Have you ever wished there were breadcrumbs along the way to know if you're on the right path?? Or ever have an idea or question for what might or might not be appropriate for your patient, but just not that confident when turning your eyes to the research evidence?? Well, after months and months of work updating and fine-tuning its resources, ASHA has finally brought you something that's much easier to find, navigate, and manage in order to help you help your patients! This post was written by Rebecca Bowen, a speech-language pathologist clinician and Clinical Research Associate at ASHA’s National Center for Evidence-Based Practice in Communication Disorders. Her main role is to curate the Evidence Maps, create resources, and help practicing clinicians implement EBP. Here she gives you an exclusive, inside look at what ASHA's National Center for Evidence-Based Practice is now offering for us busy SLPs. Enjoy!😃
For the SLPs who have trach-on-the-brain or those less familiar but wanting to know more, this article attempts to shed a new light on what we knew, what we think we know, and what we now know about managing the "trachoestomy population" when it comes to swallowing function, aspiration, and inflated cuff.
Do you remember in school (high school, undergrad, grad school, anywhere), where you were studying for an exam, going over all your notes and materials, feeling in utter despair and desparation because "How in the heck are you supposed to know all of the information?!?" Then, a miracle happened and the teacher sent out a guide or study sheet to help you focus on what specifically you should be worrying about, thus removing the huge weights off your shoulders (and maybe ending the incessant and stress-induced snacking). Okay, I obviously can't equate the recent article to a miracle, but, I think we can all agree it's helpful (sometimes anything is helpful in these times!). Don't fret, more comprehensive reviews will continue, but if you're anything like me these days, a simpler, easy-to-guide can mean the world.👍🌏
"Adherence is a critical component of any treatment plan. To effectively achieve the desired result of a therapy intervention, the patient must participate in the recommended treatment, often independently without direct clinical supervision. Poor adherence to clinical recommendations may render evidence-based interventions ineffective, ultimately causing immense financial burden on the healthcare system as a whole." Sound familiar? Feel familiar? And if our top-notch plans aren't being followed, "What's the point?" Maybe the overly dramatic teen in me is coming out, but when it comes down to it, we really are all on the same team, so it's up to us to figure it out, and that's just what this article attempts to do.
I remember reading the directions for Mendelsohn in Logemann's original textbook as a student, feeling my own "Adam's apple" rise and lower, seeing how long I could even hold it. For a beginner clinician (and somewhat thereafter), it was quite confusing and vague, but eventually I got the hang of it (or learned to "let it hang"?). BUT, did you know the Mendelsohn hadn't been looked at or "tested" by itself to see if it helped swallow function? Check out the article review to learn what WAS found!
For all that you've done, for all that you will do, a BIG congratulations to YOU!! So excited and proud to welcome you to the field ❤️🥳🤩
No, we may not be there yet with this title. And maybe this is not what some may be thinking about right now. But, being the strong-willed SLP I've somehow become over the years, I couldn't help but think, 'Why not?' (in my head there was likely an additional explecative😉). While there are still many unknowns, with too many questions without answers, the article provided can help those working with this population by looking back, to think about possibilities moving forward.
My friends, I am right there with you. While I have to be 100% honest that this population is not one I can begin to claim immense expertise in (but one I hope to continue to gain more knowledge about!), I was still surprised to know that not only has this mode of service delivery already been dipped into, but that there is actually some general practice advice for those interested. "Telepractice is emerging as a viable option for the delivery of speech-language pathology head and neck cancer (HNC) services to assist in addressing the demands of a growing population requiring specialist speech-language pathology intervention, and to offer patients more convenient and flexible models of care"
Let's hear it for laryngeal vestibule closure y'all!!! Are you wondering what it is? Do you want to know more about it? Then here's your article folks to help you understand the whats, hows, and whys of this potentially fatal part of the swallowing mechanism that many might glance over like a stack of bills or junk mail (or all the paperwork for tax day coming up😬!).
Remember your undergraduate and/or graduate neuroanatomy course? I know some loathed it and some loved it. For me, I was in my element, so much so that I was sure my initial passion was going to be everything-neuro-TBI-related. While I still LOVE neuro and have had my share of experience within this realm for sure, reading this article brought me back to my first love, while also mixing in my more recent and exciting infatuation for dysphagia.