Epsom & St Helier SALT 💙

Inpatient Speech and Language Therapy team at @epsom_sthelier University Hospitals NHS Trust

[Epsom & St Helier SALT 💙 @ESTH_SALT]

@BHRUT_SLT @StGSpeechies @swb_slt @LNWH_SLT @katemordey @RHNuk @AS_paris_london @ltht_slt

[Epsom & St Helier SALT 💙 @ESTH_SALT]

Q1: Any #WeSpeechies able to help us with a supplier of triode electrodes for sEMG?

We’re hitting a brick wall in finding anyone in the UK who still produces and/or sells them.

Q2: has anyone tried using 3x single electrodes?!

#DysphagiaRehab
#sEMG
#BiSSkiT
#StrokeRehab

[Epsom & St Helier SALT 💙 @ESTH_SALT]

Jess, one of our team leads, presented at the RCSLT conference today sharing their work on Equality, Diversity, & Inclusion . In part due to this work, she also recently won AHP Diversity champion of the year from our Trust. Well done, Jess!

Trust value: Respect ✅

[Jess Otto-Davies @jbmdavies]

Proud to launch this today, the first publication after many group meetings. Exciting to hear engagement during our drop in talk at lunch today and to see how it’s use evolves as we rollout the accompanying written guidance too.

[Epsom & St Helier SALT 💙 @ESTH_SALT]

One of our team leads is supporting on this project aiming to improve the working and placement experience for SLT/SLT2be!

[Jess Otto-Davies @jbmdavies]

See what we’ve been up to in our working group 🤩 Publications and useful tools on their way!

There is no progress without buy-in from allies, many thanks to @RCSLT for supporting our network and working group.
#EDI #DiversityInSLT #SupportTheFutureWorkforce

[Epsom & St Helier SALT 💙 @ESTH_SALT]

➡️Could you be our new B6 acute SLT?!⬅️

We have space in our team for a keen team player who likes the pace and mix of the acute setting.

Perks:
Outer London 💷
Access to VF & FEES clinic and training🧑‍🏫
Regular and varied supervision👥
Sociable MDT🪩

https://t.co/Z7W4dRvUKO

[Epsom & St Helier SALT 💙 @ESTH_SALT]

This afternoon provided an opportunity for menu tasting with some of our Dietitians, Nutrition Nurse and catering team. We tried and discussed savoury and sweet IDDSI Level 4, 5 and 6 dishes, and even had some leftovers for the rest of the team to try! 😋🥧 #SLTlife #IDDSI

[Epsom & St Helier SALT 💙 @ESTH_SALT]

🔥🔥Hot off the press: Band 7 acute Paeds post 🔥 🔥

👶🍼🩺🍭🩻🎈💬

-Fixed term
-0.6 WTE
-VF clinics
-MDT feeding clinic
-Neonatal
-Outer London Weighting

APPLICATIONS CLOSE 25/05
https://t.co/1M1uSaAUQ5

[Epsom & St Helier SALT 💙 @ESTH_SALT]

🔔New job- Band 5 adult acute🔔

Due to internal promotion we have space in our team at St Helier 🤩

✔️London weighting
✔️close MDT work
✔️excellent supervision
✔️progression and development available
✔️friendly team with socials++

Check out the ad:

https://t.co/HT8ObIsK6l

[Epsom & St Helier SALT 💙 @ESTH_SALT]

Missed out on this yesterday or keen to learn more about feeding in dementia?

Check out the 🧵 for some points to consider

#SwallowAware2023 #DementiaCare #Carers #SLT2be

[Epsom & St Helier SALT 💙 @ESTH_SALT]

A common swallowing difficulty we encounter is mouth holding. This often occurs in Dementia when someone has less awareness or understanding of mealtimes and feeding.

Can you help us come up with top tips for helping mouth holding?
#SwallowAware2023

[Epsom & St Helier SALT 💙 @ESTH_SALT]

🫵🫵 touch can also be important for texture!

Some people benefit from sensory feedback that crunchy foods or finger foods give them serving as a reminder to continue chewing. Finger foods also boost dignity in independence

Texture modification can be advised by your SLT

[Epsom & St Helier SALT 💙 @ESTH_SALT]

A common swallowing difficulty we encounter is mouth holding. This often occurs in Dementia when someone has less awareness or understanding of mealtimes and feeding.

Can you help us come up with top tips for helping mouth holding?
#SwallowAware2023

[Epsom & St Helier SALT 💙 @ESTH_SALT]

🫵 touch/sensation

Did you know chilling drinks can help? Room temp water could be confused for saliva 💦 in the mouth and therefore not be swallowed promptly

Placing an empty spoon to the lips or applying gentle pressure to the tongue when giving food can prompt a swallow

[Epsom & St Helier SALT 💙 @ESTH_SALT]

📢Answers to question 3 📢
Yoghurt - Level 4: Puree diet
Biscuits - Level 7: Regular diet
Banana - depends how it's prepared! Pureed? Mashed? Cut into small pieces? Scoffed in large mouthfuls?!
Cornflakes - Mixed consistency & high-risk! (Level 7: Regular diet)

How did you do?

[Epsom & St Helier SALT 💙 @ESTH_SALT]

❓Question number 3❓
Which IDDSI levels would the following be considered:
1. Yoghurt (without bits)
2. Biscuits
3. Banana (trick question...)
4. Cornflakes (BONUS POINT!)

[Epsom & St Helier SALT 💙 @ESTH_SALT]

📣results time📣 check the comments for a humdinger

[Epsom & St Helier SALT 💙 @ESTH_SALT]

💬Poll time!💬

Which of the following is a significant predictor for aspiration pneumonia?

[Epsom & St Helier SALT 💙 @ESTH_SALT]

The results are in! Most of you voted for poor oral hygiene- it’s definitely a significant factor but I have a confession… all four of these (plus more) were all found to be significant in Dr Langmore’s heavily cited paper from 1998 https://t.co/UA4IUKMS8y

[Epsom & St Helier SALT 💙 @ESTH_SALT]

💬Poll time!💬

Which of the following is a significant predictor for aspiration pneumonia?