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         Dysphagia:     more books (100)
  1. Practice on an acute stroke unit after implementation of a decision-making algorithm for dietary management of dysphagia.: An article from: Journal of Neuroscience Nursing by Sharron Runions, Nathalie Rodrigue, et all 2004-08-01
  2. Six-month outcome for dysphagia following traumatic brain injury: radiological assessment.: An article from: Journal of Medical Speech - Language Pathology by Angela Morgan, Elizabeth Ward, et all 2005-06-01
  3. Assessment and management of aspiration in patients with dysphagia: a survey of practicing speech-language pathologists.: An article from: Journal of Medical Speech - Language Pathology by Pamela A. Smith, 2007-03-01
  4. Dysphagia Care by Nadine O'Sullivan, 1990-03
  5. Treatment of Dysphagia in Adults - Methods and Effects by PhD Bonnie Martin-Harris, 1999
  6. Clinical Management of Dysphagia in Adults &Children 2nd edition by LeoraReiffCherneyPh.D., 1994-01-01
  7. Gale Encyclopedia of Nursing and Allied Health: Dysphagia by Ph.D., CCC-SLP, BC-NCD Mary Boyle, 2002-01-01
  8. Dysphagia: An Assessment and Management Program for the Adult (46P) (Sister Kenny Institute. Rehabilitation Publication, 706) by James R Roueche, 1980-12
  9. The benefits of the dysphagia clinical nurse specialist role.(nursing management): An article from: Journal of Neuroscience Nursing by Helen Werner, 2005-08-01
  10. Dehydration and dysphagia: challenges in the older adult.(Tutorial): An article from: Journal of Medical Speech - Language Pathology by Christina V. Bratlund, Cynthia R. O'Donoghue, et all 2010-09-01
  11. The Source for Dysphagia - 2000 publication by NancyBSwigert, 2000
  12. Dysphagia in a HIV patient: concern for the etiology?(Disease/Disorder overview): An article from: Southern Medical Journal by Ravi K. Bobba, Samer S. El-Dika, et all 2007-01-01
  13. Eosinophilic esophagitis remains enigma in adults: dysphagia, the most dominant symptom in adults, may be intermittent--or catastrophic in some cases.(Gastroenterology): ... An article from: Internal Medicine News by Betsy Bates, 2006-08-15
  14. An ongoing randomized clinical trial in dysphagia [An article from: Journal of Communication Disorders] by J. Robbins, J. Hind, et all

81. Multiple Sclerosis Glossary: D
12, 28. Dyspepsia Indigestion, a feeling of being over stuffed. 09. dysphagia - Difficulty in swallowing either solids, liquids, or both.
http://www.albany.net/~tjc/gloss1-d.html
MS Glossary
A B C ... W
D
Dantrolene Sodium Dantrium An AntiSpasticity medication.
Deep Tendon Reflexes - The involuntary muscle jerks that are normally produced, when the tendon is tapped at certain spots on a limb with a hammer. In MS , the tone of these Reflexes are heightened by lack of Cortical inhibition ( Spasticity
Decompostion of Movement - inability to sequence properly fine, coordinated acts.
Decubitus - An Ulcer (Sore) of the Skin resulting from pressure and lack of movement, such as occurs when a person is mostly in a bed or a wheelchair. The Ulcers occur most frequently in areas where the bone lies directly under the Skin, such as the Elbow, Hip, or Tailbone.
Dementia - A generally profound and progressive loss of intellectual function, sometimes associated with personality change, that results from loss of Brain substance, and is sufficient to interfere with a person's normal functional activities.
DeMyelination The destruction, loss, or removal of the Myelin Sheath, which normally insulates some Axons, by a disease process. Multiple Sclerosis is a Chronic CNS Disease that results in DeMyelination ( Lesion , or Plaque ), following damage to

82. Feeding A Child With Dysphagia (Difficulty Swallowing)
Feeding A Child With dysphagia (Difficulty Swallowing). By Barb Wagner First off, give your child a big table spoon with a big old
http://www.comeunity.com/premature/child/growth/dysphagia.html
Feeding A Child With Dysphagia (Difficulty Swallowing)
By Barb Wagner First off, give your child a big table spoon with a big old scoop of French Vanilla Icing on it. (Just buy those ready to spread icing tins at the store.) You'll have him eating out of a spoon before you know it. We made eating a game and when we'd be cooking we'd let them just "play" with whatever. (I can hear people cringing as I type but it works.) Cooked Noodles are great (such as, elbow noodles, small and medium shell noodles, small tubes etc.) and they are slippery enough that it helps to use a spoon. Lar used to play "Highchair Hockey" with both kids and they thought it was just hillarious... "He skates up the ice with the noodle (shifting the noodle-puck from one side of the spoon to the other)....
He scoops it up...
He shoots....the crowd roars (whaaaaaaaa)
HE SCORES! (and into the mouth it goes)" Just throw 2 or 3 cooked noodles onto the tray of his highchair and give him a spoon to experiment with how to pick them up. Show him that the spoon is a "tool" in the kitchen and that it makes things much yummier and "fun" to use. Let him paint with chocolate pudding on his highchair tray. Allow him to eat the pudding off of the spoon but act silly and don't let him put the "pudding fingers" in his mouth, just the spoon. Pull his fingers away and direct the pudding spoon in his other hand, toward his mouth to see if he gets the idea...repeat this over an over.

83. Feeding Or Swallowing Disorder (Dysphagia), Cincinnati Children's Hospital Medic
Feeding or Swallowing Disorder (dysphagia) is characterized by difficulty with normal oral feeding or swallowing. Feeding or Swallowing Disorder (dysphagia).
http://www.cincinnatichildrens.org/health/info/speech/diagnose/dysphagia.htm
Home Contact Us Site Map Go to Advanced Search ... Communication Disorders Feeding or Swallowing Disorder (Dysphagia) Language Disorder Stuttering (Disfluency) Velopharyngeal Dysfunction Verbal Speech Apraxia ... Overview
Conditions and Diagnoses
Feeding or Swallowing Disorder (Dysphagia)
Feeding or Swallowing Disorder (Dysphagia) is characterized by difficulty with normal oral feeding or swallowing. Indications for Referral
  • The child has difficulty sucking or drinking from a cup.
  • The child has difficulty taking foods from a spoon or has difficulty chewing foods.
  • The child avoids certain types of foods or certain food textures.
  • The child gags, chokes or coughs with feeding.
How to Reach Us
For more information about the Speech Pathology Department at Cincinnati Children's, call 513-636-4341 or e-mail speech@chmcc.org
News Room
Events Maps / Directions ... Stay Informed * Health information
3333 Burnet Avenue, Cincinnati, Ohio 45229-3039
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Serving infants to adolescents, Cincinnati Children's Hospital Medical Center is an
international leader in pediatric health care, research and education.

84. Digestive Disease Library
, Motor Disorders, , Neurogenic dysphagia, -, Isolated UES Dysfunction, , Esophageal Diverticulum, -, Neurogenic dysphagia, -, Isolated UES Dysfunction,
http://www.hopkins-gi.org/pages/latin/templates/index.cfm?pg=disease3&organ=1&di

85. Bayford-Autenrieth Dysphagia (www.whonamedit.com)
BayfordAutenrieth dysphagia dysphagia lusoria with compression of the oesophagus by an aberrant right subclavian artery. Bayford-Autenrieth dysphagia
http://www.whonamedit.com/synd.cfm/1293.html

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Bayford-Autenrieth dysphagia Also known as:
Arkin's disease
Bayford-Autenrieth syndrome Synonyms: Dysphagia lusoria. Associated persons: Aaron Arkin Johann Heinrich Ferdinand von Autenrieth David Bayford Description: Dysphagia lusoria with compression of the oesophagus by an aberrant right subclavian artery. Appear in newborn or in infants. Difficulty in swallowing. Bayford's patient was a woman named Jane Fordham, who died from starvation. She first became symptomatic at age 12 and was unable to swallow solid food for the last few years of her life. She died at the age of 60. The anatomic anomaly was first described by P. M. Hunauld in 1735. Bibliography:
  • P. M. Hunauld:

86. Dysphagia And Nutrition
dysphagia and Nutrition Joanne Robbins, PhD. dysphagia, or swallowing difficulty, is associated with numerous neurologic conditions.
http://www.vard.org/va/99/DYSPHAGIA.HTM
Dysphagia and Nutrition:
Joanne Robbins, PhD
Dysphagia, or swallowing difficulty, is associated with numerous neurologic conditions. Swallowing disorders resulting from stroke, Parkinson's disease, and other neurogenic processes have received a lot of research attention in recent years. The burgeoning efforts to identify the presence of dysphagia, and to understand the natural history of it in numerous disease processes, are most likely related to the hope of preventing the life-threatening and costly medical outcomes that are brought upon by dysphagia. These include malnutrition, dehydration, weight loss, aspiration pneumonia, and reflux. A major focus of research in the University of Wisconsin/VA Swallowing Laboratory has been the study of biomechanical and physiological changes in swallowing with aging. Not only have we been studying dysphagia secondary to age-related disease but also swallowing as a function of the aging process in the absence of identifiable disease entities. What we call our "reserve'' level, that is, our anatomic/physiologic stores that provide our ability to adapt to stress, is reduced as we get older putting older individuals more at risk for dysphagia. In fact, we notice ourselves coughing a little more as we're either drinking quickly or speaking and eating at the same time. In the frail elderly, this "reserve" is reduced even more. Thus, it is a logical speculation that older individuals with neurodegenerative conditions are extremely susceptible to dysphagia and its secondary deleterious medical outcomes.

87. Treatment For Swallowing Difficulties (dysphagia) In Chronic Muscle Disease (Coc
All rights reserved. Treatment for swallowing difficulties (dysphagia) in chronic muscle disease (Cochrane Review). Hill M, Hughes T, Milford C. ABSTRACT.
http://www.cochrane.org/cochrane/revabstr/ab004303.htm
From The Cochrane Library, Issue 2, 2004
Treatment for swallowing difficulties (dysphagia) in chronic muscle disease (Cochrane Review)
Hill M, Hughes T, Milford C ABSTRACT Order full review View and/or submit comments What's new in this issue Search abstracts ... Browse by Review Group A substantive amendment to this systematic review was last made on 16 February 2004. Cochrane reviews are regularly checked and updated if necessary. Background: The management of dysphagia (difficulty in swallowing), a common complication of long-term progressive muscle disease in children and adults, is currently unclear. Objectives: Our objective was to determine the most appropriate intervention for dysphagia in people with chronic, untreatable, non-inflammatory muscle disease. Search strategy: We searched the Cochrane Neuromuscular Disease Group trials register, Cochrane Central Register of Controlled Trials (Cochrane Library Issue 2, 2003), MEDLINE (from January 1966 to Week 2 June 2003), EMBASE (from January 1980 to Week 2 June 2003), AMED (from January 1985 to Week 2 June 2003), LILACS (from January 1982 to June 21 2003) and CINAHL (from January 1982 to Week 2 June 2003) and contacted authors of published studies and other experts. Selection criteria: Data collection and analysis: We identified no randomised controlled trials. We identified seven case series reporting the results of surgical intervention for moderate to severe dysphagia, and one reporting on the outcome of feeding advice and enteral feeding in children with a congenital myopathy.

88. Systematic Review Protocol - Dysphagia
Systematic Review Protocol. Identification and Nursing Management of dysphagia in Neurologically Impaired Individuals. Background. dysphagia, 10 , 248 254.
http://www.joannabriggs.edu.au/protocols/protdys.php

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Queensland Centre for Evidence Based Nursing Systematic Review Protocol Identification and Nursing Management of Dysphagia
in Neurologically Impaired Individuals
Background Objectives Criteria for considering studies for this review Search strategy Assessment of methodological quality Data collection Data synthesis Reference Background It is essential that nurses recognise early signs of dysphagia, and initiate referrals for expert assessment and management. Early recognition of risk factors, and commencement of appropriate early intervention can maintain and/or restore individuals' ability to sustain oral intake of food and fluid.(Gauwitz 1995). By developing awareness of the potential for swallowing difficulties and taking appropriate action, nurses have an important role in reducing adverse outcomes. A search of the World Wide Web identified sites presenting recommendations for maintaining oral nutrition for dysphagic persons, but as these recommendations are for public consumption, they are not supported by evidence. The sources of these recommendations will be pursued to determine whether and where they are supported in the literature. Objective: To review all available evidence on the nursing role in recognition and management of swallowing difficulties in neurologically impaired individuals.

89. DIAGNOSTIC APPROACH FOR DYSPHAGIA
Diagnostic Approach for dysphagia David A. Katzka, MD Michael L. Kochman, MD, FACP. The second categorization is into motility or anatomic causes of dysphagia.
http://www.asge.org/gui/clinical_info/updates/cu_ap_dy.asp
Home Contact ASGE Log On
Search site for:
Clinical Update Diagnostic Approach for Dysphagia
David A. Katzka, MD
Michael L. Kochman, MD, FACP
Dysphagia is defined as difficulty with swallowing or a sensation of the ingested food or liquid sticking or pooling at some point above the stomach. This is in contrast to odynophagia, or painful swallowing. Characterization of dysphagia is accomplished by noting the location of the sensation of food sticking, duration of sticking sensation, occurrence with liquids (thin versus thick) and solids (soft versus hard), association with pain or coughing, presence or absence of regurgitation, need for liquids to wash down the food, and the presence of difficulty
clearing saliva. Depending on the etiology, dysphagia may also be accompanied by nonesophageal symptoms. For example, patients with myasthenia gravis who present with dysphagia may note greater difficulty at dinner time than with breakfast or have other symptoms such as muscle weakness or ptosis. Patients with a reflux-induced stricture may have a history of heartburn or chest pain before effective proton pump inhibitor therapy. Patients with a proximal esophageal stricture may have a history of pemphigus vulgaris or lichen planus. Thus, a careful history in patients with dysphagia involves not only a detailed characterization of the cardinal symptom but also the potential associated symptoms. Finally, compensatory symptoms must also be elicited.

90. ASGE - Dysphagia
dysphagia specific therapeutic measures. H. Juergen Nord, MD, Editor. dysphagia. H. Worth Boyce, Jr., MD, FACP, MACG. Professor of Medicine
http://www.asge.org/gui/clinical_info/updates/cu_dysphagia.asp
Home Contact ASGE Log On
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Dysphagia Editor: H. Juergen Nord, M.D. Commentary
This premier issue of Clinical Update will introduce a new publication of the ASGE. Its main objective is to bring current practical information about the proper diagnosis and treatment of patients with digestive disorders to referring primary care physicians. Each issue of this quarterly publication will be devoted to a single clinical topic, discussed by a recognized expert. The discussion will include specific comments about the proper role and timing of endoscopy according to the Society's practice guidelines. In this edition Dr. H. Worth Boyce, Jr., a leading gastroenterologist with a special interest in swallowing disorders, addresses the important symptom of dysphagia, its varied clinical presen- tations, and many diagnostic clues that point the clinician toward the proper tests and correct diagnosis. The article discusses how upper gastrointestinal endoscopy identifies many patients who will benefit from specific therapeutic measures. H. Juergen Nord, MD, Editor

91. CODA - Guidelines
CODA GUIDELINES (Updated November 1998 to include DNS recommendations). SCREENING AND MANAGEMENT OF STROKE PATIENTS WITH dysphagia. dysphagia Screening Sticker.
http://www.ncl.ac.uk/stroke-research-unit/coda/coguide.htm
CODA GUIDELINES
(Updated November 1998 to include DNS recommendations)
SCREENING AND MANAGEMENT OF STROKE PATIENTS WITH DYSPHAGIA Key: SLT = Speech and Language Therapy MDT = Multidisciplinary Team
DNS = Dysphagia Nurse Specialist* DST = Dysphagia Screening Test
IVI = Intravenous Infusion NG = Nasogastric
SC = Subcutaneous GI = Gastrointestinal
A specialist nurse with advanced training in dysphagia management, responsible (together with SLTs) for staff training and audit of dysphagia management. The DNS should NOT be confused with nurses with basic training in use of the DST 1. TERMS
2. SCOPE and AIMS

The guidelines are focused on the screening and management of dysphagia, particularly in the early stages after hospital admission, before any food or drink are given. They also provide detailed recommendations for specialist referral. They are intended to be flexible and non-prescriptive and to provide an approach which can be followed by all members of the multi-disciplinary team.

92. MDchoice.com/Drugs.com - Emergency Medicine
Advertisement. As featured in published by Quadrant HealthCom, Inc. GI Consult dysphagia. Emerg Med 35(9)1419, 2003. What is the definition of dysphagia?
http://mdchoice.com/emed/main.asp?template=423&page=detail&type=3&id=1040

93. Posttraumatic Cervical Osteophytosis Causing Progressive Dysphagia
Posttraumatic Cervical Osteophytosis Causing Progressive dysphagia. ABSTRACT dysphagia is a commonly encountered patient complaint.
http://www.sma.org/smj/97aug20.htm
Posttraumatic Cervical Osteophytosis Causing Progressive Dysphagia PAMELA D. MCGARRAH, MD, and DAVID TELLER, MD, Fort Sam Houston, Tex
ABSTRACT: Dysphagia is a commonly encountered patient complaint. The differential diagnosis for dysphagia is extensive. One long-recognized etiology of dysphagia is cervical osteophytosis. Degenerative joint disease, ankylosing spondylosis, and diffuse idiopathic skeletal hyperostosis (DISH) can all cause cervical osteophyte formation. We describe a patient with dysphagia and a large cervical osteophyte. Our case illustrates cervical osteophytosis associated with a history of previous cervical spine trauma. Evaluation and management strategies are discussed. PHYSICIANS are frequently presented with the complaint of dysphagia. The differential diagnosis for dysphagia is extensive. The establishment of a correct diagnosis and an appropriate treatment plan can be difficult. Dysphagia due to cervical osteophytosis has long been recognized and may be caused by diffuse idiopathic skeletal hyperostosis (DISH), ankylosing spondylosis, or degenerative joint disease.1 CASE REPORT A 68-year-old man had a 2-year history of progressive dysphagia with solids. At examination, he could tolerate only soft foods and liquids, but his weight was stable. He was unable to swallow pills without crushing them. The patient was a non-smoker and a non-drinker. His only medication was Zantac for a history of peptic ulcer disease. He had no history of gastroesophageal reflux symptoms. He complained of occasional stiffness and pain in the neck and lower back for which he took over-the-counter pain relievers.

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