Develop the understanding and clinical reasoning skills you'll need to confidently manage dysphagia in professional practice! This logically organized, evidence-based resource reflects the latest advancements in dysphagia in an approachable, student-friendly manner to help you master the clinical evaluation and diagnostic decision-making processes. Realistic case scenarios, detailed review questions, and up-to-date coverage of current testing procedures and issues in pediatric development prepare you for the conditions you'll face in the clinical setting and provide an unparalleled foundation for professional success. - Comprehensive coverage addresses the full spectrum of dysphagia to strengthen your clinical evaluation and diagnostic decision-making skills. - Logical, user-friendly organization incorporates chapter outlines, learning objectives, case histories, and chapter summaries to reinforce understanding and create a more efficient learning experience. - Clinically relevant case examples and critical thinking questions throughout the text help you prepare for the clinical setting and strengthen your decision-making skills. - Companion Evolve Resources website clarifies key diagnostic procedures with detailed video clips. - NEW! Expanded content on infant and child swallowing will help readers learn the insights needed for this growing area of practice. - NEW! Updated content and references throughout reflect the most up to date research in existence.

This book is a practical guide that will assist ENT doctors in interpreting swallowing videoendoscopies correctly and in choosing complementary instrumental examinations to consolidate or exclude their provisional diagnosis. In addition, it provides speech-language pathologists with valuable hints on how to treat patients with oropharyngeal dysphagia more efficiently. The book is constructed around videoendoscopic features. The relevance of these features to diagnosis and treatment is carefully described with the aid of numerous high-quality illustrations. Beyond this, the relationship of videoendoscopy to two further instrumental examinations – videofluorography and pharyngeal manometry– and to the three treatment paths of texture adaptation, rehabilitation, and surgery is explained. The use of pictograms in this context helps to elucidate the connections, creating in the reader’s mind “clusters of behaviors” of benefit in clinical practice. The book also includes a short summary on swallowing anatomy and physiology, a chapter on medications inducing dysphagia, key take-home messages, and suggestions for further reading.

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

Accompanying CD-ROM includes: reproducible evaluation forms and samples; case samples; educational materials for patient, family, staff, and physicians; efficacy references for treatment techniques; FEES Report and Sample; information to obtain from chart review; sample letters to physicians; modified barium swallow report and samples; outpatient instrumental exam referral form; suctioning competency validation tool; swallowing questionnaire to provide additional history; resources and references--p. 6.

This pocket-sized reference is for clinicians who manage patients with dysphagia. Speech-language pathologists, occupational therapists, physicians, clinical dieticians, nurses, and pharmacists will find this book to be a helpful, handy resource. Drugs and Dysphagia is carefully organized, allowing quick access to precise information. The text comprises three parts: Part 1-overviews the nervous system and the swallow process. An overview of the effects of medications on swallowing is provided in Chapter 3. Part 2-addresses medications that affect the central nervous system. Medications associated with oral, pharyngeal, and esophageal dysphagia; causes of dysphagia; and drug-induced dysphagia are discussed. Part 3-deals with important medications that can cause dysfunction of the gastrointestinal system and those that are used to treat gastrointestinal dysfunction. Tables are included throughout for this quick and easy-to-use reference. These tables are organized into medication groups based on their use. Specific medications from each group are listed by both generic and brand name. The tables include the recommended doses of these medications; and the commonly encountered side effects associated with them, which may contribute to dysphagia.

This book offers a concise, readable explanation of the theory of dysphagia and bridges that with material on clinical application. Covering both adult and paediatric swallowing assessment, treatment and management, the book will provide clinicians with common clinical presentations of dysphagia and a framework for a problem based learning approach.

This book provides a state-of-the-art overview of dysphagia. The text reviews current evidence behind the diagnosis, evaluation, and management of esophageal disorders that cause dysphagia, including GERD, eosinophilic esophagitis, achalasia, and spastic motor disorders. The book also focuses on the different variants of dysphagia, from oropharyngeal dysphagia to functional dysphagia, highlights advances in testing for dysphagia, and features evidence-based algorithms. Written by experts in the field, Evaluation and Management of Dysphagia: An Evidence-Based Approach is a valuable resource for gastroenterologists, otolaryngologists, and other clinicians and practitioners who treat patients afflicted with dysphagia.

This book presents a comprehensive approach to treating dysphagia that has been successfully applied in actual rehabilitation settings. Its main purposes are firstly to equip readers with a strong conceptual understanding of swallowing evaluation and treatment, secondly to provide guidance on the procedure of practical comprehensive dysphagia rehabilitation in real-world settings, and thirdly to update readers on the latest diagnostic and treatment technologies. To do so, it employs the concept of swallowing rehabilitation pioneered at Fujita Health University Rehabilitation. The book is divided into 4 major sections, the first of which introduces readers to the general aspects and the principle of deglutition. In turn, Part II offers clinical approaches to both non-instrumental and instrumental evaluation of swallowing. Part III addresses treatment options in swallowing rehabilitation, especially exercises based on motor learning. Lastly, Part IV highlights three clinical cases demonstrating clinical approaches in dysphagic patients. Readers will find this text useful both as an initial guide and a reference work for assisting clinicians, allowing them to further expand swallowing assessment and treatment, and facilitating the development of swallowing rehabilitation in real-world settings in education and rehabilitation.

Pediatric Dysphagia: Etiologies, Diagnosis, and Management is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. Therefore, this text includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children’s Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.

This text provides the reader with a comprehensive understanding of pediatric swallowing and presents a practical, evidence-based approach to the diagnosis and management of swallowing difficulties in children. It highlights particular clinical challenges and controversies in the management of pediatric dysphagia. Part one of the text begins with an overview of the anatomy and physiology of swallowing, with a focus on normal development as we currently understand it. It also discusses new information regarding reflexive interactions between the larynx and esophagus that potentially influence swallowing, and the advantages and limitations of currently available diagnostic modalities. It highlights current controversies regarding frame rate, radiation exposure, breastfeeding infants, and grading of studies, as well as current literature regarding medical and behavioral-based therapy options. Part two addresses specific diagnoses which can cause or be associated with dysphagia such as prematurity, velopharyngeal insufficiency, ankyloglossia, laryngeal clefts, laryngomalacia, vocal fold paralysis, and cricopharyngeal dysfunction; and explores the pathophysiology and treatment options for each. Anatomic, inflammatory, and neuromuscular esophageal causes of dysphagia are also evaluated as well as the impact of craniofacial anomalies, sialorrhea, and psychological factors on swallowing. As the most up-to-date text in this field, Pediatric Dysphagia: Challenges and Controversies will be a valuable reference guide for both learners and practitioners caring for these children. Comprehensive coverage addresses the full spectrum of dysphagia to strengthen the care provider's clinical evaluation and diagnostic decision-making skills. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information. It also incorporates the perspectives of multiple types of clinicians that care for these patients including otolaryngologists, gastroenterologists, pulmonologists, speech pathologists, occupational therapists, and lactation consultants.