Dysphagia - E-Book

Michael A. Crary, Michael E. Groher

Description

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.

Sujets

• Médecine
• Spécialités médicales
• Speech Pathology
• Medical
• Audiology

Informations

• Publié par: Mosby
• Date de parution: 05 juillet 2015
• Nombre de lectures: 0
• EAN13: 9780323187022
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Dysphagia
Clinical Management in Adults and Children
Michael E. Groher, PHD, FASHA
Professor
Truesdail Center for Communicative Disorders
University of Redlands
Redlands, California
Michael A. Crary, PHD, FASHA
Professor, Speech-Language Pathology
Director, Swallowing Research Laboratory
Department of Communication Sciences and Disorders
University of Central Florida
Orlando, Florida
Table of Contents
Cover image
Title page
Copyright
Contributors
Dedication
Preface
Part I Foundations
Chapter 1 Dysphagia Unplugged
What is Dysphagia?
Incidence and Prevalence
Consequences of Dysphagia
Who Manages Dysphagia?
Levels of Care
Take Home Notes
References
Part II Dysphagia in Adults
Chapter 2 Normal Swallowing in Adults
Normal Anatomy
Normal Physiology
Bolus and Delivery Variation
Swallow and Normal Aging
Neurologic Controls of Swallowing
Take Home Notes
References
Section 1 Causes and Characteristics of Dysphagia
Chapter 3 Adult Neurologic Disorders
Preliminary Considerations: Swallowing Symptoms and Neurologic Deficits
Cortical Functions
Swallowing Deficits in Hemispheric Stroke Syndromes
Swallowing Deficits in Dementia
Swallowing Deficits in Traumatic Brain Injury
Subcortical Functions
Subcortical Functions and Swallowing Impairment: Parkinson's Disease
Brainstem Functions
Lower Motor Neuron and Muscle Disease
Idiopathic or Iatrogenic Disorders of Swallowing that Resemble Neurogenic Dysphagia
Take Home Notes
References
Chapter 4 Dysphagia and Head and Neck Cancer
Cancer as a Disease
Treatments for Head and Neck Cancers
Dysphagia in Patients with Head and Neck Cancer
Assessment Strategies for Dysphagia in Head and Neck Cancer
Therapy Strategies for Dysphagia in Head and Neck Cancer
Take Home Notes
References
Chapter 5 Esophageal Disorders
Role of the Speech-Language Pathologist
Structural Disorders
Esophageal Motility Disorders
Lower Esophageal Sphincter Abnormalities
Gastroesophageal Reflux Disease
Laryngopharyngeal Reflux
Differential Diagnosis
Disorders of the Pharyngeal Esophageal Segment
Pharyngoesophageal Relations
Take Home Notes
References
Chapter 6 Respiratory and Iatrogenic Disorders
Background
Artificial Airways
Swallowing and Tracheotomy
Postsurgical Causes of Dysphagia
Traumatic Injuries
Medications
Chronic Obstructive Pulmonary Disease
Take Home Notes
References
Section 2 Evaluation of Swallowing
Chapter 7 Clinical Evaluation of Adults
Rationale
Symptoms of Dysphagia
Signs of Dysphagia
Medical History
Physical Examination
Tests to Detect Aspiration
Standardized Tests
Supplemental Tests
Take Home Notes
References
Chapter 8 Imaging Swallowing Examinations: Videofluoroscopy and Endoscopy
Considerations for an Imaging Swallowing Examination
Videofluoroscopic Swallowing Examinations
Endoscopic Swallowing Examinations
Direct Comparisons between Fluoroscopic and Endoscopic Swallowing Examinations
Take Home Notes
References
Section 3 Approaches to Treatment
Chapter 9 Treatment Considerations, Options, and Decisions
Evidence-Based Practice
Evaluating Evidence
General Treatment Considerations
Patient-Specific Treatment
Approach-Specific Treatment
Overview of Treatment Options
Making Treatment Decisions
Framework for Treatment Planning
Take Home Notes
References
Chapter 10 Treatment for Adults
Which Techniques and What to Consider
Managing Dysphagia Symptoms: Compensation, Rehabilitation, and Prevention
Changing the Swallow: Rehabilitation Approaches
Protecting the Airway: Breath Hold and Supraglottic and Super-Supraglottic Swallows
New Rehabilitation Directions: Exercise Principles and Modalities
Prevention in Dysphagia Management
Final Comments on Using Evidence
Take Home Notes
References
Chapter 11 Ethical Considerations
Medical Ethics
Tube Feeding
Reasons for Tube Feeding
Weaning From Feeding Tubes
Aspiration Pneumonia
Nonmedical Risks and Benefits
Ethical Dilemmas
Take Home Notes
References
Part III Dysphagia in Infants and Children
Chapter 12 Typical Feeding and Swallowing Development in Infants and Children
Development of Head and Neck Anatomy
Development of Other Body Systems Involved in Feeding
Development of Feeding Reflexes
Development of Motor and Cognitive Skills Involved in Early Feeding
Breastfeeding
Bottle Feeding
Introduction of Solids
Transition to Mature Mealtime Behavior
Nutrition and Growth Considerations in Infants and Children
Take Home Notes
References
Chapter 13 Disorders Affecting Feeding and Swallowing in Infants and Children
Swallowing and Dysphagia
Mealtime Behavior and Feeding Difficulties
Interruptions to Early Feeding Development
Respiratory and Cardiac Disorders That May Affect Feeding and Swallowing
Gastrointestinal Disorders That May Affect Feeding and Swallowing
Neurologic Disorders That May Affect Feeding and Swallowing
Congenital Abnormalities That May Affect Feeding and Swallowing
Maternal and Perinatal Conditions That May Affect Child Feeding and Swallowing
Prematurity
Iatrogenic Complications That May Affect Feeding and Swallowing
Other Factors That May Potentially Affect Feeding and Swallowing in Children
Take Home Notes
References
Chapter 14 Evaluating Feeding and Swallowing in Infants and Children
Members of the Feeding and Swallowing Team
Models of Teamwork
International Classification of Functioning, Disability, and Health
Case History
Clinical Feeding Evaluation
Assessing Hospitalized Children with Acute Health Issues
Assessing Children in the Community with Chronic Health Issues or Developmental Delay
Assessment Considerations for Infants
Assessment Considerations for Older Children
Imaging Studies
Endoscopies
Cervical Auscultation
Take Home Notes
References
Chapter 15 Treatment of Feeding and Swallowing Difficulties in Infants and Children
Setting Therapy Goals
Models of Service Delivery
Therapy Focused on Swallowing and Airway Protection
Interventions for Swallowing Difficulties
Thickened Fluids
Alternatives to Thickening Fluids
Swallowing Maneuvers
Modified Foods
Therapy Focused on Feeding Difficulties and Mealtime Behavior
Oral Sensory-Motor Therapy
Feeding Utensils and Equipment
Mealtime Positioning
Behavioral Feeding Therapy
Feeding Therapy as Part of Nutritional Supplement Weaning
Therapy Consideration for Infants
Therapy Consideration for Older Children
Working with Hospitalized Children with Acute Health Issues
Working with Children Living in the Community
Measuring Therapy Outcomes
Take Home Notes
References
Appendix A Common bottles
Straight Bottles
Angled Bottles
Other Shaped Bottles
Haberman (Special Needs Feeder)
Dr Brown's Bottles
Bottles with Collapsable Bags
Squeeze Bottles
Medicine Dispenser Nipples
Syringe Nipples
Appendix B Cervical auscultation equipment
Stethoscope
Lapel Microphone
Amplifier
Adhesive
Appendix C Common cups
Spout Cups
Straw Cups
Regular Cups
Cut-Out Cups
Other Cups
Appendix D Common pacifier types
Oral Toys
Appendix E Common spoons
Metal Spoons
Silicone Spoons
Maroon Spoons
Loop Spoons
Beginner Bowls
Appendix F Artificial nipples for bottle feeding
Slow Flow
Medium Flow
Fast Flow
General Recommendations
Variable Flow Nipples
Nondrip Nipples
Straight Nipples
Orthodontic Nipples
Wide Neck Nipples
Peristaltic Nipples
Pigeon and Chu Chu Nipples
Haberman (Special Needs) Bottle Nipples
Appendix G Common infant feeding positions
Side-Lying for Breastfeed
Cradle Hold for Bottle Feeding
Side-Lying for Bottle Feed
Semiupright in Feeder's Arms (Elevated Cradle Hold)
Semiupright in Baby Chair
Appendix H Examples of seating options
Infant Seat
High Chairs
Multiage Chairs
Tumbleform Seat
Tomato Chair
Hook on Chair (Sassy Seat)
Toddler Table and Chairs
Glossary
Index
Copyright

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DYSPHAGIA: CLINICAL MANAGEMENT IN ADULTS AND CHILDREN, SECOND EDITION ISBN: 978-0-323-18701-5
Copyright 2016 by Elsevier Inc.
Copyright 2010 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own exper