137: Outpatient Swallow Diagnostics: Get the Whole Picture
Isabel discusses our role and responsibilities when conducting outpatient video swallow studies (may apply to FEES as well), how to obtain all relevant information needed for a comprehensive assessment, and factors to consider when making recommendations.
Topics covered:
The SLP’s responsibility when conducting OP video swallow studies.
Case History/Patient Interview
obtaining history, using open ended questions
use of self report measures (i.e. EAT-10, Reflux Symptom Index).
Cranial nerve exam, OME, symmetry, etc.
Advocating for esophageal screen/sweep.
Critical Thinking - Putting all pieces together and considering possible etiology of the patient’s chief complaint,
if swallow study does not reveal presence of dysphagia--> considering effect of medications on swallow physiology, patient QOL; how other bodily systems may affect a pt’s ability to swallow, etc.
Documentation: Accurate reports and thorough recommendations.
Effect of medications on the swallow/presbyphagia
the Discussion Guide
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Resources
EAT-10 : https://www.dysphagia-diet.com/Images/EatingAssessmentTool_2013.pdf
Summary of EAT-10 for clinical use: https://www.speechuncensored.com/resources/eat-10
Reflux Symptom Index: https://pubmed.ncbi.nlm.nih.gov/12150380/
PDF of the RSI: https://med.stanford.edu/content/dam/sm/ohns/documents/voicecenter/visit/RefluxFindingScore.pdf
The impact of prescribed medication on swallowing: An overview; Gallagher, L.(Dec 2010). Perspectives on Swallowing and Swallowing Disorders, ASHA. 98-102, The Impact of Prescribed Medication on Swallowing: An Overview
www.SwallowStudy.com Author : Karen Sheffler MS, CCC-SLP, BCS-S
Chart of Commonly Used Medications and their side effects.
Esophageal Sweep/screen: https://doi.org/10.1044/2020_AJSLP-20-0025
Isabel Ramati: swallowspecialistsfl@gmail.com
Thanks for these amazing resources, Isabel!
Born and raised in Colombia, immigrated here with my family in 2000.
Medical Speech Pathologist with 15 years of experience in the medical field. I have worked in a variety of settings, with most of my experience being in acute care. My area of interest and what I am passionate about is swallowing and swallowing disorders;I am actively pursuing board certification. Specific areas of interest include: assessment and rehabilitation of critical patients, head and neck cancer, multidisciplinary management of dysphagia, and patient advocacy.
I am the founder of the ACDF International Journal Club (meets on IG 1x/month), and have recently participated in several educational events to improve clinical practice and education for SLPs in South America.
I also recently started a mobile FEES company, driven by a passion to improve dysphagia management, and make instrumentals more accessible in my community.
I am a strong believer in collaboration and partnerships - we are stronger together!
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