Hannah Chalke

Adult Speech and Language Therapist @RNOHnhs specialising in SCI

[Sarah Morgan @SarahMorganSLT]

#Dysphagia in cervical SCI pts
James Babowice et al (n=713)
Risk factors for dysphagia incl.
➡️Advanced age
➡️Injury to C4-6 levels & injuries to anterior spinal column
➡️Intubation following CSCI
➡️CSCI surgery
Dysphagia = increased LOS and predictor of mortality
#DRS2021

[Hannah Chalke @HannahChalke]

@BelenLopezSLT presenting on outcomes of #FEES service @RNOHnhs benefits not only for assessment of aspiration and introducing oral intake but to assess airway patency, support weaning, and plan #rehab #RNOHTherapies20 #slpeeps #dysphagia

[Hannah Chalke @HannahChalke]

@BLantzos @L33Bolton @cm_iezzi_SLT @sarahwallaceslt @CriticalCareSLT @ZoeGarstang @AHPLeader @MsAnnaLiisaSutt Hi Becky! We use the RCSLT ones for SLT training. We have some for carer training but the focus is on spines. Can forward if that will be helpful?

[Hannah Chalke @HannahChalke]

#northlondontavernquiz ‘miss daisy can drive herself’

[Hannah Chalke @HannahChalke]

Great point from @katemcager risk feeding isn’t just about aspiration. #SLT know which patients are more vulnerable regardless of aspiration and where #swallowing can deteriorate. We should educate and put plans in place in advance #SLTfrailty @PalCareCEN @LNWH_NHS

[Hannah Chalke @HannahChalke]

Excited to present our poster with @SarahMorganSLT at @UKSRG2 on laryngeal injuries in SCI and impact on dysphagia. Returning to oral intake is an MDT approach and use of FEES facilities weaning, eating and drinking and benefits the whole MDT #UKSRG2020

[Hannah Chalke @HannahChalke]

Excellent talk by @justinroe and @grainnecbrady on how to engage patients and staff in developing care pathways. A lot to think about and how we can implement this in our pathway with SCI patients @RNOHnhs #dysphagia #UKSRG2020

[Hannah Chalke @HannahChalke]

Recurrent laryngeal nerve damage isn’t the same for every patient and repair & recovery can vary. Important to keep in mind when assessing patients after anterior cervical surgery @RNOHnhs #dysphagia #UKSRG2020

[Hannah Chalke @HannahChalke]

Great talk by @MsAnnaLiisaSutt if patients can eat and drink on mechanical ventilation. Airflow from ventilator can support eating and drinking. If weaned from mechanical ventilation airflow has changed therefore we should re assess the swallow #UKSRG2020 #dysphagia

[Hannah Chalke @HannahChalke]

Excited that this week we have started cough reflex testing @RNOHnhs in our post surgical patients. Allowing us to assess laryngeal sensation and be more confident in using results from our bedside assessment, protocol from @LNWH_SLT #dysphagia #slpeeps

[Hannah Chalke @HannahChalke]

Reflecting on the great talk by @tinysunbird on narrative medicine. Essential to allow people to tell their story which helps patients feel empowered and improves patient and clinician rapport. Paramount when supporting our patients with #SCI #languageofkindness @RNOHnhs

[Hannah Chalke @HannahChalke]

Great opportunity to present our poster on laryngeal abnormalities in mechanically ventilated SCI patients. Found to be high at 74% with a strong association with dysphagia #slpeeps #ICSSAO2018 #dysphagia @SarahMorganSLT @RNOHnhs

[Sarah Morgan @SarahMorganSLT]

Fantastic afternoon at the 5th Annual #RNOHTherapies18 clinical research & audit forum High quality podium & poster presentations from #AHP @RNOHnhs @HannahChalke @kateR_physio @Bramptonites flying the flag for respiratory #SCI @RISCIGBI

[Hannah Chalke @HannahChalke]

Cognitive function can improve after ICU- can we tailor rehabilitation more to support this? #ICUrecovery18

[Hannah Chalke @HannahChalke]

Use of CPAx to predict need for tracheostomy. Earlier tracheostomy helps facilitate returning to oral intake and communication #ICUrecovery18

[Hannah Chalke @HannahChalke]

Use of biofeedback in dysphagia therapy invaluable to support patient education and engagement enabling positive outcomes #dysphagia #SLPeeps @SarahMorganSLT

[Sarah Morgan @SarahMorganSLT]

Poster ready #ESSD2018 use of sEMG & flexible nasendoscopy as biofeedback in spinal cord injured patients with #dysphagia @RNOHRIC @HannahChalke

[Adult SLT @LNWH_SLT]

https://t.co/QnlGJFr2BQ Excited to announce our next Evening Lecture @LNWH_NHS : Biofeedback in Dysphagia Rehab. Tickets available here. #slpeeps #dysphagia #cpd #biofeedback #neurorehab #rehab #dysphagia rehab

[SydneyDysphagia @SydneyDysphagia]

"There is a significant discrepancy between the paucity of the evidence base supporting use of modified diets and the beliefs and practices of practitioners" #dysphagia #slpeeps #elephantinroom

https://t.co/FylvmYkSL8

[Martin Brodsky @MBBrodskyPhD]

NEW: Patients with spinal cord injury (SCI) swallow more frequently than controls at night. CPAP may be therapeutic with sleep disordered breathing, but slows swallowing in SCI.
https://t.co/h1bQkjsHxT
#Dysphagia #ICURehab #sleep @japplphysiol @daisy_project

[Hannah Chalke @HannahChalke]

Take home messages from @RCSLTTracheCEN use in-line speaking valve to 1. Restore pressure system for swallowing 2. Normalise speaking on exhalation 3. Restore airflow to the upper airway to support weaning. Excellent day of learning #PMVUK2018 #SLPeeps #dysphagia