SpeechPathology.com Phone: 800-242-5183


Stepping Stones-EBS - We're Hiring - March 2022

How to Trial Textures with Your Patients

Tiffani Wallace, MA, CCC-SLP, BCS-S

March 2, 2015

Share:

Question

Should a patient participate in a modified barium swallow study to trial a bolus with different textures? 

Answer

Conducting a modified barium swallow study is the ideal way to assess our patients.  However, in the real world, we cannot always do that.  We know that sometimes the doctor says no, sometimes the patient says no, and sometimes insurance says no.  If there is no way to actually get your patient to do a swallow study, just watch your patient with these different textures and flavors to see how they respond, see how they react, and see what they do with these different textures.  Is there one texture that creates a faster swallow response?  Is there one where the patient has a stronger swallow response?  Does the patient cough on every texture that you have given him, except one?  That would be my starting point if I could not have my patient participate in a swallow study. 

Tiffani L. Wallace has been an SLP for over 13 years.  She enjoys working with patients of all ages, however has a special interest in adults with head and neck cancer.   Tiffani is the co-author of the app Dysphagia2Go by SmartyEars.  Tiffani is the administrator and creator of several Facebook dysphagia groups and the author of Dysphagia Ramblings.


tiffani wallace

Tiffani Wallace, MA, CCC-SLP, BCS-S

Tiffani L. Wallace has been an SLP for over 13 years.  She holds her Board Certified Specialty in Swallowing and Swallowing Disorders.  Tiffani enjoys working with patients of all ages, however has a special interest in adults with head and neck cancer.   Tiffani is the co-author of the app Dysphagia2Go by SmartyEars.  Tiffani is the administrator and creator of several Facebook dysphagia groups and the author of Dysphagia Ramblings.


Related Courses

Dysphagia in Neurodegenerative Disease
Presented by Debra M. Suiter, PhD, CCC-SLP, BCS-S
Video

Presenter

Debra M. Suiter, PhD, CCC-SLP, BCS-S
Course: #9732Level: Intermediate1 Hour
  'The presentation style was conversational, well paced and easy to follow'   Read Reviews
Dysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.

Treating in the Gray Zone: Post-Acute Care Considerations
Presented by Melissa Collier, MS, CCC-SLP, CHC, CDP
Video

Presenter

Melissa Collier, MS, CCC-SLP, CHC, CDP
Course: #10066Level: Intermediate1 Hour
  'Case studies, rephrasing and breakdown of some larger text references'   Read Reviews
This course helps post-acute care clinicians better understand how to approach treatment when things aren’t black and white. It addresses scenarios such as geriatric frailty/weight loss and diet modification, the paradigm shift to a patient-choice model, legal considerations regarding diet waivers, and the care plan process. The SLP's role on the post-acute interdisciplinary team is also discussed.

Decision Making for Alternate Nutrition and Hydration - Part 1
Presented by Denise Dougherty, MA, SLP
Video

Presenter

Denise Dougherty, MA, SLP
Course: #9581Level: Intermediate1 Hour
  'all the resources'   Read Reviews
This is Part 1 of a two-part series about alternate nutrition and hydration (ANH). This course reviews patient and family concerns that impact the ANH decision-making process, including religious beliefs and culture. Advance directives are discussed and resources for patients/families are provided.

Dysphagia after Traumatic Brain Injury: Etiology and Evaluation
Presented by Erin O. Mattingly, MA, CCC-SLP, CBIS
Video

Presenter

Erin O. Mattingly, MA, CCC-SLP, CBIS
Course: #8815Level: Introductory1 Hour
  'Clear and precise'   Read Reviews
This is Part 1 of a two-part series. This course will discuss dysphagia following traumatic brain injury (TBI). Specifically, etiology, characteristics, and assessment of dysphagia following TBI will be addressed.

Neurogenic Dysphagia in Older Adults with Motor Disorders: Part 1
Presented by Jeanna Winchester, PhD
Video

Presenter

Jeanna Winchester, PhD
Course: #9185Level: Intermediate1 Hour
  'Extensive information and case studies'   Read Reviews
This is Part 1 of a two-part series demonstrating the evidence related to neurogenic dysphagia resulting from various motor disorders in older adults. The bodily systems involved in dysphagia will be elucidated and advice for applying these concepts to clinical practice will be provided. Case studies of individuals with Huntington's Disease, Parkinson's and Lewy Body Dementia will be presented.

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.