Clearly delineates the terminology and practices associated with compensatory versus rehabilitative treatment technique in neurogenic dysphagia. Includes comprehensive treatment planning and selection of techniques based on physiologic abnormalities, rather than symptomatology. Provides in-depth discussion of various biofeedback modalities and reviews the challenge of diet modification terminology and standard practices. Reviews surgical and pharmacological managemet of the dysphagia patient. TEXTBOOK

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.

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.

Master the evaluation and treatment of swallowing disorders! Dysphagia: Clinical Management in Adults and Children, 3rd Edition provides the information you need to diagnose and manage dysphagia in patients of all ages. Emphasizing evidence-based practice, this complete resource covers topics from esophageal disorders to respiratory and iatrogenic disorders. This edition adds a new Aging and Dysphagia chapter and is updated with the latest research and advances in dysphagia management. Written by speech-language pathology educators Michael E. Groher and Michael A. Crary, this guide helps you develop clinical reasoning skills and learn today's best practices in dysphagia management. - Learning features include chapter outlines, learning objectives, and bullet-point summaries in each chapter, helping you focus on and master key content. - Emphasis on evidence-based practice prepares you to make and then properly support your diagnostic and treatment decisions. - Case histories promote critical thinking in realistic clinical situations. - Critical thinking questions help you assess your knowledge and reinforce understanding of the material. - Video clips on the Evolve companion website depict a range of swallowing disorders. - NEW! Aging and Dysphagia chapter examines the increasing evidence that older persons living at home may be at risk for dysphagia without any overt underlying disease. - UPDATED! Treatment for Adults chapter is thoroughly revised. - NEW! Clinical Pearls highlight key information that you need to know to prepare for the clinical setting. - UPDATED content and references throughout reflect the latest research in the field.

Malnutrition and its related symptoms are both frequent and deleterious effects of cancer treatment. Despite the importance of targeted nutritional interventions in ameliorating these effects, however, publications providing up-to-date information on novel nutritional approaches and strategies are lacking. This book is intended to fill the void by describing and evaluating in detail the nutritional strategies that may be employed to alleviate a wide variety of cancer treatment effects. The guidance provided will help to improve the survival and quality of life of cancer patients, and has the potential to dramatically affect how evidence-based clinical practice is established and improved over the coming decade. The author is a distinguished expert in the field who has more than 25 years of experience in oncology nutrition and has been involved in establishing and implementing a Clinical Nutrition Oncology Program.

The book offers a comprehensive approach to the assessment and treatment of disturbances in facial expression, oral movement, swallowing, breathing, voice and speech production caused by developmental and acquired neurological conditions. The principles outlined are used in patients with different etiologies (e.g. stroke, tumors, traumas). F.O.T. T., developed by Kay Coombes, is a hands-on approach based on an understanding of neurological functions and the way we learn from experience. The approach aims to give the patient experience of physiological posture and movement using facial-oral functions in normal activities of daily living (ADL). Rather than mere “exercises”, F.O.T.T involves meaningful activities aiming to promote participation, according to ICF criteria. Four main areas are covered: nutrition, oral hygiene, nonverbal communication and speech. Each chapter summarises the problems of severely ill patients and shows the clinical reasoning behind the solutions offered. Separate chapters discuss tracheostomy management and the training of the carers involved, including relatives. The chapter authors are experienced specialists (physio-, occupational- and speech-language therapists and physicians), whose contributions aim to provide interdisciplinary perspectives and translate latest research into clinical practice.

The Adult Dysphagia Pocket Guide: Neuroanatomy to Clinical Practice is a concise, easily portable reference guide designed specifically for the dysphagia clinician. It centers on the clinical application of normal and abnormal swallowing physiology as it relates to cranial nerves, muscles, and innervations. The text merges clinical neurophysiology of the swallow directly to assessment and treatment of dysphagia to provide quick access of key clinical information and solutions for clinicians as they are completing their swallowing assessments. A discussion of laboratory values and medications in chapters three and four and how they can impact dysphagia adds another layer of uniqueness to this guide. Recurring "clinician's note" and "research to practice" boxes are based on the current research and provide practical and useful tips for clinicians. The Adult Dysphagia Pocket Guide is a "quick reference" that answers the need for a practical guide that new clinicians, graduate students, and even seasoned clinicians can carry with them and readily access while they are completing their evaluations. It is a must-have resource for any speech-language pathologist treating dysphagia. KEY FEATURES: Compact, yet portable designSuccinct, yet thorough evidence based informationClinically relevant charts and tables make information easy to find

Neurogenic dysphagia is an increasingly common problem. This chapter describes current approaches to enteral nutrition in patients with neurogenic dysphagia. We have shown the possibilities and our experience of using diet with a measured degree of density, specialized thickeners for drinks and food, ready-made enteral mixtures. We also identified patients who need a nasogastric tube or gastrostomy.