Discover and read the best of Twitter Threads about #Dysphagia

Most recents (8)

Ever wonder how to rehabilitate weak and ineffective #cough 🗣️💨 in people with #dysphagia 😷? In this tutorial, we will discuss how to train voluntary cough function through Voluntary Cough Skill Training (#VCST).
#VCST is a treatment paradigm intended to improve the accuracy 🏹🎯 and consistency of performing strong 💪 and effective coughs in people with #dystussia in order to increase the ability to eject #penetrant and #aspirate material from the #larynx and #lungs 🫁 after #swallowing.
#VCST is a skill-training treatment paradigm used to target single 🗣️💨 and sequential 🗣️💨💨💨 voluntary #cough. There is not a strict protocol to adhere to. Instead, the practice conditions for #VCST should be guided by principles of #motorlearning 🧠
Read 15 tweets
#Cough 🫁🌬️ is important for ejecting foods and liquids from the #lungs to prevent #asphyxiation and #aspiration #pneumonia. In this tutorial, we will discuss why and how to assess voluntary #cough as a way to enhance your clinical #swallow evaluation. (Warning: long thread!) Image
Evaluating #cough is important three reasons. First, weak coughs (#dystussia) are associated with #dysphagia and #aspiration in many patient populations. Therefore, assessing cough can improve the accuracy of predicting and identifying someone with #dysphagia.
Second, assessing #cough provides a more holistic understanding of #airway protection. In other words, we should try to understand how well a patient with #dysphagia can clear #aspirate material from the airway, in addition to understanding how frequently/severely they aspirate. Image
Read 11 tweets
Last week @RCSLT Chief Executive @KGadhok sent @MattHancock an evidence base highlighting why #dysphagia assessments should be considered an aerosol generating procedure: bit.ly/2VDiQB3 bit.ly/2W5aUI1 bit.ly/2VDja2J #COVID19 #COVID19SLTs #AGP #PPE
Lord Ramsbotham recently asked @DHSCgovuk what discussions they have had with Royal College of Speech and Language Therapists about aerosol generating procedures. bit.ly/3cRSnpi #AGP #AGPs #Covid_19 #COVID19SLTs #PPE
.@GeraintDaviesMP has recently asked @DHSCgovuk discussions officials have had with @NHSEngland & @PHE_uk the aerosol generating procedures undertaken by speech & language therapists. bit.ly/2VVMws8
#Covid_19 #COVID19SLTs #AGPS #AGP #PPE
Read 15 tweets
If you're unsure what #AGPs are in relation to #SLT practice, or how current UK-wide list was agreed, or why it's important, read this⬇️

@RCSLT @justinroe @sarahwallaceslt @mmcoffeystamp @gemmaclunie @GovenderRoganie @jemhaines @drjackiem @rachaelmoses @jkfillingham

1/7
The current @PHE_uk list based on this review includes medical and patient care procedures for which there is an accepted 'theoretical risk of aerosolisation' such as induction of sputum, which may include a number of different procedures

2/7
Induction of sputum through coughing is an inherent and unpredictable risk which is a core part of the specialist swallowing evaluation performed by #SLT in close contact (<1 metre) with inpatients with #dysphagia (impaired swallowing)

3/7
Read 7 tweets
Our SLT teams will be educating staff, patients and the public about #Dysphagia today - the medical term for swallowing problems which may be caused by degenerative neurological conditions, head and neck cancers and stroke
@NHWeek @StGSpeechies @StGDietitians
People with #dysphagia can require modified texture foods and/or thickened liquids to reduce the risk of food/fluids going into the lungs. This can increase the risk of malnutrition without dietetic intervention.
Our Senior Health Dietitian’s have been eating puree meals today, to understand how people with #dysphagia feel as well as to taste test our new #IDDSI dysphagia meal range. They're also raising money for charity too! justgiving.com/fundraising/te… Image
Read 7 tweets
We're halfway through #NHWeek2019 and today we're celebrating Swallowing Awareness Day! Here are some of the @StGSpeechies team at St George's. We also have the fab team at Queen Mary's Mary Seacole Ward who are marking #SwallowAware2019 Image
Dietitian’s and Speech and language therapists work closely to deliver safe and adequate nutrition for those with swallowing difficulties in hospital
@NHWeek @StGSpeechies #Dysphagia @StGDietitians Image
The team have arranged information stands in Grosvenor Wing reception at St George's, and the lower ground floor entrance at Queen Mary's. Do stop by and learn more about their work and the launch of our new #IDDSI patient meals. Image
Read 3 tweets
As part of Nutrition and Hydration week @NHWeek we will be introducing you to our specialist Neuro Dietitians and how they help improve patients nutrition and hydration on the neurology wards at St Georges Hospital @STGNeuro @StGDietitians #WhatDietitiansDo Image
We have 6 Neuro Dietitians over 5 specialities: Stroke, Neuro Rehab, Neurology/Neurosurgery, Trauma and Neuro Intensive Care @STGNeuro @StGDietitians #WhatDietitiansDo
👋 Say hello to Dawn and Jen, our Major Trauma and Neuro Intensive Care Dietitians @STGNeuro @NHWeek @StGDietitians #WhatDietitiansDo #Nutrition Image
Read 8 tweets
1/4: You can find the systematic review (SR) of #dysphagia postextubation by Stacey Skoretz here: doi.org/10.1378/chest.… @MartinoUofT
2/4: #dysphagia postextubation has been associated with laryngeal penetration and aspiration by Rebecca Scheel: doi.org/10.1177/000348… @SLangmore
3/4: Postextubation evaluation of #dyspahgia should not be restricted, but diet recommendations may change soon after evaluation: doi.org/10.1007/s00455… @WJEhlenbach
Read 4 tweets

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