International Initiative Standardizes Modified Foods, Thickened Liquids

ASHA Leader ◽  
2016 ◽  
Vol 21 (1) ◽  
pp. 12-12
Keyword(s):  
Thickened Liquids ◽  
International Initiative

Standardization of Dysphagia Diet Terminology across the Lifespan: An International Perspective

2014 ◽  
Vol 23 (4) ◽  
pp. 166-172 ◽  
Author(s):  
Julie A.Y. Cichero
Keyword(s):  
Patient Safety ◽  
International Perspective ◽  
Clinical Impact ◽  
Professional Communication ◽  
Common Language ◽  
Thickened Liquids ◽  
Standardized Terminology ◽  
Research Scientists ◽  
International Initiative

Dysphagia as a field is within its third decade. As part of the progress of any field, specialist terminology is developed to improve efficiencies of communication and remove ambiguity. The most commonly reported benefits of standardized terminology include improvements in patient safety, and enhanced inter and intra-professional communication. Indeed standardized terminology reaches further than clinical impact, providing research scientists with a common language for reporting research that will cyclically go on to have a clinical impact. Although there are many benefits to standardized terminology, there are also challenges and barriers. There are a number of areas where the field of dysphagia could benefit from standardized terminology. The focus of this paper is on one of the corner stones of dysphagia intervention, that of the language used to describe thickened liquids and texture modified foods. This paper outlines the benefits and challenges of standardization and describes the rationale for an international initiative to develop global definitions and terminology for texture modified foods and thickened liquids suitable across the age span, care settings, and cultures. Early involvement of all stakeholders and robust discussion is critical to the success of developing standardized terminology.

Ethical Challenges: Less About Moral Wrongdoing and More About Communication Breakdown

2015 ◽  
Vol 20 (3) ◽  
pp. 72-84 ◽  
Author(s):  
Paula Leslie ◽  
Mary Casper
Keyword(s):  
Ethical Challenges ◽  
Speech Language Pathology ◽  
Thickened Liquids ◽  
Communication Breakdown ◽  
Professional Duty ◽  
Language Pathology ◽  
The Law ◽  
Personal Case

“My patient refuses thickened liquids, should I discharge them from my caseload?” A version of this question appears at least weekly on the American Speech-Language-Hearing Association's Community pages. People talk of respecting the patient's right to be non-compliant with speech-language pathology recommendations. We challenge use of the word “respect” and calling a patient “non-compliant” in the same sentence: does use of the latter term preclude the former? In this article we will share our reflections on why we are interested in these so called “ethical challenges” from a personal case level to what our professional duty requires of us. Our proposal is that the problems that we encounter are less to do with ethical or moral puzzles and usually due to inadequate communication. We will outline resources that clinicians may use to support their work from what seems to be a straightforward case to those that are mired in complexity. And we will tackle fears and facts regarding litigation and the law.

Insights Into Practice Patterns for Thickened Liquids

2006 ◽  
Vol 15 (1) ◽  
pp. 14-18 ◽  
Author(s):  
Jane Mertz Garcia ◽  
Edgar Chambers
Keyword(s):  
Practice Patterns ◽  
Thickened Liquids

scholarly journals Determining the Impact of Thickened Liquids on Swallowing in Patients Undergoing Irradiation for Oropharynx Cancer

2021 ◽  
pp. 019459982110104
Author(s):  
Carly E. A. Barbon ◽  
Douglas B. Chepeha ◽  
Andrew J. Hope ◽  
Melanie Peladeau-Pigeon ◽  
Ashley A. Waito ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Head And Neck Cancer ◽  
Clinical Benefit ◽  
Oropharyngeal Cancer ◽  
Thickened Liquids ◽  
Current Standard ◽  
Oropharynx Cancer ◽  
Post Radiation ◽  
Thin Liquids ◽  
The Impact

The current standard for the treatment of oropharynx cancers is radiation therapy. However, patients are frequently left with dysphagia characterized by penetration-aspiration (impaired safety) and residue (impaired efficiency). Although thickened liquids are commonly used to manage dysphagia, we lack evidence to guide the modification of liquids for clinical benefit in the head and neck cancer population. The objective of this study was to assess the impact of slightly and mildly thick liquids on penetration-aspiration and residue in 12 patients with oropharyngeal cancer who displayed penetration-aspiration on thin liquid within 3 to 6 months after completion of radiotherapy. Significantly fewer instances of penetration-aspiration were seen with slightly and mildly thick liquids as compared with thin ( P < .05). No differences were found across stimuli in the frequency of residue. Patients with oropharyngeal cancers who present with post–radiation therapy dysphagia involving penetration-aspiration on thin liquids may benefit from slightly and mildly thick liquids without risk of worse residue.

scholarly journals Applications and Limitations of Neuro-Monitoring in Paediatric Anaesthesia and Intravenous Anaesthesia: A Narrative Review

2021 ◽  
Vol 10 (12) ◽  
pp. 2639
Author(s):  
Chiara Grasso ◽  
Vanessa Marchesini ◽  
Nicola Disma
Keyword(s):  
Hemodynamic Instability ◽  
Favourable Outcome ◽  
Neurotoxic Effect ◽  
Brain Oxygenation ◽  
High Quality ◽  
Neurological Outcomes ◽  
Anaesthetic Agents ◽  
Haemodynamic Stability ◽  
Safe Management ◽  
International Initiative

Safe management of anaesthesia in children has been one of the top areas of research over the last decade. After the large volume of articles which focused on the putative neurotoxic effect of anaesthetic agents on the developing brain, the attention and research efforts shifted toward prevention and treatment of critical events and the importance of peri-anaesthetic haemodynamic stability to prevent negative neurological outcomes. Safetots.org is an international initiative aiming at raising the attention on the relevance of a high-quality anaesthesia in children undergoing surgical and non-surgical procedures to guarantee a favourable outcome. Children might experience hemodynamic instability for many reasons, and how the range of normality within brain autoregulation is maintained is still unknown. Neuro-monitoring can guide anaesthesia providers in delivering optimal anaesthetic drugs dosages and also correcting underling conditions that can negatively affect the neurological outcome. In particular, it is referred to EEG-based monitoring and monitoring for brain oxygenation.

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