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

Maria H. Provencio-Arambula, M.A., CCC-SLP, Dora Provencio, M.A., CCC-SLP, M. N. Hegde, Ph.D.

Details

352 pages, Color Illustrations (2 Color), Softcover Layflat, 8.5 x 11"
Included Media: CD Included
ISBN13: 978-1-59756-095-5
Release date: 11/01/2006

$77.95

Overview

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.

RELATED TITLE
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Drawing on his experiences as an expert witness in numerous medico-legal cases, Dr. Tanner provides reviews issues that may lead to malpractice litigation.
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Review

  • Amanda McAdoo, BA, George Washington University, Doody's Review Service, (2008):
    "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."

Audience

Primary Subject: Speech-Language Pathology / Swallowing/Dysphagia
Audience Level: Professional
  • 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

About The Authors

Maria H. Provencio-Arambula, M.A., CCC-SLP

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.


Dora Provencio, M.A., CCC-SLP

Dora Provencio, MA 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.


M. N. Hegde, Ph.D.

M. N. Hegde, PhD is Professor of Speech-Language Pathology in the Department of Communicative Disorders at California State University, Fresno. A highly regarded author in speech-language pathology, his books include leading texts in academic courses and valuable resources for clinicians. His books have been used in worldwide in speech-language pathology programs.

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