The Ultimate Compensatory Strategy Review This review covers the appropriate order for trialing compensatory strategies according to Logemann (1993). Do not talk and eat at the same time. Spell. All loved ones should be spoken to with a pleasant tone and requested to do something, not told. PURPOSE This study was designed to determine whether spaced retrieval (SR), when paired with an external memory aid, is an effective technique to teach persons with dementia to use compensatory swallowing strategies. Tech specs: Digital download. These are strategies used to help people who have swallowing disorders swallow their food without negative consequences. During a whole meal, there are hundreds of these apneic periods. For inquiries and reordering: 800.627.7271 www.PearsonClinical.com Dysphagia – postural compensatory strategies. Compensatory Strategies (Dysphagia) STUDY. Your speech pathologist will check the tips that will be most helpful for you. Pick and choose for your patients based on the signs and symptoms they present. --Compensatory Strategies work best because other types of exercises may put further stress and work on the respiratory system and may be unproductive. Safe Swallowing Tips . - aspiration DURING swallow. In addition, use of a liquid assist once food has been placed in the mouth to aid in bolus propulsion, or use of a liquid wash to clear residue from the oral cavity or pharynx after the swallow are simple ways to improve swallow efficiency. STUDY. Swallowing exercises are often used to treat dysphagia with the goal of altering swallowing physiology and pro-moting long-term changes. used to increase laryngeal elevation. Involve repetitive /i/ or /ng/. Various swallowing maneuvers are used to change the swallow physiology. Each swallow maneuver is utilized for very specific diagnoses and should only be used after discussing with your Speech Language Pathologist. compensatory strategies. Eating and Swallowing The ability for people to feed themselves is often the last self-care task they can perform. So after what was supposed to be a lone post about compensatory strategies, everyone got all up in arms about what to do with their cognitively impaired patient, and I totally get it.So here we are with part 2, which actually turned in to the longest post of verbal diarrhea ever, so this is now a 3-part series. Although their swallowing dysfunction is as-sessed by using VFSS or FEES, rehabilitation is required for Pharyngeal Tests Initiation of swallow: [ ] Prompt Body Positioning – Please make sure your loved one is sitting in the most optimal position. Click here to open a PDF of this Spanish version of the EAT-10; Summary of Current Spanish Swallowing Resources: This list is a work in progress. ---Compensatory changes usually do not increase muscular effort or the duration of airflow closure, which tends to be a problem with patients who have a respiratory disease. Learn. History of the Use and Impact of Compensatory Strategies in Management of Swallowing Disorders Dysphagia . Swallowing pills — medicine, vitamins or supplements—is the most commonly-reported problem for people living with dysphagia, according to Jan C. Pryor, MA CCC-SLP, BRS-S, Speech-Language Pathologist at University of Washington Medical Center. lacey_lind1. Here’s your cheat sheet. Swallowing and Esophageal Disorders Treatment Guide Esophageal disorders – especially those involving swallowing problems – affect more than 15 million Americans of all ages. Swallowing After a Total Laryngectomy. How to avoid aspiration and choking . 8.5 x 11 inches. These include volume and texture modifications as well as strategies such as chin tuck, head tilt, head turn, and chin tuck and head turn. Swallowing exercises are often used to treat dysphagia with the goal of altering swallowing physiology and pro- moting long-term changes. Below is a list of common compensatory swallowing strategies. Learn basic strategies to cope with swallowing issues. Created by. - reduced BOT retraction to posterior pharyngeal wall. Don’t be a sip, sip, DONE kind of SLP (A Compensatory Strategy Review for Swallowing Disorders Part 1) Do you have trouble remembering which compensatory strategies to trial under fluoro or FEES? Many residents lose their self-feeding and/or swallowing abilities due to illness, progressive disease or aging and require special setup or assist. Compensatory strategies have an immediate, but temporary effect on swallow safety; rehabilitative strategies may promote a long-term effect and change the physiology of the swallow. Compensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. While most compensatory strategies do not cause long-term effects to the swallowing system, some can be used as exercise to create a lasting effect to swallowing. Encourage daily practice, at least twice a day. For reduction in tongue elevation - position food posteriorly with straw or syringe b. Patient Education Speech Pathology Services The tips checked below will … International Journal of Pediatric Otorhinolaryngology. Compensatory Swallowing Strategies in Individuals With Dementia Residing in a Long-Term Care Facility Ryan S. Husak, MS, CCC-SLP University of Kentucky Christen G. Page, PhD, CCC-SLP University of Kentucky. Compensatory strategies help individuals and their parents or carers in practising new skills which will lessen the impact of their speech, language and communication difficulty. The strategy must work for all consistencies. Compensatory strategies designed to improve oral phase functioning and patient’s responses to those strategies (e.g., change in modality, positioning, external pacing, etc.) •Determine appropriate strategies for various oral and pharyngeal deficits •Discuss evidence for dysphagia treatment, specific techniques and the limitations in current evidence Nancy Swigert, M.A., CCC-SLP, BCS-S 2019 3 Swallowing in Adults Safe Swallow Food and liquid are swallowed in a correctly timed sequence without any entering the airway Terms in this set (31) Whole Body Positioning. Supports self-feeding and swallowing, pt sitting upright, 90-degree angle, head aligned with trunk. Given shorter LOS in both acute care and rehabilitation settings, active coordination of care is vital to ensure that the patient receives appropriate management for dysphagia and Compensatory Strategies … ! ... As swallowing clinicians, we must keep in mind, that each child should be evaluated individually to • The difficulty in performing a dry swallow. after swallowing, repeated pneumonia, increased temperature, chest congestion, refusing meals or medications, poor intake, weight loss, ... - Develop nutrition care plan to include diet, compensatory strategies and need for feeding assistance and adaptive equipment - Provide fortified foods or … Here’s a little something more to try. Understand how swallowing can be affected by Parkinson’s Disease. - decreased airway protection. Volume 73, Issue 4, April 2009, Pages 573-579. Compensatory techniques are used to alter the swallow, however compensations may not create a lasting effect to the swallow. Sometimes, when people have lung disease, this causes increase shortness of breath and fatigue. Download PDF Download. 7.6 MB. • Modified diet textures to ensure safe swallowing and eliminate or minimize the risk of aspiration. 2017 Feb;32(1):3-10. doi: 10.1007/s00455-016-9779-6. Dysphagia - Compensatory strategies. These strategies are typically implemented during meal time ! Swallowing Strategies 1) POSTURAL CHANGES: a) Chin Tuck: i) Used For: (1) Delayed onset pharyngeal swallow (2) Reduced base of tongue retraction to posterior pharyngeal wall approximation (3) Decreased airway protection (4) Aspiration DURING the swallow ii) … Model each, then have the patient demonstrate it back to you. Write. 120 patients s/p TL completed questionnaire 71.8%reported some difficulty with swallowing 71% reported changes to diet 39.7% reported severe distress 86% required liquid to wash down solids 49.9% reported difficulty with medication 57% reported “less saliva” (15) 2012-study from Brazil-Kazi, R et al:-8 Also includes a blank page as a template for your own i. Postural - chin tuck. compensatory swallowing strategies and swallowing exer-cises may be used in combination to manage dysphagia sec-ondary to stroke. Compensatory strategies can be used to alter posture, timing of the swallow, laryngeal closure. • Adapted mealtime environments including visual presentation of the meal to encourage eating, and creation of a . This handout gives tips to help lower your risk of aspiration and choking. • Individualized compensatory swallowing strategies. Please share translations that you may have done in your clinic. Gravity. Compensatory swallowing strategies are often used by clinicians where the goal is not to change swallowing physiology but instead the goal is to prevent symptoms of dysphagia in order to maintain safety and ensure adequate nutrition and hydration. These techniques are by definition compensatory and do not result in long-term physiologic changes. While most compensatory […] Clinicians must also validate the effectiveness of each compensatory strategy during an instrumental swallowing examination. • Compensatory strategies: Which can the client do and which will be most effective? ! PLAY. Dysphagia intervention may concentrate on swallowing exercises, compensatory swallowing strategies (including posture considerations), bolus consistency modification, and caregiver/patient education. ... used, your loved one’s swallowing abilities and health could be compromised. Obtain a general understanding of swallowing function. PLAY. 2 pages. For oral tongue dysfunction and/or delayed pharyngeal swallow - use thickened liquids/purees c. For patients with poor pharyngeal contraction - take smaller boluses at a slower rate d. This fatigue may result in poor timing between respiration and swallowing. Current treatment and research trends… Speech Pathology: Evaluation and Treatment Speech deficits: – Imprecise articulation – Accelerated rate Provide a list of the exercises you recommend. Oral transit times were _____ (within functional limits/prolonged) (list oral transit times, if available). Other Compensatory Strategies: Application to Specific Problems a. compensatory and do not result in long-term physiologic changes. Compensatory Strategies (use during meal) SpeechRamblings.weebly.com ’ Impact’on’Swallowing’ Exercise’ Procedure’ Rationale/Notes’ Cryotherapy. Part 1: Postural techniques Part 2: Techniques to enhance oral sensation and swallowing maneuvers Part 3: Diet modifications and thickened liquids Compensatory strategies will compensate for the individual’s difficulties and help them to communicate more effectively. Safe swallowing Liquid wash may be more effective for clients who consistently tongue pump before the swallow. These include volume and texture modifications as well as strategies such as chin tuck, head tilt, head turn, and chin tuck and head turn. Some compensatory strategies used by clinicians are quite intuitive and as simple as re-swallowing to clear oral and pharyngeal residue. •Compensatory methods •Postural adjustments •Maneuvers •Diet modifications •Eating strategies •Optimize environment for eating •Alternating liquids and solids •Rehabilitative •Change swallowing physiology to restore function •Exercise regimens Match. Flashcards. Types of Head/Neck Positioning. Compensatory strategies may be short term or used more long-term, such as with patients with head and neck cancer. Again, see our clinic’s Spanish LPR education handout here. PDF format. SLPs also recognize causes and signs/symptoms of esophageal dysphagia and make appropriate referrals for its diagnosis and management. ! Please share your list of Spanish swallowing resources. These cue cards will describe the purpose of the strategies and how to perform them. • Liquid wash vs. dry swallow: • The amount and location of residue. This 76 page PDF document is a collection of dysphagia management resources to support the beginning SLP in the SNF ... Includes general compensatory strategies, positioning techniques, and other considerations. The airway closing during swallowing is called an apneic period. There are many swallowing compensatory strategies speech pathologists may recommend to patients. 2 Non-Nutritive Suck (NNS) Observation present absent not applicable due to patients age Burst Cycle: 1-5 5-12 12– 15 sustain.for.1.minute,.rest.1.minute,.repeat(3. cyclestotal);also.30.reps.of.brief.headAlifts(likea. (Hyper).. used for: - delayed onset of pharyngeal swallow. Compensatory Swallowing Strategies. They can be placed on the table to be a visual reminder to use the swallowing compensatory strategies during meals. Some SLPs get so crazy with chin down, head rotation to the left, stand on the right leg, when really Gertrude can’t even remember what she had for breakfast this morning, let alone carry out 5 strategies per bite. Test. The term compensatory, in this case, means that these strategies are not treatment or therapy; if these are the solution to a long term problem, they will have to be used every time you swallow. Progression and Management of Dysphagia in PD Unlike stroke, dysphagia in PRD degenerates with disease progression. Scope and objectives of clinical task This CTI will enable the Allied Health Assistant (AHA) to: ... – ‘I have been asked to demonstrate and practice some swallowing strategies with you that may help your eating and drinking. I also will add that it is important to trial various consistencies with AND without the compensatory strategies IF you suspect any type of cognitive deficit. For many, they’re temporary issues that can be managed with over-the-counter medicines and …

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