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Who Should Not Be Considered For Free Water Protocol

Angela Mansolillo, M.A., CCC-SLP, BCS-S

June 23, 2014

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Question

What type of patient would I absolutely not consider for free water?

Answer

I would never consider water for a patient from whom it is just not comfortable; one who is coughing and coughing.  Those are patients I would not want to put through the burden of the water.  The other type of patient is one whose oral care has historically been bad.  You look at their mouth and you could brush their teeth today, but that is not going to be enough.  It is going to take much more than that to get the mouth clean.  For those patients, I think I would say let’s work on oral hygiene and clean the mouth up before we think about going forward with a water protocol.

Angela Mansolillo, M.A., CCC-SLP,BRS-S is a Speech-Language Pathologist and Board Recognized Specialist in Swallowing Disorders with over 20 years of experience. She is currently a senior Speech-Language Pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she provides evaluation and treatment services for adults and children with dysphagia and is involved in program planning and development for inpatient and outpatient programming including quality improvement initiatives, patient education, and clinical policies and protocols. 


angela mansolillo

Angela Mansolillo, M.A., CCC-SLP, BCS-S

Angela Mansolillo, M.A., CCC-SLP,BRS-S is a Speech-Language Pathologist and Board Recognized Specialist in Swallowing Disorders with over 20 years of experience. She is currently a senior Speech-Language Pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she provides evaluation and treatment services for adults and children with dysphagia and is involved in program planning and development for inpatient and outpatient programming including quality improvement initiatives, patient education, and clinical policies and protocols.  In addition, she is an adjunct faculty member at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts.  Over the course of her career, she has worked in a variety of clinical settings, provided numerous regional and national presentations, and lectured at several colleges and universities throughout Massachusetts. 

Ms. Mansolillo received her Bachelor of Arts degree in communication from Rhode Island College in 1983 and earned her Master of Arts in Speech-Language Pathology in 1985 from the University of Connecticut. She is a member of the American Speech-Language-Hearing association and is a member of Special Interest Division 13, which focuses on swallowing and swallowing disorders.


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