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Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: These Perspectives (SIG 13) articles present clinicians with useful information to help assess and treat feeding and swallowing disorders in a variety of patient populations across the lifespan. Daniel Croake and Vrushali Angadi provide an overview of evidence regarding prophylactic and reactive gastrostomy tubes in individuals with head and neck cancer, to better facilitate joint decision-making of percutaneous gastrostomy (PEG) tube timing with the patient and care team. Hema Desai and Audrey Lim extend the discussion to pediatric dysphagia by summarizing the application of neurobehavioral interventions as part of feeding treatment for infants with congenital heart defects.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: These Perspectives (SIG 13) include a variety of topics in dysphagia across the age continuum and across the many settings that speech-language pathologists (SLPs) address dysphagia. Parker Huston, Robert Dempster, and Lauren Garbacz provide readers with an overview of common evidence-based psychological techniques used in the treatment of adolescents with feeding disorders, including motivational interviewing and cognitive behavioral techniques. The goal of this paper is to provide a high-level overview of these concepts so that providers outside of psychology may utilize some of these techniques in therapy, when referral to a behavioral specialist or psychologist is not feasible. Next, authors Lauren Madhoun and Robert Dempster discuss the psychosocial aspects of feeding in the neonatal intensive care unit NICU and immediately following NICU discharge. Joanne Patterson extends the discussion to the adult population by describing a biopsychosocial intervention that combines cognitive behavioral with dysphagia therapy, termed Cognitive-Behavioral Enhanced Swallowing Therapy (CB-EST) and its application in managing head and neck cancer patients with dysphagia. Finally, authors Kortney Eng, Maria Jose Flores, Elisabeth Gerrity, Nupur Sinha, Katherine Imbeau, Laddie Erbele, and Cary Yeh share details from their study investigating the effect of high-flow nasal cannula (HFNC) on swallow physiology in healthy adults. We hope these articles will be of significant value to practicing clinicians and to students learning about dysphagia.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: The assemblage of articles presents clinicians with information on a variety of topics in dysphagia that can be utilized in practice. Laura L. Madhoun, Laura C. Merrell, Amanda Smith, Emily Snow, and Kristen M. Cherosky stress the importance of individualized and comprehensive feeding management for craniofacial anomalies through interdisciplinary collaboration. Lena G. Caesar and Meretu Kitila study clinicians’ perceptions and confidence with dysphagia service delivery. Aliaa Sabry, Amanda S. Mahoney, Shitong Mao, Yassin Khalifa, Ervin Sejdić, and James L. Coyle point out an objective way to assess laryngeal vestibule closure and opening at beside. Marie Jardine, Anna Miles, Jacqui Allen, and Rebecca Leonard give an interesting take of assessment of the aging swallow. Kelsey L. Thompson and Wanqing Zhang provide description and examples of mixed method research to comprehensively and holistically report of pediatric feeding disorders.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: This collection of articles presents information currently relevant to caring for patients. Firstly, Cara Donohue and James L. Coyle, and Christina Kang and David Lott, share service delivery focusing on the diagnoses of amyotrophic lateral sclerosis and muscle tension dysphagia, respectively. Samantha Shune and Ashwini Namasivayam provide systematic strategies to better support patients’ informal caregivers. Rinki Varindani Desai and Ashwini Namasivayam-MacDonald describe the practice patterns of speech-language pathologists managing dysphagia in persons with dementia. Lastly, Nancy Swigert and Ashley Wright describe effectiveness and efficiency as the key components of a value-based health-care system.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: This collection of articles presents clinicians with information on some of the most timesensitive topics in dysphagia care of utmost relevance, particularly in the current COVID- 19 pandemic. Firstly, Liza Blumenfeld, Lisa Evangelista, Maggie Kuhn, Kristen Linnemeyer, Nogah Nativ-Zeltzer, and Heather Starmer provide best practice recommendations on the management of patients with head and neck cancers from the speech-language pathology perspective amid COVID-19. Authors Hema Desia and Jennifer Raminick then provide recommendations for safer feeding of infants on high flow oxygen therapy due to acute respiratory failure. Lastly, authors Grainne Brady and Justin Roe, Kellyn Hall and Leslie Johnson, and Annette Askren and Marnie Kershner discuss different aspects of clinician–patient collaborated dysphagia care delivery models and their impact on successful outcomes.
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: These Perspectives (SIG 13) presents clinicians with information across many aspects of feeding and swallowing. Firstly Kendrea Garand, Taylor Thomas, and Rajarshi Dey discuss the physiology of laterality in the clearance of boluses from the pharynx. Next, Jennifer Wilson, Amanda Simmons, and Jillian McCarthy then take us through an interesting description of speech-language pathologists’ experiences and education in pediatric dysphagia and encourage the incorporation of intensive education in this high-risk topic, via various avenues. In the final three articles, Pamela Smith, Jinxu Bridget Xia, and Claire Radford et al., present an in-depth and elaborate perspective on managing patients with dysphagia through a palliative care lens, across the lifespan.
Credit(s): PDHs: 6.0, ASHA CEUs*: 0.6
Summary: This collection of articles presents clinicians with evidence on a variety of topics in dysphagia that can be utilized in practice immediately. Alaina Martens and Emily Zimmerman offer insight regarding changes to feeding patterns in infants diagnosed with bronchopulmonary dysplasia after prolonged oxygen therapy in the newborn intensive care unit. Paula Leslie and colleagues provide a framework of health and illness and how food and drink are much more. They stress the importance of clinician appreciation as a cultural guest in our patients’ lives. Bonnie Martin-Harris and colleagues stress the importance of instrumentation with a thorough review of available practice guidelines and appropriateness criteria issued to date, revealing a deficit of up-to-date, comprehensive, evidence-based information on the diagnosis and evaluation of oropharyngeal dysphagia. Specifically, a lack of quality guidance on the ordering, performance, and reporting of the modified barium swallow study has hindered efforts to improve standardization and ensure quality continuity of care. Naomi Gurevich and colleagues stress the need to clarify guidelines and increase interprofessional education between both professions to improve patient care. George Barnes and Nancy Toms highlight speech-language pathologists’ need for a solid foundation of knowledge when it comes to patients with highly complex disease processes and care plans. Deirdre Muldoon and colleagues conduct a review of published literature regarding management of feeding difficulties at the oral phase of feeding in children with autism spectrum disorder and/or developmental disability. Finally, Paul M. Evitts and colleagues reveal a potential way to track aspiration in healthy adults using an app.
Credit(s): PDHs: 5.0, ASHA CEUs*: 0.5
Summary: For people experiencing dizziness, what are possible options for vestibular and balance rehabilitation? This self-study from Perspectives of the ASHA Special Interest Groups (SIG 7) addresses treatment choices in vestibular and balance rehabilitation, the state of the evidence on their efficacy, and future directions for interdisciplinary research and practice. Written by clinicians and scholars with expertise in audiology and physical therapy, the four articles present an interdisciplinary and life span approach to vestibular and balance rehabilitation for children and adults. The first article by Christy is on the use of vestibular and balance rehabilitation therapy for dizziness in children. Next, the review by Herdman focuses on the evolution of vestibular function tests and rehabilitation for major vestibular disorders as well as areas in which research and clinical practice may grow in the future. In Holmberg, the relatively new but common diagnosis of persistent postural-perceptual dizziness (PPPD) is presented in terms of its pathophysiology, differential diagnosis, and treatment protocols. Finally, Clendaniel provides a review on the use of vestibular rehabilitation in the treatment of benign paroxysmal positional vertigo. Included are detailed photos and illustrations of current techniques and exercises. As described in the introduction to the forum by Guest Editor Neil Shepard, PhD, “It is hoped that these four articles will provide a needed look at vestibular and balance rehabilitation therapy (VBRT) so the audiologist can serve as a productive member of the treatment team and have a good understanding as to everything that
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: This assemblage of articles provides information on interesting topics encountered in adult dysphagia practice. Aarthi Madhavan, Nicole Shuman, Claire Snyder, and Nicole Etter provide insight on the comparative consistency of the Eating Assessment Tool and Sydney Swallow Questionnaire scores for self-reported swallowing difficulties in a group of community-dwelling older adults completing both questionnaires. Georgina Papadopoulos-Nydam, Jana Maureen Rieger, and Gabriela Constantinescu evaluate the usability of a mobile health (mHealth) system designed for dysphagia exercise in persons with a history of stroke. Renata Mancopes, Fernanda Borowsky da Rosa, Lidia Lis Tomasi, Adriane S. Pasqualoto, and Catriona M. Steele demonstrate concern for people with chronic obstructive pulmonary disease (COPD) and share information regarding dysphagia in people with COPD, synthesizing knowledge both from the literature and from studies performed in the context of a multidisciplinary clinical pulmonary rehabilitation program abroad. Additionally, Talia H. Schwartz brings to light the importance and utility of the clinical swallow evaluation while caring for patients with COVID-19.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: How can audiologists enhance patient-centered communication, even during the COVID-19 pandemic? This self-study is from the journal, Perspectives of the ASHA Special Interest Groups, SIG 7: Auditory Rehabilitation and Its Instrumentation. It features two articles focused on patient-centered strategies for effective communication, from initial consultations to prioritizing follow-up care, during COVID-19. It also includes the article that won the 2021 ASHA Journals Editor’s Award for Perspectives (for SIGs 6, 7, 8, and 9) by Davidson and Marrone. The first article is, “How to Provide Accessible Hearing Health Information to Promote Patient-Centered Care.” Kelly-Campbell and Manchaiah review the literature within audiology on patient-provider communication. They focus on research studies of communication during initial audiology consultation sessions. Through a summary of themes in the literature, they categorize important research findings that provide insight into communication between patients and their audiologists. Finally, they identify five key strategies for effective patient-centered communication. Each strategy is then reviewed in detail, with clinical examples and specific recommendations that can be immediately implemented in practice. The second article is, “A Clinically Valuable Interaction in the Midst of COVID-19 and Beyond: A Viewpoint on the Importance of Patient-Centered Outcomes in Rehabilitative Audiology.” Davidson and Marrone discuss patient-centered communication following hearing aid device fittings. They identify challenges facing patients and audiologists related to follow-up hearing aid services as a result of the COVID-19 pandemic. Based on a literature review and their own recent research, they developed a decision-tree algorithm to help audiologists prioritize clinical activities following hearing aid fittings, including remote formats for care. The algorithm was based on use of a patient-centered outcome measure, the Measure of Audiologic Rehabilitation Self-Efficacy. Patient-centered outcomes measurement is suggested as an engagement strategy for continued communication with patients during the COVID-19 pandemic and beyond.