Swallowing

typical bedside swallow

• introduction

• name and date of birth

• explain role of speech

• look at monitors

• oral mech exam

• swallow eval

typical food

• ice chips

• fruit juice

• applesauce

• canned fruit

• saltines

• graham crackers

• lorna doones

cultural impacts on swallowing

• fasting requirements

• traditional holiday meals

• vegetarian or vegan

• religious restrictions

• routine s

general assumptions SLPs bring

• we are experts in dysphagia

• people prefer t eat with spoon or fork or drink with a straw

• patients will understand texture descriptions

• patient and families will understand and follow diet change

• informal presentation creates open dialogue with the patient

barriers in treatment

• cultural difference between patient and healthcare

• lack of access to familiar foods

• difference in vocab and naming of food textures

• change in look and consistency of food

• changes in smell and taste

• uncomfortable/unfamiliar with using certain utensil

american culture relationship with food

• food is growing industry

• people constantly experiment with food

• expression of self and culture

• expression of caring and connecting

• if have dysphagia, may expereince grief around changes in eating

typical diet

• 3 meals a day

• snacking throughout the day

• lunch usually eaten in the go and in between lunch obligations

• dinner either cooked at home, purchased over the counter or at restaurant, typically large meal

our role

• set aside our own beliefs

• educate ourselves on the desires of the patient and caregiver

• address concerns with the person identified to handle the situation

• be flexible

• do not judge

• ask questions