We have responses from many countries but no Irish SLTs yet 🇮🇪 Bet there are challenges in working with Gaeilge/English speaking people with aphasia? @iaslt@CarolineJagoe
So many nuggets of wisdom in this must read paper. Fear of thin liquids, overconfidence vs uncertainty & the importance of openly self reflective practice. How Do We Cultivate Critical Thinking in Dysphagia Decision-Making? https://t.co/mw1E33Rqx9
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Echoes of @dysphagiasigire today & #AineFlynn on Irish Assisted Decision Making (Capacity) Act 2015. Coming to a country near you soon: 'will & preferences of the person' rather than 'best interests as perceived by others'. Words matter.
Refreshing talk from Prof O'Keeffe on the use of modified diets/fluids. Great to really think about gaining informed consent-information provided must be balanced Inc. benefits&risks & not misinterpretation of the evidence. Also great points on the over medicalising of mod diets
the 24-hour care need usually leads to nursing facility “placement,” where round-the-clock but thinly-stretched staff give the illusion of 24-hour care despite that care from all nursing staff including aides averages under 2hr per person per day”. (Kane & Cutler Gerontol 2015)
https://t.co/Zuk71YpS4b
Critique of @RCPhysicians guide on supporting people with eating and drinking difficulties as it pertains to ‘risk feeding’ and aspiration in particular. Generally v helpful doc but maybe no surprise TL:DR we have significant concerns about this part!
@LazenbyPaterson Agree! Can be misinterpreted as meaning decisions should be made jointly and implying a reduction or dilution of the person's decision-making authority. eg “Divergent views regarding diet modification can… hamper efforts toward shared decision-making” https://t.co/wLZgdic3fD
Increased educational on impact of modifying diets may increase RD consultations and team-based decision-making https://t.co/0QypEdgIF6 @abingdonslp @AliciaVosePhD
What is your experience of using a #FreeWaterProtocol in acute care settings? How do you make the decision about who is suitable, whether to adapt it, how to overcome barriers? Can you relate to our case examples? Read on for a free copy....https://t.co/h1i2D0D04I
Morning read from @IJSLP - Living with #Dysphagia in the Community" https://t.co/k1CLhZFmoF
Some heartbreaking insights from those living with #dysphagia.
Take-home for me: we need to do more #dysphagia rehabilitation, not diet modification.
These questions require critical thinking (a departure from typical discussions), apply to ALL therapies in #SLP scope, should include all stakeholders: researchers, clinicians, students, faculty, industry, patients, caregivers, conference organizers journals, social media, …
Advances in Communication & Swallowing' (ACS) is the new name of the official, academic journal of the @iaslt. Learn more at: https://t.co/YAEIO3r5Od. Do think about joining this vibrant community of researchers and clinicians by submitting a paper (you know you want to!)
Had just such a discussion this morning with SLTs about swallowing, #dysphagia, free water protocols, thickened fluids. It’s not about how willing we are as clinicians to tolerate aspiration risk but rather the host resistance to infection 🫁 & patient centred decision making ⚖️