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Author: Leah Crawford Publisher: ISBN: Category : Deglutition disorders Languages : en Pages : 0
Book Description
Dysphagia, or difficulty swallowing, is a common consequence of head and neck cancer (HNC) and its associated treatments. Speech-language pathologists (SLPs) often play an integral role in the rehabilitation of swallowing difficulties for people with HNC. In clinical speech pathology, it is of utmost importance to base treatment decisions on high-quality evidence. One key tenant of evidence-based practice that is often overlooked is the client perspective. To date, limited research has explored the perspectives of individuals with HNC who have received treatment for dysphagia, especially HNC survivors living in the United States (U.S.). To close this gap, the aim of this project is to establish an increased comprehension of the perspectives of individuals with HNC who have been treated for dysphagia. Specifically, the project explores participant perceptions of which elements of dysphagia care led to positive clinical experiences and which elements created barriers to positive experiences. Six individuals participated in individual, semi-structured interviews to share their experiences with HNC and dysphagia treatment. Using interpretative phenomenological analysis, the interview data were coded and analyzed. A set of themes emerged from the recurrent and substantiated ideas within the data. The ability to participate in dysphagia therapy was limited by the physical effects of cancer treatments. Swallowing difficulties caused the participants to experience psychological and emotional reactions. Participants revealed that they had no concerns with accessing treatment financially. However, several individuals were not provided with a speech therapy referral until significant swallowing difficulties developed. Generally, the participants found value in their dysphagia treatments and faced no difficulty accessing speech therapy once they were referred. Future research directions and clinical implications were provided to improve patient-centered care for individuals with HNC and dysphagia.
Author: Leah Crawford Publisher: ISBN: Category : Deglutition disorders Languages : en Pages : 0
Book Description
Dysphagia, or difficulty swallowing, is a common consequence of head and neck cancer (HNC) and its associated treatments. Speech-language pathologists (SLPs) often play an integral role in the rehabilitation of swallowing difficulties for people with HNC. In clinical speech pathology, it is of utmost importance to base treatment decisions on high-quality evidence. One key tenant of evidence-based practice that is often overlooked is the client perspective. To date, limited research has explored the perspectives of individuals with HNC who have received treatment for dysphagia, especially HNC survivors living in the United States (U.S.). To close this gap, the aim of this project is to establish an increased comprehension of the perspectives of individuals with HNC who have been treated for dysphagia. Specifically, the project explores participant perceptions of which elements of dysphagia care led to positive clinical experiences and which elements created barriers to positive experiences. Six individuals participated in individual, semi-structured interviews to share their experiences with HNC and dysphagia treatment. Using interpretative phenomenological analysis, the interview data were coded and analyzed. A set of themes emerged from the recurrent and substantiated ideas within the data. The ability to participate in dysphagia therapy was limited by the physical effects of cancer treatments. Swallowing difficulties caused the participants to experience psychological and emotional reactions. Participants revealed that they had no concerns with accessing treatment financially. However, several individuals were not provided with a speech therapy referral until significant swallowing difficulties developed. Generally, the participants found value in their dysphagia treatments and faced no difficulty accessing speech therapy once they were referred. Future research directions and clinical implications were provided to improve patient-centered care for individuals with HNC and dysphagia.
Author: Krishnakumar Thankappan Publisher: Springer ISBN: 9811082820 Category : Medical Languages : en Pages : 404
Book Description
Dysphagia and problems related to swallowing are common following treatment for head and neck cancers. Though there are books available on dysphagia management and associated neurological conditions, this is the only atlas that comprehensively discusses dysphagia related to the head and neck cancers. It comprises of 33 chapters divided into five sections. The initial chapters present the anatomy and physiology of swallowing and the pathophysiology of the dysphagia-related structures. It discusses assessment of dysphagia in detail, highlighting clinical and instrumental evaluations. Swallowing dysfunction related to common sub-site cancers and chemo-radiotherapy related dysphagia are explored individually. The book addresses direct and indirect swallowing therapy methods involving postures and exercises in a detailed yet simple manner to enable them to be incorporated in routine practice. It also covers topics like nutritional management, alternative feeding methods and unique problems associated with tracheostomy that have a great bearing on the day-to-day management of patients with dysphagia. The current status of the research and evidence- based management updates are also included. Additionally, where appropriate videos are included for a better understanding of the subject. Written and edited by experts in the field, the book is intended for clinicians treating head and neck cancer, head and neck surgeons, radiation oncologists, speech and swallowing therapy specialists and trainees in these fields
Author: Debra M. Suiter Publisher: Thieme ISBN: 1638531498 Category : Medical Languages : en Pages : 967
Book Description
The definitive educational guide on the diagnosis and management of dysphagia across the full age continuum Dysphagia presentation and treatment differs at various stages of life. Assessing and Treating Dysphagia: A Lifespan Perspective reflects significant knowledge and pearls from esteemed adult and pediatric swallowing disorders experts. Debra Suiter and Memorie Gosa have compiled a book of unique depth and breadth with contributions from communication science experts including speech-language pathologists and physicians. The textbook provides comprehensive coverage of swallowing disorders from birth to old age, including clinical, professional, and cultural ethical considerations. Key Highlights Anatomy and physiology of swallowing, and compensatory, postural, and rehabilitation strategies Adult and pediatric specific chapters on swallow screenings, clinical evaluations, and technologies such as videofluroscopic, fiberoptic endoscopic, and high-resolution manometry Pediatric-specific dysphagia related to premature birth, craniofacial syndromes, congenital heart disease, and cerebral palsy Adult-specific dysphagia related to neurodegenerative disease, stroke, traumatic brain injury, head and neck cancer, esophageal disease, pulmonary disease, and end of life This is the only textbook on the market featuring complete coverage of the diagnosis and management of dysphagia across the lifespan. With content following Master's-level course curriculum, this is essential reading for graduate students as well as practicing clinicians in the fields of otolaryngology and speech language pathology.
Author: Katherine Adams Publisher: ISBN: Category : Deglutition disorders Languages : en Pages : 86
Book Description
Dysphagia is a common sequelae of the diagnosis of head and neck cancer. However, the prevalence and predicting factors for pre-treatment dysphagia have not been well identified in the literature (Starmer et al., 2011; Wotherspoon et al., 2018). The ability to predict pre-treatment dysphagia in this population would allow for more targeted intervention and potential improvements in clinical outcomes. This study utilized a quasi-experimental, single-group design to investigate the prevalence and predicting factors of pre-treatment dysphagia in 41 veterans with head and neck cancer through the West Haven, CT Veterans Affairs cancer database via retrospective chart review. Candidates for review were those who received an objective swallowing evaluation prior to cancer treatment. Our results indicate that the prevalence of pre-treatment dysphagia in our sample was 53.66%. Findings of this data also identify several clinical factors such as age, dysphagia severity ratings, functional swallow status and pre-treatment, patient-reported pain, to have a statistically significant association with dysphagia outcomes. Findings offer important preliminary data about this clinical issue, and serve as a foundation for future research.
Author: Elizabeth C. Ward Publisher: Plural Publishing ISBN: 1635504627 Category : Medical Languages : en Pages : 675
Book Description
The past decade has seen the continued advancement of head and neck cancer care. This third edition of Head and Neck Cancer: Treatment, Rehabilitation, and Outcomes, continues in the tradition of the prior editions, providing the reader with the most up-to-date evidence relating to head and neck cancer, its management, and its rehabilitation from a multidisciplinary perspective. As in the prior editions, the content is enriched by the contributions of a large team of internationally recognized experts from both the medical and allied health communities. Beginning with an update of what is known about cancer of the head and neck, the reader is then introduced to the multidisciplinary team and the importance of the multidisciplinary approach in head and neck cancer management. Chapters then cover nonsurgical and surgical management, and the communication and swallowing management of cancers of the oral/oropharynx and larynx/hypopharynx. Other chapters guide the reader through current best practice management of lymphedema, tracheostomy, nutrition, neuromuscular disorders, as well as psychological supports and survivorship. A further six chapters are dedicated specifically to supporting the laryngectomy patient population and their complex rehabilitation needs. The final chapter presents the ever-expanding world of technology and its use in the management and delivery of head and neck cancer care. Together these chapters provide the core theoretical and clinical knowledge for healthcare professionals managing patients with head and neck cancer. The content has also been presented at a level suitable for both undergraduate and graduate students. New to the Third Edition * All chapters have been revised and updated with relevant research and clinical insights to reflect the current state of practice. * New chapters have been created to cover in more depth specific content relating to neuromuscular management, lymphedema management, and psychological supports. * New collaborators have joined the author groups bringing new insights and learnings. * All chapters are illuminated with clinical images, illustrations, and/or case studies.
Author: Nagi B. Kumar Publisher: Springer Science & Business Media ISBN: 3642272320 Category : Medical Languages : en Pages : 317
Book Description
Malnutrition and its related symptoms are both frequent and deleterious effects of cancer treatment. Despite the importance of targeted nutritional interventions in ameliorating these effects, however, publications providing up-to-date information on novel nutritional approaches and strategies are lacking. This book is intended to fill the void by describing and evaluating in detail the nutritional strategies that may be employed to alleviate a wide variety of cancer treatment effects. The guidance provided will help to improve the survival and quality of life of cancer patients, and has the potential to dramatically affect how evidence-based clinical practice is established and improved over the coming decade. The author is a distinguished expert in the field who has more than 25 years of experience in oncology nutrition and has been involved in establishing and implementing a Clinical Nutrition Oncology Program.
Author: Paula A. Sullivan Publisher: Singular ISBN: Category : Health & Fitness Languages : en Pages : 408
Book Description
Cancer and its treatments typically have multiple and devastating effects on swallowing, speech, voice, language, respiratory and hearing systems. The successful management and rehabilitation of this challenging and high-risk patient population requires team-based collaboration and clinical expertise. Including contributions from skilled multidisciplinary experts, Swallowing Intervention in Oncology is a valuable resource providing medical and health care professionals with comprehensive and pertinent clinical information. It is the first text to discuss completely and thoroughly the causes and treatment of dysphagia in persons with head and neck cancer, emphasizing the absolute need for successful team management.
Author: Rebecca Leonard Publisher: Plural Publishing ISBN: 1635504376 Category : Medical Languages : en Pages : 505
Book Description
An invaluable text for dysphagia courses in speech-language pathology programs, Dysphagia Assessment and Treatment Planning: A Team Approach, Fifth Edition integrates the fundamentals of aerodigestive tract anatomy and physiology with objective assessment techniques and multidisciplinary treatment approaches. Contributors from speech-language pathology, otolaryngology, and gastroenterology present a variety of perspectives across domains of the professionals who serve patients with swallowing disorders. The in-depth, evidence-based assessment techniques and treatment models represent the most current dysphagia research and best practices. The book’s organization reflects the progression of most graduate-level dysphagia courses, with assessment techniques presented in the first half and special populations discussed in the latter half. The fifth edition has been thoroughly updated, with expanded references, perspectives on recently published literature reviews, and additional figures and tables. The authors have also added new pedagogical features and content revisions: * Treatment approaches have been updated to include new material on neuroplasticity, chin tuck against resistance (CTAR), and prophylactic strategies. * A new chapter on telehealth and dysphagia is available on the companion website and in the ebook version. * The chapter on endoscopy has been enhanced and expanded. * The chapters on fluoroscopy have been streamlined and condensed. * A new chapter focuses on the impact of dysphagia on the airway and how artificial airways may affect swallowing function. * The most recent nutrition guidelines have been updated, with a special focus on integration of texture modifications and dietary preferences with optimal nutrition. * The pediatrics chapter now provides a detailed discussion of thickeners and adequate nutrition. * End-of-chapter reflection questions have been updated. * Effective and well-documented examples of specific treatments have been included as supplementary boxes. * Additional videos with case studies are available. Also available is a separate companion workbook for students, Dysphagia Assessment and Treatment Planning Workbook, Fifth Edition. The workbook includes practical exercises aligned with each chapter of the textbook. The activities and questions are designed to clarify and expand on information presented in the text and should be of interest not only to students but also to practicing clinicians seeking fresh approaches. The workbook has been thoroughly updated to reflect the new organization and content of the textbook. Disclaimer: Please note that ancillary content such as bonus chapter material may not be included as published in the original print version of this book.
Author: Carly E A. Barbon Publisher: ISBN: Category : Languages : en Pages :
Book Description
There is an increasing prevalence of head and neck cancers (HNC) in Canada and the United States, with approximately 52,000 new cases every year, and approximately 9,500 deaths annually due to the disease in the United States alone. In Canada, there are approximately 220 new diagnoses of oropharyngeal cancer and an estimated 120 deaths resulting from this cancer type per annum. Patients with oropharynx cancers commonly are undergo radiation treatment for their disease, which has good results in terms of tumor control. While survival is improving, patients are left suffering from radiation-induced toxicities. Dysphagia (swallowing impairment) is one of the side effects that can become a long-term, pervasive issue. Individuals with dysphagia are at risk for aspiration (food/liquid entering into the airway). Aspiration is estimated to occur in 30-69% of HNC patients after radiation treatment (range of 1-12 months) and is often silent (i.e. with no overt symptoms). Thickened liquids are commonly used to reduce aspiration in the neurogenic dysphagia population but there is a gap in our knowledge with regards to the impact that viscosity and texture modification have on swallowing in the head and neck cancer population. The studies in this dissertation will examine the potential of thickened liquids to reduce aspiration in patients who present with unsafe swallowing onthin liquids after the completion of radiation treatment (post-3-6 months) for cancers focal to the oropharynx.
Author: Leah Crawford
Author: Leah Crawford
Author: Krishnakumar Thankappan
Author: Debra M. Suiter
Author: Katherine Adams
Author: Elizabeth C. Ward
Author: Nagi B. Kumar
Author: Paula A. Sullivan
Author: 
Author: Rebecca Leonard
Author: Carly E A. Barbon