Assessment of Dysphagia in Adults: Resources and Protocols in English and Spanish

First Edition

Maria H. Provencio-Arambula, Dora Provencio, M.N. Hegde

Details: 352 pages, 2-Color, Softcover Layflat, 8.5" x 11"

ISBN13: 978-1-59756-095-5

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About

This book introduces background information and procedural overviews needed to assess swallowing disorders in adults in addition to offering detailed protocols for administering the assessment. The majority of protocols in this book are provided in both English and Spanish, allowing clinicians to effectively and efficiently assess swallowing disorders in a wide variety of patients, including those speaking Spanish.

Also by these authors: "Treatment of Dysphagia in Adults. Resources and Protocols: A Bilingual Manual" follows the same format and serves as a companion volume.

Review

"The in-depth protocols cover a wide range of dysphagia treatment and management.... The authors' decision to include both English and Spanish protocols is incredibly helpful, and a unique addition."
—Amanda McAdoo, BA, George Washington University, Doody's Review Service (2008)

Preface.
Introduction to the Dysphagia Assessment Resources and Protocols.
Introduction to Feeding and Swallowing.
Normal Swallow.
Assessment of Swallowing.
Screening for Swallowing Problems.
Protocols for the Preparatory Evaluation.
History of the Patient and the Swallowing Problems.
Materials Needed for Preparatory Evaluation.
Protocols for the Clinical Swallowing Evaluation.
Orofacial Examination.
Clinical Swallow Examination.
The Swallowing Examination Protocol.
Communicating the Assessment Results.
Diet Recommendations.
General Guidelines for Diet Modification.
Nonoral Feeding Options.
Recommendations for Treatment.
Assessment Resources for Patients, Nursing Staff, and Postings.
The Artificial Airway.
Modified Barium Videofluoroscopic Swallow Study.
Overview of Selected Instrumental Evaluation Procedures.
English/Spanish Glossary.
References.
Index.

DVD Contents:
Chapter 1

Assessment Resource 1.1a (English)- Causes of Feeding Difficulties
Assessment Resource 1.1b (Spanish)- Causas de Dificultades para Tragar
Assessment Resources 1.2a (English)- Difficulty Swallowing
Assessment Resource 1.2b (Spanish)- Dificultad de Tragar

Chapter 2

Assessment Resource 2.1a (English)- Understaind the Mechanics of Swallowing: The Mouth
Assessment Resource 2.1b (Spanish)- Entendiendo la Mecanica del Tragar: La Boca
Assessment Resource 2.2a (English)- Understanding the Mechanics of Swallowing: The Throat
Assessment Resource 2.2b (Spanish)- Entendiendo la Mecanica del Tragar: La Garganta
Assessment Resource 2.3a (English)- Understanding the Mechanics of Swallowing: The Esophagus
Assessment Resource 2.3b (Spanish)- Entendiendo la Mecanica del Tragar: El Esofago

Chapter 3

Assessment Protocol 3.1a (English)- Screening for Swallowing Problems
Assessment Protocol 3.1b (Spanish)- Investigación para los Problemas de Tragar
Assessment Protocol 3.2a (English)- Medical Chart Review
Assessment Protocol 3.2b (Spanish)- Revisión de la Carta Médica
Assessment Protocol 3.3a (English)- Nursing Staff Interview
Assessment Protocol 3.3b (Spanish)- Entrevista de la Enfermera
Assessment Protocol 3.4a (English)- Patient's History
Assessment Protocol 3.4b (Spanish) - Historia del Paciente
Assessment Protocol 3.5a (English)- Assessment of the Patient's Current Status
Assessment Protocol 3.5b (Spanish)- Evaluación del Estado Actual del Paciente
Assessment Protocol 3.6a (English)- Materials Needed for Preparatory Evaluation
Assessment Protocol 3.6b (Spanish)- Materiales Necesitados para la Evaluación Preparatoria
Assessment Protocol 3.7a (English)- Reflex Assessment
Assessment Protocol 3.7a (English)- Reflex Assessment
Assessment Protocol 3.8a (English)- Examination of the Oral Structures
Assessment Protocol 3.8b (Spanish)- Examinación de las Estructuras Orales
Assessment Protocol 3.9 (English/Spanish)- Detailed Clinical Swallow Examination Patient Instructions
Assessment Protocol 3.10 (English/Spanish)- Detailed Clinical Swallow Examination Using
Regular Liquids
Assessment Protocol 3.11 (English/Spanish)- Detailed Clinical Swallow Examination Using Nectar-Thickened Liquids
Assessment Protocol 3.12 (English/Spanish)- Detailed Clinical Swallow Examination Using
Honey-Thickened Liquids
Assessment Protocol 3.13 (English/Spanish)- Detailed Clinical Swallow Examination Using
Pudding-Thickened Liquids
Assessment Protocol 3.14 (English/Spanish)- Detailed Clinical Swallow Examination Using
Pureed-Food
Assessment Protocol 3.15 (English/Spanish)- Detailed Clinical Swallow Examination Using
Fine Ground Food
Assessment Protocol 3.16 (English/Spanish)- Detailed Clinical Swallow Examination Using
Mechanical Soft Food
Assessment Protocol 3.17 (English/Spanish)- Detailed Clinical Swallow Examination Using
Regular Food
Assessment Protocol 3.18a (English)- Clinical Swallow Examination Form
Assessment Protocol 3.18b (Spanish)- Forma del Examen Clínico del Tragar

Chapter 4

Assessment Protocol 4.1 (English/Spanish)

Chapter 5

Assessment Protocol 5.1 (English/Spanish)
Assessment Protocol 5.2 (English/Spanish)
Assessment Protocol 5.3 (English/Spanish)
Assessment Protocol 5.4 (English/Spanish)
Assessment Protocol 5.5 (English/Spanish)
Assessment Protocol 5.6 (English/Spanish)
Assessment Protocol 5.7 (English/Spanish)

Chapter 8

Assessment Resource 8.1a (English)- Signs and Symptoms of Dysphagia
Assessment Resource 8.1b (Spanish)- Síntomas de Disfagia
Assessment Resource 8.2a (English)- Dysphagia Precautions
Assessment Resource 8.2b (Spanish)- Precauciones de Disfagia
Assessment Resource 8.3a (English)- Choking Precautions
Assessment Resource 8.3b (Spanish)- Precauciones de Ahogo
Assessment Resource 8.4a (English)- Choking on Pills or Medications
Assessment Resource 8.4b (Spanish)- Ahogo con Pastillas o Medicaciones
Assessment Resource 8.5a (English)- NPO
Assessment Resource 8.5b (Spanish)- NPO
Assessment Resource 8.6a (English)- Patient Environment at Mealtimes
Assessment Resource 8.6b (Spanish)- El Ambiente del Paciente a la Hora de Comer
Assessment Resource 8.7a (English)- Patient Position During Mealtimes
Assessment Resource 8.7b (Spanish)- Posición del Paciente Durante la Hora de Comer
Assessment Resource 8.8a (English)- Patient Position Following Each Meal
Assessment Resource 8.8b (Spanish)- Posición del Paciente Despues de Cada Comida
Assessment Resource 8.9a (English)- Patient's Head Position During Mealtimes
Assessment Resource 8.9b (Spanish)- Posición de la Cabeza del Paciente Durante la Hora de Comer
Assessment Resource 8.10a (English)- Patient's Foot Position During Mealtimes
Assessment Resource 8.10b (Spanish)- Posicion de los Pies del Paciente Durante la Hora de Comer
Assessment Resource 8.11a (English)- Checklist for Patient's Head Position During Mealtimes
Assessment Resource 8.11b (Spanish)- Lista de Marcar la Posición de la Cabeza del Paciente
Durante la Hora de La Comida
Assessment Resource 8.12a (English)- Clinician's Checklist for Patient's General Position
Assessment Resource 8.12b (Spanish)- Lista de Marcar del Clínico para la Posición General del Paciente
Assessment Resource 8.13a (English)- Liquid Consistency
Assessment Resource 8.13b (Spanish)- Consistencia de Líquidos
Assessment Resource 8.14a (English)- Diet Consistency
Assessment Resource 8.14b (Spanish)- Consistencia de Dieta
Assessment Resource 8.15a (English)- Safe Swallowing Instruction 1
Assessment Resource 8.15b (Spanish)- Instrucción para Tragar con Seguridad 1
Assessment Resource 8.16a (English)- Safe Swallowing Instruction 2
Assessment Resource 8.16b (Spanish)- Instrucción para Tragar con Seguridad 2
Assessment Resource 8.17a (English)- Safe Swallowing Instruction 3
Assessment Resource 8.17b (Spanish)- Instrucción para Tragar con Seguridad 3
Assessment Resource 8.18a (English)- Safe Swallowing Instruction 4
Assessment Resource 8.18b (Spanish)- Instrucción para Tragar con Seguridad 4
Assessment Resource 8.19a (English)- Safe Swallowing Instruction 5
Assessment Resource 8.19b (Spanish)- Instrucción para Tragar con Seguridad 5
Assessment Resource 8.20a (English)- Safe Swallowing Instruction 6
Assessment Resource 8.20b (Spanish)- Instrucción para Tragar con Seguridad 6
Assessment Resource 8.21a (English)- Safe Swallowing Instruction 7
Assessment Resource 8.21b (Spanish)- Instrucción para Tragar con Seguridad 7
Assessment Resource 8.22a (English)- Chewing Problems and Solutions
Assessment Resource 8.22b (Spanish)- Problemas de Masticar y las Soluciones
Assessment Resource 8.23a (English)- Food Management Problems
Assessment Resource 8.23b (Spanish)- Problemas Manejando la Comida
Assessment Resource 8.24a (English)- Difficulty Removing Food from Utensils
Assessment Resource 8.24b (Spanish)- Dificultad Quitando la Comida de los Utensilios
Assessment Resource 8.25a (English)- Difficulty with Food Sticking to Roof of Mouth
Assessment Resource 8.25b (Spanish)- Dificultad con la Comida que se Pega en el Paladar
Assessment Resource 8.26a (English)- Holding Food Inside the Mouth
Assessment Resource 8.26b (Spanish)- Reteniendo la Comida en la Boca
Assessment Resource 8.27a (English)- Food Is Falling Outside the Patient's Mouth
Assessment Resource 8.27b (Spanish)- Comida Que se Sale de la Boca
Assessment Resource 8.28a (English)- The Patient Will Not Open The Mouth
Assessment Resource 8.28b (Spanish)- El Paciente Que no Abre la Boca
Assessment Resource 8.29a (English)- The Patient with a Bite Reflex
Assessment Resource 8.29b (Spanish)- El Paciente con el Reflejo de Morder

Chapter 9

Assessment Protocol 9.1a (English)- Medical Chart Review for the Patient with a Tracheostomy
Assessment Protocol 9.1b (Spanish)- Revisión de la Carta Medica para el Paciente con Tubo de Traqueostomía
Assessment Protocol 9.2 (English/Spanish)- Detailed Modified Evans Blue Dye Test: Examination Instructions
Assessment Protocol 9.3 (English/Spanish)- Detailed Modified Evans Blue Dye Test Using PureedConsistency Food
Assessment Protocol 9.4 (English/Spanish)- Detailed Modified Evans Blue Dye Test Using Pudding-Thickened Liquids
Assessment Protocol 9.5 (English/Spanish)- Detailed Modified Evans Blue Dye Test Using Honey-Thickened Liquids
Assessment Protocol 9.6 (English/Spanish)- Detailed Modified Evans Blue Dye Test Using Nectar-Thickened Liquids
Assessment Protocol 9.7 (English/Spanish)- Detailed Modified Evans Blue Dye Test Using Regular Liquids
Assessment Protocol 9.8 (English/Spanish)- Detailed Modified Evans Blue Dye Test Using Finely Ground Foods
Assessment Protocol 9.9 (English/Spanish)- Detailed Modified Evans Blue Dye Test Using Mechanical Soft Food
Assessment Protocol 9.10 (English/Spanish)- Detailed Modified Evans Blue Dye Test Using Regular Food

Chapter 10

Assessment Protocol 10.1 (English/Spanish)- Detailed MBVSS Examination Instructions
Assessment Resource 10.1a (English)- Patient Appointment Notification Form
Assessment Protocol 10.2 (English/Spanish)- Detailed MBVSS Examination Using Barium to H2O Consistency
Assessment Protocol 10.3 (English/Spanish)- Detailed MBVSS Examination Using Barium to Nectar Consistency
Assessment Protocol 10.4 (English/Spanish)- Detailed MBVSS Examination Using Barium to Honey Consistency
Assessment Protocol 10.5 (English/Spanish)- Detailed MBVSS Examination Using Barium with Pudding Consistency
Assessment Protocol 10.6 (English/Spanish)- Detailed MBVSS Examination Using Barium with Pureed Food Consistency
Assessment Protocol 10.7 (English/Spanish)- Detailed MBVSS Examination Using Barium with Mechanical Soft Consistency Food
Assessment Protocol 10.8 (English/Spanish)- Detailed MBVSS Examination Using Barium on Regular-Consistency Food
Assessment Protocol 10.9a (English)- Modified Barium Videofluoroscopic Swallow Examination Form
Assessment Protocol 10.10 (English/Spanish)- Communicating the MBVSS Results
Assessment Protocol 10.11a (English)- Additional Recommendations Based on MBVSS Results
Assessment Resource 10.1b (Spanish)- Forma de Notificación del Paciente

Authors

Maria H. Provencio-Arambula

Maria H. Provencio-Arambula, MA, CCC-SLP, graduated from California State University, Fresno (CSU Fresno) with a master's degree in speech-language pathology. She was the recipient of the CSU Fresno Dean's medal. During her studies at CSU Fresno, Maria was a Ronald E. McNair Graduate Equity Fellow. In addition, she completed a Master's degree project on assessment and treatment of dysphagia and helped complete a collaborative study involving CSU Fresno and Children's Hospital, Central California, on treating stuttering in preschool children. She also has served as the California State Speech Hearing Association District 5 student representative. She is currently employed at Childrens Hospital Central California, a non-profit pediatric medical facility that provides services to children in Central California. She has experience in pediatric acute hospital inpatient and outpatient rehabilitation for speech, language, and dysphagia. She is currently a team member on the feeding team and conducts Modified Barium Videofluoroscopic studies. She also works for L & J Telesmanic Rehab Systems, Inc., with experience in adult acute hospital inpatient rehabilitation for speech, language, and dysphagia. She has co-developed the Teaching Articulation and Language to Kids (T.A.L.K) program at Children's Hospital, Central California. She has extensive experience in working with diverse multi-cultural adult and pediatric populations. She serves as a mentor and supervisor for clinical fellowship year candidates at Children's Hospital, Central California. She is an advocate for speech-language pathologists to be the preferred providers for dysphagia assessment and treatment in the pediatric and adult populations.

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Dora Provencio

Dora Provencio, MA, CCC-SLP, graduated from California State University, Fresno (CSU Fresno) with a master's degree in Speech-Language pathology. She currently is an administrative assistant and rehab director for L & J Telesmanic Rehab Systems, Inc., a private practice which has been providing services in the Central California area for over 15 years. In her current position, Dora has trained many speech-language pathologists in assessment and treatment of dysphagia in a variety of patients and regularly supervises services offered to patients with dysphagia. She has extensive experience in varied practice settings, including acute hospital inpatient and outpatient rehabilitation centers, home health, and long-term care facilities. She developed the modified barium videofluoroscopic swallow dysphagia team and procedure at Sierra Kings District Hospital, Reedley, CA, and at Selma Community Hospital, Selma, CA. She is a bilingual speech-language pathologist who is fluent in reading, writing and speaking Spanish. She is co-author of the Spanish Test for Assessing Morphological Production. She regularly guest lectures on dysphagia and multicultural assessment and treatment of speech and language disorders at California State University (CSU Fresno) program in Communicative Disorders She has also taught graduate seminars at CSU Fresno. She has presented seminars and short courses at California State Speech-Language-Hearing Association District 5 Conferences. She is a founding board member and current president of the CSU Fresno Communicative Disorders Alumni Chapter.

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M.N. Hegde

M. N. Hegde, PhD, is Professor Emeritus of Speech-Language Pathology in the Department of Communicative Disorders at California State University, Fresno. A highly regarded and proficient author in speech-language pathology, his books include leading texts for academic courses and valuable resources for practicing clinicians. Dr. Hegde enjoys world renown as a researcher, presenter, contributor of original articles to leading national and international journals, and is also the critically acclaimed author of more than two dozen highly regarded books in speech-language pathology. He has edited more than 25 books for different publishers and is on the editorial board of several scientific journals and has been a guest editor of international journals. He also has served on the editorial boards of scientific and professional journals and continues to serve as an editorial consultant to the Journal of Fluency Disorders and the American Journal of Speech-Language Pathology.

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