"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.
While doctors are learning more and more about the body/brain/gut connections, us SLPs continue to learn more about the breathing/swallowing connection (among many other things). One of these relationships that will likely continue to be in the 'hot seat' is using high-flow oxygen to improve acute respiratory compromise, while also simultaneously impacting the biomechanics of the swallowing system.
Since Cichero's article is a narrative summary (compared to systematic review), there's not as much to pick apart in study design or methodology practices. However, there is a lot of information that some may already know and some may be hearing for the first time. Key players in the review revolve around concerns that we face daily with our patients such as dehydration, how thickened liquids affect medication release/activity, and the need to feel physiologically satisfied.
“The purpose of this study is to systematically review evidence on the use of pulse oximetry in individuals with dysphagia to detect a decrease in SPO2 indicating aspiration during swallowing, toward the goal of further informing clinical practice in dysphagia assessment”