Insights Into Practice Patterns for Thickened Liquids

This study surveyed the practice patterns of speech-language pathologists in their use of thickened liquids for patients with swallowing difficulties. A 25-item Internet survey about thickened liquids was posted via an e-mail list to members of the American Speech-Language-Hearing Association Division 13, Swallowing and Swallowing Disorders (Dysphagia). Responses of 145 professionals who primarily manage adult dysphagia are reported. Although the majority affirmed that thickening thin liquids was an effective intervention strategy, opinions about effectiveness were more favorable for nectar-thick versus honey-like and spoon-thick consistencies. Respondents also acknowledged that their patients had little liking for thickened liquids. Results highlight issues related to products and staff training, as well as perceptions concerning the factors that might affect patients’ acceptance of and compliance with use of the products.

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Use of Thickened Liquids to Manage Feeding Difficulties in Infants: A Pilot Survey of Practice Patterns in Canadian Pediatric Centers

Dysphagia ◽

10.1007/s00455-015-9625-2 ◽

2015 ◽

Vol 30 (4) ◽

pp. 457-472 ◽

Cited By ~ 10

Author(s):

Stephanie Dion ◽

Janice A. Duivestein ◽

Astrid St. Pierre ◽

Susan R. Harris

Keyword(s):

Practice Patterns ◽

Thickened Liquids ◽

Feeding Difficulties ◽

Pilot Survey

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The influence of advanced general dentistry training on practice patterns of Iowa dental graduates

Journal of Dental Education ◽

10.1002/j.0022-0337.1992.56.10.tb02689.x ◽

1992 ◽

Vol 56 (10) ◽

pp. 689-692

Author(s):

AJ Bolden ◽

JJ Warren ◽

JS Hand

Keyword(s):

Practice Patterns

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

Perspectives on Gerontology ◽

10.1044/gero20.3.72 ◽

2015 ◽

Vol 20 (3) ◽

pp. 72-84 ◽

Cited By ~ 2

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.

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Overview of Current Approaches to Aural Rehabilitation for Adults With Cochlear Implants

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00078 ◽

2020 ◽

Vol 5 (5) ◽

pp. 1175-1187

Author(s):

Rachel Glade ◽

Erin Taylor ◽

Deborah S. Culbertson ◽

Christin Ray

Keyword(s):

Health Care ◽

Clinical Practice ◽

Cochlear Implants ◽

Practice Patterns ◽

The United States ◽

Care Providers ◽

Aural Rehabilitation ◽

Starting Point ◽

Clinical Models ◽

Hearing Health

Purpose This clinical focus article provides an overview of clinical models currently being used for the provision of comprehensive aural rehabilitation (AR) for adults with cochlear implants (CIs) in the Unites States. Method Clinical AR models utilized by hearing health care providers from nine clinics across the United States were discussed with regard to interprofessional AR practice patterns in the adult CI population. The clinical models were presented in the context of existing knowledge and gaps in the literature. Future directions were proposed for optimizing the provision of AR for the adult CI patient population. Findings/Conclusions There is a general agreement that AR is an integral part of hearing health care for adults with CIs. While the provision of AR is feasible in different clinical practice settings, service delivery models are variable across hearing health care professionals and settings. AR may include interprofessional collaboration among surgeons, audiologists, and speech-language pathologists with varying roles based on the characteristics of a particular setting. Despite various existing barriers, the clinical practice patterns identified here provide a starting point toward a more standard approach to comprehensive AR for adults with CIs.

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Teaching Partners to Support Communication for Adults with Acquired Communication Impairment

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac22.1.4 ◽

2013 ◽

Vol 22 (1) ◽

pp. 4-15 ◽

Cited By ~ 3

Author(s):

Laura J. Ball ◽

Joanne Lasker

Keyword(s):

Practice Patterns ◽

Communicative Competence ◽

Communication Disorders ◽

Communication Impairment ◽

Communication Partner ◽

Communication Partners ◽

Selection For ◽

Communication Needs ◽

End Of Life Communication ◽

Lateral Sclerosis

Abstract For adults with acquired communication impairment, particularly those who have communication disorders associated with stroke or neurodegenerative disease, communication partners play an important role in establishing and maintaining communicative competence. In this paper, we assemble some evidence on this topic and integrate it with current preferred practice patterns (American Speech-Language-Hearing Association, 2004). Our goals are to help speech-language pathologists (SLPs) identify and describe partner-based communication strategies for adults with acquired impairment, implement evidence-based approaches for teaching strategies to communication partners, and employ a Personnel Framework (Binger et al., 2012) to clarify partners? roles in acquiring and supporting communication tools for individuals with acquired impairments. We offer specific guidance about AAC techniques and message selection for communication partners involved with chronic, degenerative, and end of life communication. We discuss research and provide examples of communication partner supports for person(s) with aphasia and person(s) with amyotrophic lateral sclerosis who have complex communication needs.

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Comparing Simultaneous Clinical Swallow Evaluations and Fiberoptic Endoscopic Evaluations of Swallowing: Changing Practice Patterns

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp3.sig13.124 ◽

2018 ◽

Vol 3 (13) ◽

pp. 124-132

Author(s):

Steven B. Leder ◽

Heather L. Warner

Keyword(s):

Practice Patterns ◽

Changing Practice

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Audiology Service Models in a Family Physician Practice Setting

Perspectives on Audiology ◽

10.1044/poa6.1.24 ◽

2010 ◽

Vol 6 (1) ◽

pp. 24-32 ◽

Cited By ~ 2

Author(s):

Sridhar Krishnamurti

Keyword(s):

Pediatric Patients ◽

Practice Patterns ◽

Healthcare Delivery ◽

Direct Consequence ◽

Direct Access ◽

Practice Setting ◽

Pediatric Populations ◽

Family Practice Physicians ◽

Primary Focus ◽

Balance Problems

This article illustrates the potential of placing audiology services in a family physician’s practice setting to increase referrals of geriatric and pediatric patients to audiologists. The primary focus of family practice physicians is the diagnosis/intervention of critical systemic disorders (e.g., cardiovascular disease, diabetes, cancer). Hence concurrent hearing/balance disorders are likely to be overshadowed in such patients. If audiologists get referrals from these physicians and have direct access to diagnose and manage concurrent hearing/balance problems in these patients, successful audiology practice patterns will emerge, and there will be increased visibility and profitability of audiological services. As a direct consequence, audiological services will move into the mainstream of healthcare delivery, and the profession of audiology will move further towards its goals of early detection and intervention for hearing and balance problems in geriatric and pediatric populations.

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