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Swallowing After Stroke

Comprehensive approach to recover function.

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Dysphagia is common after stroke, specifically when the infarct is located in the brainstem. Many people with brainstem strokes cannot eat and drink safely due to the risk of aspiration. In the hospital setting it can be determined if it is safe for the individual to eat and drink based on overt signs and symptoms of aspiration or distress during a swallowing assessment. Symptoms may include coughing, throat clearing and wet/gurgly voice after eating or drinking. These patients may be deemed NPO.

View a photo gallery of Lynn Reed, MA, CCC-SLP, a clinical specialist at Kessler Institute for Rehabilitation in West Orange, NJ, in which she works with patient Michel Slim, MD, a former chief of pediatric surgery, who is accompanied by his daughter, Lina Slim-Topdjian, MA, CCC-SLP, BCBA, a speech-language pathologist in private practice.

Photos by Jeffrey Leeser; ADVANCE thanks Kessler Institute for Rehabilitation


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Thank you for this timely article. I received it the day after a home visit with a friend who had a stroke and was released in 24hrs to go home to die. By the time of my visit, she had already progressed, in a couple of days, to eating pureed foods that were lovingly presented by her daughters in a rotation of care. NMES was applied and her oral function (lip rounding+seal) improved dramatically after 2 treatments and her swallow began to improve. The receiving hospital did not conduct MBS and our local rural hospital does not have equipment to provide one. (MD had ordered SLP to provide NMES after consultation w/SLP) Your article hit home how we need more time to observe and treat a post CVA pt in the acute setting to give time for the treatments to work. The family decided to admit their mom to the local hospital where she is receiving SLP+PT services and 24 hr care. I passed the article on to the attending MD who is grateful for the information. Thank you for your sharing! Susan

Susan B. Nachimson,  SLP,  Jerold Phelps HospitalOctober 15, 2011
Garberville, CA




     

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