rebecca Leonard
Chapter 8. Dynamic Swallow Study: Objective Measures and Normative Data in Adults
Chapter 9. Other Technologies in Dysphagia Assessment
Maggie A. Kuhn
Chapter 10. The Treatment Plan
Rebecca Leonard and Katherine A. Kendall
Chapter 11. Nursing Evaluation and Care of the Dysphagic Patient
Ann E. F. Sievers
Chapter 12. Nutritional Concerns and Assessment in Dysphagia
Beverly Lorens and Katherine A. Kendall
Chapter 13. Pediatric Clinical Feeding Assessment
Chapter 14. Esophageal Phase Dysphagia
Peter C. Belafsky and Catherine J. Rees Lintzenich
Chapter 15. Neurogenic Dysphagia
Chapter 16. Dysphagia in Head and Neck Cancer Patients
Katherine A. Kendall
Chapter 17. Laryngopharyngeal Reflux
Catherine J. Rees Lintzenich and Peter C. Belafsky
Chapter 18. Spinal Abnormalities in Dysphagia
Derrick R. Randall
Chapter 1. Anatomy and Physiology of Deglutition Questions
Chapter 2. Head and Neck Physical Exam Questions
Chapter 3. Clinical Swallow Evaluation Questions
Chapter 4. Endoscopy in Assessing and Treating Dysphagia Questions
Chapter 5. Radiographic Evaluation of the Pharynx and Esophagus Questions
Chapter 6. Dynamic Fluoroscopic Swallow Study: Swallow Evaluation with Videofluoroscopy Questions
Chapter 7. DSS: A Systematic Approach to Analysis and Interpretation Questions
Chapter 8. Dynamic Swallow Study: Objective Measures and Normative Data in Adults Questions
Chapter 9. Other Technologies in Dysphagia Assessment Questions
Chapter 10. The Treatment Plan Questions
Chapter 11. Nursing Evaluation and Care of the Dysphagic Patient Questions
Chapter 12. Nutritional Concerns and Assessment in Dysphagia Questions
Chapter 13. Pediatric Clinical Feeding Assessment Questions
Chapter 14. Esophageal Phase Dysphagia Questions
Chapter 15. Neurogenic Dysphagia Questions
Chapter 16. Dysphagia in Head and Neck Cancer Patients Questions
Chapter 17. Laryngopharyngeal Reflux Questions
Chapter 18. Spinal Abnormalities in Dysphagia Questions
Answers to Questions
About The Authors
Rebecca Leonard, PhD, CCC-SLP, is a Professor Emeritus in the Department of Otolaryngology at the University of California, Davis, and former Clinical Director of the Voice-Speech-Swallowing Center in the ENT Clinic. Dr. Leonard continues to be actively involved in research activities associated with the center. Her research interests include normal and disordered swallowing, changes in swallowing across the life span, development of quantitative radiographic techniques to assess the upper airway and esophagus during swallowing, aversive effects on structures of the upper airway associated with environmental stimuli (ozone), and the effects of ablative procedures on voice, speech, and swallowing and the rehabilitation of these effects with prosthetic appliances and reconstructive procedures. Her MS and PhD degrees are from Purdue University, and she is a Fellow of the American Speech-Language-Hearing Association.
Katherine A. Kendall, MD, FACS, completed her residency in Otolaryngology at the University of California, Davis. After residency, she joined the faculty at the University of California, Davis, where she was the medical director of the dysphagia team and the Voice, Speech and Swallowing Center and, along with co-author Dr. Rebecca Leonard, developed the Laryngology and Swallowing Assessment program. In 2004, Dr. Kendall joined the otolaryngology department at Park Nicollet Clinic in Minnesota. As director of laryngology services, Dr. Kendall was actively involved in education and training of speech pathologists in the area of voice and swallowing. Dr. Kendall joined the otolaryngology faculty at the University of Minnesota in 2007 and created a Voice Clinic at the Minneapolis VA Medical Center, offering multidisciplinary evaluation and treatment of voice and swallowing disorders. Dr. Kendall joined the Division of Otolaryngology at the University of Utah in 2012 and continues her work on the treatment of voice and swallowing disorders.
Julie Barkmeier-Kraemer, PhD, CCC-SLP, is a professor in the Department of Surgery, Division of Otolaryngology, Voice Disorders Center Clinic Director, and adjunct faculty to the Communication Sciences and Disorders program at the University of Utah. Dr. Barkmeier-Kraemer received her master's and doctorate degrees in Speech Pathology and Audiology from the University of Iowa. She completed postdoctoral research at the National Institutes of Health in the Voice and Speech Section directed by Christy Ludlow, PhD, while serving on the faculty in the Department of Speech, Language, and Hearing Sciences for 14 years at the University of Arizona. Dr. Barkmeier-Kraemer developed and taught courses in Anatomy and Physiology of the Speech Mechanism, Voice Disorders, and Dysphagia and also participated as a faculty member in the Graduate Interdisciplinary Programs in Neuroscience and Biomedical Engineering. Her primary research addresses the sensorimotor controls of the larynx for respiration, voicing, and swallowing with recent involvement in a multisite effort to develop an infant and child feeding and swallowing screening instrument for use by primary care providers.
230 pages, Illustrated (B/W), Spiral Bound, 8.5 x 11"
Color Illustrations (4 Color)