Podcasts about Dysphagia

In this episode , discussing an important but rare cause of the Dysphagia - ZENKER'S DIVERTICULUM. Highlight the epidemiology, etiopathogenesis, clinical features, investigations, complications and the treatment of ZENKER'S DIVERTICULUM.

In this episode today I am discussing about the introduction of Dysphagia. I have highlighted about the anatomy and physiology of Dysphagia, various causes of dysphagia, symptoms and signs of dysphagia, investigations of dysphagia and diagnostic algorithm for dysphagia.

In this episode of the “Swallow Your Pride” podcast, host Theresa Richard speaks with Dr. Lauren Tabor Gray, a clinician scientist and assistant professor at Nova Southeastern University. Dr. Gray, who directs the Gray Research Lab, discusses her work on respiratory exercise interventions for ALS patients. The conversation covers the complexities of managing swallowing disorders […] The post 364 – Navigating the Complexities of ALS: A Deep Dive into Dysphagia and Airway Management with Dr. Lauren Tabor Gray appeared first on Swallow Your Pride Podcast.

Episode description RR discusses a case of dysphagia   Student discount https://www.rlrcpsolvers.com/student-discounts/   IMG discount Use coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan

Life in the intensive care unit can be overwhelming. Patients may be intubated, disoriented, and scared. Families may be looking for answers from any provider who enters the room. For SLPs, the environment is noisy and ever-changing, and the stakes couldn't be higher.On the podcast, SLPs take us behind the scenes to share stories from the ICU. In a wide-ranging discussion, they tackle the significant role SLPs play in managing dysphagia and communication there.From the recent history that led SLPs to begin working in the ICU, to the SLP's biggest ally in that environment, to what can happen to patients when they're discharged, guests Marty Brodsky (Cleveland Clinic; Johns Hopkins) and Marta Kazandjian (Stony Brook Southampton Hospital; Stony Brook School of Health Professions) share their insights and expertise.Learn More:ASHA Health Care Summit 2025: Grand Rounds in the ICUASHA Voices: The Difference Patient Counseling MakesWheeling AAC Support for Aphasia Into the ICUASHA Practice Portal: Tracheostomy and Ventilator DependenceTranscriptSupport for this episode of ASHA Voices comes from Medbridge.

In this week's episode SPA's Jessica Kaplonyi speaks with Tracy Lazenby-Paterson from the National Health Service and Royal College of Speech & Language Therapists in the UK, and Dr Arlene McCurtin from the University of Limerick in Ireland, about research into thickened fluids and people living with dysphagia. They discuss misconceptions about thickened liquids as an intervention, unintended consequences, re-examining client outcomes, and alternative approaches to achieve them. Resources: McCurtin, A., Collins, L., King, L., Lazenby-Paterson, T., Lisiecka, D., Leslie, P., McInerney, M., Moran, A., O'Keefe, S., Smith, A. (2024). Beyond thickened liquids: for your consideration. Journal of Clinical Practice in Speech-Language Pathology. 26: 2. 128-166. https://doi.org/10.1080/22000259.2024.2359368 Royal College of Speech and Language Therapists. Position paper on the use of thickened fluids in the management of people with swallowing difficulties. RCSLT Position Paper 2024. London: RCSLT, 2024. Available at: http://www.rcslt.org/members/clinical-guidance/dysphagia/thickened-fluids SPA Resources: SPA Position statement (public): The role of speech pathology in informed choice and shared decision-making in dysphagia. (Public) https://speechpathologyaustralia.org.au/resource?resource=107 SPA Practice guidelines (members only): Dysphagia https://speechpathologyaustralia.org.au/resource?resource=125 Informed choice and shared decision making with people who eat and drink with acknowledged risk: https://speechpathologyaustralia.org.au/resource?resource=521 Speech Pathology Australia acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past and present. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community and acknowledge that sovereignty was never ceded. Free access to transcripts and for a full list of resources / references for this podcast is available via the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create an account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2025) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.

What do rats have to do with swallowing disorders? More than you think! In this episode, we talk with Michelle Ciucci, PhD, CCC-SLP, a professor at the University of Wisconsin-Madison, to explore the important role of animal research in understanding swallowing disorders in neurogenic diseases like Parkinson's and Alzheimer's. Michelle explains how her lab uses […] The post 361 – Beyond the Clinic: How animal models are changing dysphagia research with Dr. Michelle Ciucci appeared first on Swallow Your Pride Podcast.

This is not a regular episode, but we are just as excited to share it with you. We were contacted by Tabby, the science editor of Science at One, a program on IC Radio at Imperial College London. She invited us for an interview as part of a radio feature on dysphagia. It was our … EP 39: Perspectives on dysphagia with Tabby Taylor Buck Read More »

Interview with Katherine A. Hutcheson, PhD, author of Manual Therapy for Fibrosis-Related Late Effect Dysphagia in Head and Neck Cancer Survivors: The MANTLE Nonrandomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Manual Therapy for Fibrosis-Related Late Effect Dysphagia in Head and Neck Cancer Survivors

Interview with Katherine A. Hutcheson, PhD, author of Manual Therapy for Fibrosis-Related Late Effect Dysphagia in Head and Neck Cancer Survivors: The MANTLE Nonrandomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Manual Therapy for Fibrosis-Related Late Effect Dysphagia in Head and Neck Cancer Survivors

Guest: Carolyn Dolby MS, CCC-SLPEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Establishing-PFD-and-Dysphagia-Services-in-the-SchoolsIn this episode, Michelle and Erin are joined by none other than Carolyn Dolby, MS, CCC-SLP, host of the “School of Speech” podcast, and sought-after speaker for how to implement pediatric feeding disorder and dysphagia care in the Schools Carolyn spends this hour sharing her first-hand experience on successfully establishing this PFD/dysphagia management in the Houston, TX school district and how she is doing it again in Portland, OR. If you have wanted insider knowledge on the screening, evaluating, and treating process, how to obtain district-level support, or simply where to start the process, then this is the hour for you.Watch the full video interview on YouTube: https://youtu.be/wh-8Lif_DVQ?si=PUPaqqddRWCOdc5z

This episode we invite SLT Kathleen Graham to join us to discuss all thing dysphagia related and how challenging the condition can be for those during the festive period. She shares tips on how best to support service users and relatives at this time, as well as considering the emotional implications for everyone involved with mealtime preparation.

Dysphagia impacts countless individuals, and whether you're a clinician, a student, or a researcher, you're part of the collective effort to understand and address this complex condition. But are we all speaking the same language when it comes to defining dysphagia? Surprisingly, the field still lacks a unified definition. In this episode, we welcome three … EP 37: What dysphagia is with Debra Suiter, Giselle Carnaby & Martin Brodsky Read More »

In this week's episode, Dr Jeanne Marshall and Dr Nicola Clayton both on the working party to update the SPA dysphagia guideline. Jeanne and Nicola speak about the changes to the field and how this has been reflected in the guideline. Resources: Paediatric feeding learning framework | Children's Health Queensland: https://www.childrens.health.qld.gov.au/for-health-professionals/clinical-education-and-training/paediatric-feeding-learning-framework SPA resources: Videofluoroscopic Swallow Study (VFSS) Guideline: https://www.speechpathologyaustralia.org.au/resource?resource=964 Neonatal practice guideline: https://www.speechpathologyaustralia.org.au/resource?resource=938 AI position statement: https://www.speechpathologyaustralia.org.au/resource?resource=935 Practice guidelines: https://www.speechpathologyaustralia.org.au/Members/Members/Professional-practice/Standards-and-guidelines/Practice-guidelines/Practice_Guidelines.aspx?hkey=6e59aa7e-8407-481c-af45-ae404a13a14c Learning Hub resources: Assessment and treatment of children with a restricted diet with Dr Jeanne Marshall: https://learninghub.speechpathologyaustralia.org.au/topclass/topclass.do?expand-OfferingDetails-Offeringid=896134 Assessment and treatment of feeding skills in children with Dr Jeanne Marshall: https://learninghub.speechpathologyaustralia.org.au/topclass/topclass.do?expand-OfferingDetails-Offeringid=895659 Speech Pathology Australia acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past and present. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community and acknowledge that sovereignty was never ceded. Free access to transcripts for podcast episodes are available via the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create an account. For more information, please see our Bio or for further enquiries email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.

In Septembers news:- Dysphagia dining event www.rcslt.org/news/people-with-d…dining-experience/- SLT voices - a new section on the website to showcase views from the world of speech and language therapy www.rcslt.org/news/rcslt-launche…lt-voices-section/- 80th anniversary next year www.rcslt.org/about-us/the-rcslt-at-80/- Connect England event for members: www.rcslt.org/events/rcslt-connect-england-2024/- Voices of the future careers event www.rcslt.org/events/voices-of-t…-language-therapy/- RCSLT student to newly qualified event www.rcslt.org/events/rcslt-stude…learning-day-2024/- Influencing in Westminster and mentions of speech and language therapy in maiden speeches in Parliament.- Darzi review www.rcslt.org/news/lord-darzis-n…ommunity-services/- Evidence given at Covid 19 Inquiry www.rcslt.org/news/evidence-give…-covid-19-inquiry/- Meeting new Welsh ministers and meetings in Northern Ireland- Scottish budget and health cutsPlease do take a few moments to respond to our podcast survey uk.surveymonkey.com/r/LG5HC3RThis interview was conducted by Victoria Harris, Head of Learning at The Royal College of Speech and Language Therapists and features Derek Munn, Director of Policy and Public Affairs at the RCSLT and Cara McDonagh, Director of Engagement and Communications.Release date:20 September 2024

Welcome to the Aphasia Access, Aphasia Conversations Podcast. I'm Ellen Bernstein Ellis, Director Emeritus of the Aphasia Treatment Program at Cal State East Bay in the Department of Speech, Language and Hearing Sciences, and a member of the Aphasia Access Podcast Working Group.  Aphasia Access strives to provide members with information, inspiration and ideas that support their aphasia care through a variety of educational materials and resources. Brief topic intro I'm today's host for an episode that will feature Dr Felicity Bright. We'll discuss her research looking at factors impacting wellbeing,  engagement and hope. Guest bio   Felicity Bright is a registered speech language therapist and associate professor in rehabilitation at Auckland University of Technology in Aotearoa, New Zealand. Her research examines cultures of care, and in particular, how the cultures and practices in rehabilitation respond to the needs and priorities of patients and those who support them. She has a particular interest in stroke and in the needs and experiences of those with communication impairment through her work, Felicity seeks to support practitioners services and rehabilitation organizations and to provide better person centered care. Listener Take-aways In today's episode you will: Explore how qualitative research promotes the nuanced study of meaningful clinical practice Consider cultural differences in well-being and what this might mean for how we work with people with aphasia and their support networks Reflect on the importance of having discussions with patients about hope and well-being Discuss how culture and organizations impact healthcare practice for individuals with aphasia Show notes edited for conciseness Ellen Bernstein-Ellis Felicity, welcome to our show. Thank you for agreeing to be our guest today. Felicity Bright  Thank you for having me. It's great to be here. Ellen Bernstein-Ellis  Welcome Felicity. We're going to start today with  an icebreaker question. The one you selected for today is, “Do you have  a favorite book or movie about aphasia? Felicity Bright  It was hard to choose one. Actually, I was just looking at my bookshelf and I went back to myself as a fairly new speech and language therapist quite a few years ago now. One that was really transformative for my practice was Talking about Aphasia by Suzie Parr and Sally Bing.  It's a classic, but it was a beautifully written book that really opened my eyes to the experiences of people with aphasia beyond all the technical work that we'd learned in university and so on, but it brought to life the humanity of the people who have aphasia, and really helped me rethink why I do what I do, and what the real impacts of aphasia can be for people. Ellen Bernstein-Ellis  Yes, that's a beautiful book that brings that all to the forefront. And I want you to say the title and author again, in case I spoke over you a moment ago, Felicity Bright The book is Talking about Aphasia and the authors are Susie Parr, Sally Bing and Sue Gilpin with Chris Ireland, Ellen Bernstein-Ellis We'll put that (i.e. citation)  into the reference list on our speaker notes. So thank you. And as we start today's interview, I was wondering if you'd like to share your path from clinician to researcher, because we've had several guests who have started in clinical work and then came to their doctoral work and research a little bit later. So,  I'd love it if you could share that with our listeners. Felicity Bright Sure. So I worked as a speech and language therapist in New Zealand. We are speech language therapists. I worked in a range of neurological settings, from acute stroke neurosurgery, did a little bit of ICU, did some rehab in inpatient services and in community, and really enjoyed that work, but I'd always had a long standing interest in research. I was a bit of a geek, you know, When I was in training, that was, that was me,  I was the geek. And so I'd always kind of expected at some point I would go down the research track. It was prompted after I had my first baby, and my work required me to either go back full time or to not work. And so at that point, I chose to not go back to work full time, and a research job came up at Auckland University of Technology, and I'd followed their work for a while. We don't do speech therapy here, it was rehabilitation research, and I was offered an opportunity to be a research officer doing interventions as part of a randomized control trial with people with traumatic brain injury. And so that kind of gave me the space to bring together some clinical work, but also some research work. It gave me the opportunity to do my Masters alongside this with my fees paid. So that was fantastic. And it really solidified for me that I was quite happy and enjoyed being in that kind of clinical research space. And so I've been in the university now for 15, nearly 16 years Ellen Bernstein-Ellis  Wow, that's a great story. So now you have a 15 year old, right? Felicity Bright I have a 16 year old who is now taller than I am. Ellen Bernstein-Ellis Well, thank you for sharing that.  I'm just really looking forward to a discussion around some, what I consider critical but hard to define and challenging to research topics. like engagement, wellbeing and hope.  I want to start by asking, how did you end up researching a topic like engagement or hope? You did say during our planning meeting that you research things that you're bad at, which made me laugh. So that sounds like some courageous and reflective exploration. So maybe talk a little more about that. Felicity Bright Yeah, I am a bit of a selfish researcher. I research the things that I find tricky and a little bit hard, because for me, I want to learn how can I do better at this? How can I help my students learn how to be better in these areas? How can I help clinicians not make the mistakes that  I've made. I guess trying to be a better clinician has been at the heart of a lot of the work that I do. And you know, when I was working full time in clinical practice, I had patients who would stick with me where I just felt I let them down. They had such a short window of rehabilitation access. They were living with stroke for the rest of their lives. They maybe had eight or 12 weeks of speech therapy. There were just times when I really felt I missed the mark for them, when they didn't get the best rehab they could have had. And it was when I was working in the university in this randomized control trial of goal setting interventions after traumatic brain injury that it started to help me reflect on some of the why I was maybe having some of the challenges I was having. So in this trial, which was quite prescribed because it's a randomized control trial, I was noticing that patients seem to be engaging with these interventions a lot more than the people who I worked with in clinical practice, and that kind of surprised me a little bit. I also noticed that-- we were using Mark Ylvisaker's approach to goal setting around what  is meaningful identity based goal setting--and people were identifying hopes and goals and dreams that would have left me panicking as a speech and language therapist. What do I do about this? But it made me realize, actually, I didn't need to panic about that, and there were ways to engage with people about their hopes and dreams that honored those hopes and dreams, that kept them alive. But also, I could see ways that  I could work with this. I could bring my speech therapy hat and help people. And so it highlighted to me that maybe the things that I had perceived to be difficult or issues, didn't need to be and there were ways to think about these things differently and ways to work differently to better support people. So working on this trial, and I did some quite structured reflection around that with some of my colleagues, writing in auto ethnography around this, gave me the opportunity to reflect on these areas, but also highlighted that there was the real opportunity to do more nuanced and more detailed research that would bring to life different ways that we could support people to hold hope, to engage in rehabilitation that is meaningful and that might be able to produce some quite tangible suggestions to support clinicians and to support the people with stroke who we work with. Ellen Bernstein-Ellis  I just want to say that these intangible, some what we call intangible topics that you've tackled, you always seem to end with tangible suggestions, and that's what I have found so inspiring. And we're going to circle back to hope in a few more questions. But, I just want to say, not only has my clinical thinking been informed and inspired by your research topics, but I've also just learned so much from the variety of qualitative methodologies that you've used in your work. I was wondering if you could share how you developed your expertise in qualitative research, maybe even offer some tips to people wanting to develop their own skill set. And okay, maybe I'm being a little selfish interviewer. You just said selfish researcher, but I found this challenging, and I've been trying to dip my toe, or I've fallen in head first,  trying to develop my skill set around qualitative research. What's your advice?  Felicity Bright  I was really fortunate. I came into research, into a team that had qualitative expertise and that used a variety, but not a wide variety, of different qualitative approaches. And it was a team, and still is a team, that has really high standards for methodological rigor. So to us, it's really important to do research that is robust and rigorous and that anchors back to the underpinning theory and philosophy that underlies each of the approaches that we use. But I was also really lucky in my research that I had supervisors and bosses who really supported innovation, who didn't tell me, no, this is how we do things, who didn't expect me to come into a study and do it just as they had told me to do. But they created the space for me to explore when I was working as a clinical researcher, but also as a master's and as a PhD student. Really had no issues when I said I'm going to go to the library, and I would just sit in the library and read qualitative textbooks and come back with a completely hair brained idea, but that actually turned into something that was really interesting and meaningful. So the Voice Centered Relational Approach that I've used a number of times came from sitting in the library one afternoon and just reading Feminist Research Methodology books. And I think one of my tips would be read outside speech and language therapy. There's amazing work that is happening, not just in the health disciplines or education spaces, but I love reading health sociology journals. I get notifications of a number of different journal types that alert me to different work. One of my recent projects I used Applied Tensions Analysis, which I'd never heard of, but I had a notification come across for a paper about domestic violence settings and kind of how services work. That's not in my area of research or clinical expertise, but there was something within that abstract that made me go, oh, there's an idea there that is similar to the ideas that I'm trying to get at in my stroke research. And so reading widely, I use Twitter a lot as a way of, kind of coming up to date with different research. I use trial and error. I've tried things and got them terribly wrong. I tried Grounded Theory  for about a year for my Masters, and it was atrocious. But also I found that doing research with people with aphasia pushes you to be innovative. A lot of the methodologies as they are published don't necessarily quite fit with the types of interviews or the types of data that we have, and so for me, that's provided an opportunity to test and do things differently. Ellen Bernstein-Ellis I mean, that's an inspiring response and encouraging support. So thank you. During our planning discussion, you also referred me to the Life Thread model and the 2008 article by Ellis Hill, Payne and Ward. What a wonderful article. So thank you for that. I was particularly taken with its implications for clinical practice and how it might guide us in asking questions in a better way to help us understand the social realities of our clients, to prioritize that. To understand how important the social reality is for our clients. Could you please share with our listeners some of the core concepts of the Life Thread model and how it's informed your work? Because I do see the connection there. Felicity Bright  Yeah, I came across this, Carolyn Alice Hill, who developed it, I think, as part of her PhD, was a collaborator of one of my PhD supervisors, and so Cath put me onto it. But the Life Threads model is about identity. And Carolyn's work was in stroke, and she was kind of talking to how identity changes and develops over time. And the Life Threads model talks to how our lives and our identities are made up of many threads, and those threads, they can change over time. But when there's a traumatic event like a stroke, it can cause some threads to break or be frayed, and that can be really challenging. We know there's a lot of work around aphasia and identity construction and identity loss, that's come around. But also what we know is that stroke can also prompt people to think about what are the threads that they want to continue post stroke.  Maybe there are some threads, I found in my hope research, where people are saying,”I don't want to be that person anymore. That's not something that I value”, and for them, sometimes the stroke could be an opportunity to rethink what are the threads that I now want to bring into my life as I weave this new identity of somebody post stroke, but still continues threads that have come through from before the stroke. We know from the hope research that I was doing that it was often really hard for people to see these threads.  It kind of felt like there was a pre-stroke life and a post-stroke life, and that there was quite a disruption. Those threads were cut. And so for me, it prompted questions about how do our conversations as clinicians help people identify the threads that are important for them to thread through their life. What are the new threads that they want to pick up on? You know, some of the work I've done, and we will talk about this a bit later on, around life after stroke, has highlighted how actually a lot of the conversations that happen between clinicians focus around things like tasks and activities and doing things, but there isn't necessarily a lot of conversation about identity or about what is meaningful and what do people want to carry through, and how can clinicians support that? And I would say that if we can kind of tune into the threads that matter to people or that people want to matter in their lives, it gives us a chance to tailor therapy to be much more personalized, more meaningful and more engaging, and I would suggest, probably leads to better outcomes for people. What we know from quite a bit of the research, not just my research, but other work, is that people are often doing this identity work on their own, without support. And we know that it's really hard, because our identities are social and they're relational, and they occur through connection and through communication, all of these things that are disrupted by aphasia, often. And so I think the Life Threads model really prompts us to think how can we as clinicians, support people to engage in conversations about identity, and how can we overtly, really attend to supporting identity within the work that we do. Ellen Bernstein-Ellis  Wow, that's beautiful. And yes, I think there's been, fortunately, a growing understanding of the importance of looking at the lack of support for this identity work with us with our clients, and I can really see how the Life Threads model has played an important role in your thinking and research. I recommend our readers to the article because it has some great examples of how to maybe flex the way you ask questions to help understand the narrative better. So I think it's, a marvelous article, I just want to take a moment and let our listeners know about the fabulous interview that you did with Michael Biel on the ANCDS podcast where you discussed engagement and ways you might incorporate Goal Attainment Scaling to help our clients establish meaningful goals.  I'll put the link to that, along with the citations to all of the work we're discussing today in our show notes. That also gives me a chance to say I don't have to cover everything today, because he did a really good job on those topics. But at the end of that podcast with Michael, you highlighted what was coming next, and that was your work on wellbeing. You've been exploring, and this is a quote by you, “what does it look like to explicitly attend to holistic, long term wellbeing?” Can you discuss some of the takeaways from your 2024 article, Psychosocial Well being After Stroke in Aotearoa, New Zealand, a Qualitative Meta-synthesis with your co authors, Ibell-Roberts and Wilson. Maybe we can just start by talking about the term psychosocial wellbeing. That's an important one to understand, but it can vary depending on one's cultural context.  Just to start with that, so yeah, good luck with all of that! Felicity Bright  It's a massive question, and it's funny, I started with the term psychosocial wellbeing, and I really intentionally used the language of psychosocial to kind of move away from thinking about just psychological wellbeing, which tended to be framed more from a mood perspective. And so I really wanted to be attending to some of the emotional, and the social, and the relational elements of wellbeing. But actually, I've now dropped the psychosocial because what we found is, when we talk to our people with stroke in the community, as part of our research, that term is completely meaningless to them, but the term wellbeing is something that resonates. Wellbeing is a really, firstly, a really nebulous term, but it's also really multifaceted. And I guess the place we've come to is, we view wellbeing as kind of quite unique to an individual, but it's deeply relational, and it's influenced through connection with people, with their cultures and with their communities, and all of those areas need attention. Now, in this piece of work that you referred to, Qualitative Metasynthesis, we were looking across the literature in Aotearoa, New Zealand, when we look at all the work that's been done, looking at life after stroke, and living life after stroke, what do people say about wellbeing and that highlighted that there were a number of features. Now, one thing I want to flag is that within New Zealand, we have an indigenous population, the  Māori population of New Zealand, who have been here for centuries before Pakeha came and colonized New Zealand. And one of the things that's been really important in our work is to really make sure that we are upholding the voices of Māori, who are often either not included in research, or are involved in research that is not particularly culturally safe, or where their perspectives are kind of subsumed within the wider perspectives of the dominant Pakeha, or European culture. And so one of the things we've been really lucky to do with this is to have my colleague BJ Wilson, who was leading the Māori stream, so she engaged with our  Māori data and literature uniquely. So we upheld that in its own right. That's context, because I'm going to talk to two different ways of thinking about wellbeing, one that was general from all of the literature and one that was specific to Māori . So when we look across all of the New Zealand literature, including the  Māori literature, we kind of saw there were probably four key areas that seemed to matter for wellbeing. Having strong connections with family, with old, pre stroke friends, but also with new friends, people who had also been through stroke and had some similar experiences. The sense of self that was connected, where people had a sense of being connected to who they were before the stroke, who they are now, and have an idea of who do I want to be in the future? And there was a sense of coherence, sense of thread that went between those identities. There was, when they experienced wellbeing,  a general sense of stability in the present. So things were okay now. It didn't mean that things were perfect. Some of the literature has suggested that people have to have positive emotions if they're going to have a sense of wellbeing. But actually, this qualitative meta synthesis, and the following qualitative work we've done has suggested, no, life is never 100% positive for any of us, but it's about having a balance of, yes, maybe there are some hard times, but also there are some good times as well.  That overall, there's an equilibrium of emotions, Ellen Bernstein-Ellis  Right the duality, like be able to hold the duality Felicity Bright  Absolutely and kind of be okay with it, recognize that each of them has a time and a place. People also, when there was a sense of wellbeing, had a vision for the future, kind of a sense of moving towards that. So, yes,  they were okay in the present, but they also had a sense that the present is not my future for the rest of my life. I can see a life that is meaningful and enjoyable, and I'm taking steps towards it. But when we looked at the literature from Māori, and this was the analysis led by my colleague, Bobby-Jo, it also came through ideas like whanaungatanga and ngā hono. So whanaungatanga talks to the notion of connections, and ngā hono talks to connections and kind of belonging as well. And that was a sense of connection to whānau. So that is to people's wider kinship networks, not just blood relations like a family would be, but to kinship networks who are meaningful to the person. Having a sense of connection and belonging in their community, but also to places of meaning. So not just people, but to places. We also notice an idea around ko ahau, so being connected to their identity as Māori, to their cultural identity, in a sense that their cultural identity was recognized and was valued and supported by those around them, including healthcare professionals. Ideas of mana and wairua. So mana talks to the inherent standing and value that an individual has. And we all know that in a healthcare context, actually, that can be diminished because you become a patient in the healthcare context. But actually, for wellbeing, having that mana recognized and valued and upheld was really critical. And when one's personhood is understood and respected, that also helped with the sense of wairua, I guess, the spiritual essence of the person. And finally, was the notion of rangatiratanga, which is about autonomy and control and the ability to make decisions for oneself.  We can see that while there were similarities between our  Māori and our non-Māori groups, there were also cultural differences. So for wellbeing, for Māori, had wider integrations with their sense of whānau, their family and kinship networks, and for their culture and wellbeing was unique for each whānau within the research. Ellen Bernstein-Ellis  I'd like to take a moment and have you elaborate a little bit more on that concept of the relationship of whānau to wellbeing, and how the whānau may be impacted by the stroke and subsequent aphasia. So often our family and support network does not receive direct attention. And here, you're elevating it quite a bit, so maybe you could speak to that a bit more. This is really top of mind for me, because I just went to a think tank meeting and hearing the stories of the care providers saying, I'm not sure I mattered in this equation of my spouse's health care rehabilitation.It just really struck me to hear that. So please, let's talk a little bit more about those values. Felicity Bright  Yeah, absolutely, for all of the people in our wellbeing research and in the previous hope research and so on that I've done, kind of people's whānau, their family and their social connections were absolutely critical to their recovery. And what came through, when we were looking at Māori experiences, was particularly also the intergenerational aspect, like sometimes within stroke services, we might think about the partner a little bit, not always particularly well. And I'll talk to that in a minute. But actually, we could also hear within our  Māori whānau, kind of the impacts for generations above and generations below, like the disruption to relationships between grandparents and grandchildren, and how the grandparent who may have aphasia, would usually have a really critical role in passing on family knowledge, or passing on Matauranga, kind of Māori cultural knowledge. But actually, because of the way the stroke affected them, they couldn't do that and take that role on, and so that impacted not just on the relationship, but also kind of on the identity and how Māori culture could be passed on through a whānau unit. But we've also heard exactly what you talk about. Our services are focused around the person with stroke rather than their whānau, but our services are also really short term. And so what  we can see from the research is that the family and the whānau become the connectors and the supporters. They are the consistent people. They hold, usually, deep knowledge of the person that often the healthcare professional doesn't hold. And we're doing some work at the moment around communication access in stroke units.  And even in the context of really significant aphasia, we're hearing about how whānau, even though they don't know about aphasia, they don't know about communication strategies.  But because they know how to read the person, they know their non verbal communication, they are actually really powerful translators, and hold the expertise that, actually, we don't hold as Speech and Language Therapists.  But we also know that the whānau are key in helping people access supports outside the healthcare system, and they do a lot of that navigation work that they are left to do because the healthcare system doesn't do it very well. And like you say, that's really challenging when the whānau's well-being is impacted themselves, you know, but that isn't seen consistently, and it isn't acknowledged. They very quickly become the carer, rather than, this is this person's wife and they've been married for 45 years. Or this is this person's husband, and they've got three young children at home. What is this going to mean for their relationship as a couple, for their relationship as parents? And so the families are talking to us about the exhaustion and the grief and the shock and the loss.  The relief that the person is alive, but again, the duality, there is relief, but there is also distress from the way that the stroke is impacting. And so we would really be calling for much more focus on everybody's wellbeing in this context, because if the wellbeing of whānau is not there, that impacts also on the wellbeing of the person. And I think we need to be shifting how we think about who is our client, whose needs do we serve, and what is our role in supporting the social and relational context around the person Ellen Bernstein-Ellis  That's beautiful. You really highlighted that role, the role of the whānau. And you also identify, Felicity, some other key contributors to wellbeing, and then how those might really impact our clinical goal setting, and I know that's always such an important aspect of how we think as clinicians. You have to document because we're in a system, which we'll talk about. Maybe you can share some other factors that you identified. Felicity Bright  Yeah, so I would be encouraging people to think about what are all the things that seem to support people's long term wellbeing? And those are things, like the relationships they hold within their family, but also within their social networks and within their work networks and so on, Thinking about the different emotions that people might be experiencing. Thinking about hope and what supports people to hold hope, and what do people hope for. Think about the connections that matter to people, the connections to people.  The cultural things that matter for people's wellbeing.  The connections to community activities and roles and so on. And think about the things that matter and are meaningful for individuals that usually fall outside our traditional SMART goals that we use in New Zealand, you know? Is it smart, specific, measurable, achievable, realistic, time bound? What is it? I would be saying our goal should be focusing on what makes a good life for this person. And I would be encouraging you, if you're a clinician, looking at the goals that you're setting for the person.  Where is the good life in those goals? Is that up front and center and documented on the page that everyone can see it? That's something I learned through my goal setting research. That was my first research job, the importance of taking people's words, putting their words on a page, and keeping the words where everybody could see it. So where are the things that support wellbeing and that constitute a good life in our goal setting? Where are they in the interventions that we're doing? And I would be really encouraging people to reflect on how they are making the links explicit between the therapeutic tasks and the things that really matter to people. Because we know from the engagement work that when people can see the link between what they're doing in therapy and what matters to them in life, it is much more likely to be engaging and is much more likely to support them to persist, even when it's difficult, because they can understand this is why I'm doing this thing. Ellen Bernstein-Ellis  Right? Oh, that's beautiful. That really leads nicely into another 2024 article that you've put out focused on wellbeing.  And that's The physical wellbeing is our top priority: Healthcare professionals' challenges in supporting psychosocial wellbeing and stroke services. That article examines what seems to be a mismatch between knowing as clinicians that wellbeing is important, right, and being able to specifically address it within our clinical context. So, we say that we want to, and we know it's important, but the ability to get there, it's quite challenging. I was wondering if you could highlight some of your findings and key recommendations. And I think one of those actually addresses the graduate curriculum. I think that is really going back to the beginning, right? So, please share some of the wonderful work from that article. Felicity Bright So the context for this work is, this is part of a bigger program of research I'm doing around wellbeing after stroke. And this isn't specific to people with aphasia, but we do have people with aphasia in the research.  This research came from this issue-- we've got decades of literature that says that wellbeing is important. We've got a body of literature that says clinicians know wellbeing is important, but we are persistently not addressing wellbeing, and we've got decades of patient experience data that says this is an unmet need. So I was really interested in understanding, why have we got this persistent mismatch between what is known what matters and what is done, and so using an approach called institutional ethnography to try and get into the cultures and the structures that contribute to this, the rationale behind that is I didn't want to be creating solutions that were going to be completely unattainable in the healthcare context. And so I wanted to understand what's going on in the structure of the healthcare system, and how might we be able to work with that or push against that, to create different ways of thinking about how we work to deal with this persistent issue. So this project, this part of the research, we were looking at, why are clinicians not seeming to address wellbeing? And so we interviewed over 30 clinicians, I think, within this research for a whole range of healthcare disciplines. What came through really consistently was everybody wanted to support wellbeing. Everybody thought it was important, but there were a number of factors that made it difficult, and we traced as to why that was so. Firstly, we can look back to when the person first comes into the service. They come into the emergency department. There's often a code stroke that's called. It's a time of really busy early biomedical focus around investigating the stroke, doing assessments. The first couple of days are about intervening to prevent another stroke or to prevent complications. And dysphagia assessment is a classic in New Zealand. Dysphagia assessment is usually prioritized over communication assessment because it is seen to have particular risks and contribute to particular complications. And so we've got this really early biomedical focus as people come through the first few days. Then the focus shifts a little bit to assessments and treating impairment in function. And when we were interviewing clinicians, they were talking about wanting to give people the best chance of recovery, and that linked to ideas around neuroplasticity and the importance of early intervention for maximizing neuroplasticity and brain remodeling. There was a real focus on addressing the practicalities like toileting and dressing and what was needed to get people home. And there was a view often that emotions could wait. We need to do the practicalities first. We can do the other stuff later. This was a time of focusing on helping people survive, get through and get home, and it was in the context of really busy wards.  You know, sitting and watching nurses work, they are flat out. They are understaffed, and they have very limited time to be doing these aspects of work. But all of this contributes in this wider healthcare system that in New Zealand, and I suspect internationally, is short staffed, underfunded. We've got more demand than we've got beds. There is a really strong focus on getting people home. Now that's not inherently bad. A lot of our people that we speak to want to be home. Home is a more healing environment for many people than being in hospital. But when the focus is on getting people home, and that is usually about, is the person physically safe to be home, what can happen is other forms of work and other impacts of stroke can be devalued or be forgotten. And what we could see is people were doing work to support wellbeing within this, but it was kind of a particular form of wellbeing work. They would acknowledge a person's emotions, if they came up through interactions.  They would be responding to the emotional cues that people gave off that they were maybe feeling a bit uncertain or a bit upset. They talked about the importance of listening to the person, but that was often couched in a ‘I can listen for so long, but then I need to get on with my session', because the assessment, the treatment, the moving people forward wasn't important, and they would look to others to help. But the problem is, I would say this, this did a really good job of dealing with the tip of the iceberg, the emotions that were on the surface. But if we think back to what I've just said about what matters for wellbeing,  relationships, connection, sense of self, hope, those things are not addressed. What we saw was that wellbeing was other to the core work of any individual discipline. That didn't work for anybody. Didn't work for our patients that we spoke to. It didn't work for our clinicians as well, because we could also see the moral injury and the burnout that comes when you can't offer the services that you know people are wanting and needing. And when we think about what do we do about that? Well, yeah, it's tricky, and I don't have any great answers, but training and education is one thing. So when we think about wellbeing as seen as other to the core business of the disciplines, we need to look at, what is it that we're teaching our students? What are we saying is core work of speech therapy or of physiotherapy or of nursing. I've got the privilege of chairing the accreditation body for speech therapy in New Zealand, and we are rewriting our accreditation framework at the moment that essentially dictates what programs need to teach. We now have a requirement that programs are teaching about psychosocial wellbeing, and that programs are assessing students on how they're addressing psychosocial wellbeing. We need to look at how pathways for care develop, and where is wellbeing within policies, processes, structures, documentation, Basically, it's nowhere. But we also need to look structurally, and we can talk a little bit more about structures and organizations and cultures, because I think what this work reflects is a wider issue around the cultures and the organization of care that can make it really challenging for clinicians to work in the ways that they do. Ellen Bernstein-Ellis  Oh my gosh, it's a beautiful, beautiful response. I think my favorite quote, and there were many in that article, but the one that said “people with stroke live with the impacts of a stroke system that is designed around biomedical short term care for a lifelong condition and deserve services that support them to thrive, not just survive.” I think it's what we need to bring back into the curriculum for our students to understand. And all of this ties into the importance of understanding how cultures and organizations, like you just said, of care, might impact the therapy we provide to our clients. Why do cultures and organizations of care matter? You're alluding to that. I think we've just started to reflect on that. Felicity Bright  Yeah, I've often felt there's a real risk with the research that I do that we could end up pointing the finger at clinicians of not doing things as well as they could or as well as they should. But actually, we need to understand why is this? Why does it make sense for clinicians to prioritize dysphagia over communication? Why does it make sense to prioritize getting people home, over spending the time on addressing their wider wellbeing? And I've been really lucky to work with Deb Hersh and Stacey Attrill, we did a piece of work that looked at this in the context of how speech therapists enacted therapeutic relationships. And we started by delving into why do people work in the way that they do? We started to see the cultural elements. So the needs, for instance,  your allegiances to colleagues, to be a good team player, to maintain your legitimacy. And particularly for speech therapists, who often have a slightly tenuous role in stroke teams. Physios and OTs are important, but speech therapists often have to kind of fight to kind of have their voices heard, and so that can lead to speechies behaving in particular ways. We can also see how cultures of safety impact on what people prioritize. So Abby Foster has done some beautiful work around the cultures of aphasia care and acute care, and highlighting that actually the priority for physical safety and managing dysphagia risk is privileged over the culture of or a need to think about what is the risk associated with communication and poor communication and people not having communication access. If we understand why people work as they do, and if we understand how the cultures and the structures work, then we can start to unpack them and think about what are the ways that we might be able to do things differently. You know, these cultural factors are very real, and none of them are inherently wrong, like it's not a bad thing that we're trying to prevent people getting aspiration pneumonia. That's really, really important, but we need to understand how these things shape practice and the unintended consequences that they might have for what is not valued and for what work isn't prioritized, and what outcomes don't actually seem to really matter in these contexts. And when we start to make these visible, then that opens up space to think about, how might we be able to do things differently, where we can maybe hold all of these things. And you know, in my work that I'm doing around wellbeing, that's the next phase of our work, is working with clinicians to think about, how might we be able to do things differently, so that it's not one or the other, it's not a dichotomy.  But how do we create space for all of these things to be viewed as important and to be prioritized? Ellen Bernstein-Ellis  You've started to dig into that already, because you have yet another 2024 article that you co-authored with Kayes, Soundy and Drown,  Limited conversations about constrained futures: exploring clinician conversations about life after stroke in inpatient settings. And that examines how clinicians talk about the future with their clients. It analyzes 300 hours of observation of clinical interactions, along with 76 interviews with people with aphasia and 37 clinicians. I just want to say that's an astounding undertaking. So, as I read it, it felt like almost an extension of your 2013 and  2020 articles looking at hope, because you connected how what we say can impact how our clients see their future possibilities. Can you share some of the themes you constructed from all of that amazing data collection? I mean, I'm sorry, I thought 15 interviews were a lot, so then I saw this, and I'm like, oh my goodness, amazing. Felicity Bright  It was a pretty massive piece of work, but it was a real privilege to be able to sit and just observe interactions. And I'm so grateful to our people with stroke, many of whom were like two or three days post stroke, and they had the stranger come along and sit there and observe them for 12 hours, but also to our clinicians, who were quite vulnerable in that process of having somebody observe and analyze what they were doing. But at the same time, I think that work is really valuable for looking at what is going on. What we could see is that the conversations that were being had tended to focus on quite a short term future, and we termed this theme constrained temporal horizons. When clinicians were talking about the future, the vast majority of those conversations were about the immediate future. For doctors and nurses--for nurses, it was often what needs to happen in this shift. For allied health and for doctors, it was what needs to happen before you discharge from our service into the next service. And for some allied health, it might be the first few days at home, but there was a view that talking about the longer term future beyond that should be done by other clinicians who might have more knowledge of what life could look like at that stage. We also found that the talk about quite a constrained future was in the context of actually very limited talk, in the first place. So when we think about communication access, for instance, we think, oh, people with aphasia aren't getting very good communication. Actually, lots of people with stroke are not getting very good communication. Again, thinking about cultural factors, but actually communication is not happening well in stroke units, or, I think within the wider healthcare system.  You know, we've got a very task focused, medically focused situation. And so the conversations that were happening were on topics that were led by healthcare professionals, on the topics that they felt mattered-- the tasks they needed to do, the body structures and impairments. The goals that were set were about what needs to happen before somebody gets home. There was little talk about emotions. There was little talk about how you're feeling about what's going on, or what it might be like for you or for your family when you go home. And so this talk about the emotions and so on and future possibilities was left to patients and to families to raise. And instead, the conversations tended to focus on what the healthcare professionals saw as essential topics for the episode of care. We certainly did see some conversations about the future. So I don't want to be disparaging, and I also want to acknowledge the very partial nature of research. I did not see every single interaction. I know that a lot of these quite personal conversations often happen in things like the shower, when the nurses or the OTS are helping the person shower.  That's one of the few private spaces on the ward. And so I want to acknowledge that my analysis is based on a limited data set, and it isn't based on all the conversations that happened, but certainly there was a trend towards limited conversations. We did see that clinicians would open some doors about the future. So they would talk about possible prognosis in the context of things like upper limb prognostic testing that is offered in some hospitals in New Zealand. We would see clinicians talk about what was meaningful to people, particularly in a context where the patient was struggling to engage, but often when the clinicians were talking about this wider future in this context, it was done to try and plant seeds about what the healthcare professional thought was realistic, and it was done to try and help the person engage in rehabilitation in the context of maybe struggling to engage at the best of times. So I think what we could see was that conversations were limited. They were limited conversations about short term, constrained futures that didn't necessarily set people up with hope for the future, with a sense of possibility, with a sense of even starting that process about what matters, to thinking about what matters to me, what do I want life to look like? Ellen Bernstein-Ellis  Wow, and that really just circles us back to that concept of hope. Your work in hope has just been so meaningful to me. I've been really honored to be the guest lecturer speaking about aphasia to our counseling course that's taught by Dr Shubha Kashinath at Cal State, East Bay. And I've included, from the beginning, your work on hope. I just feel it's critical to give our students ways to understand and think about this construct and the role they can have in offering some hope building clinical interactions. I'd like to close this interview by having you discuss some of your first work that I had the honor to read, and some of the hope affirming strategies that you suggest in your 2020 article. Because I just think that's really a gift. Felicity Bright  One of the things that really fascinated me in this work was how our people with aphasia in the research talked about how they look at their clinician and they are reading them to see, are you somebody who's going to give me hope or not? And if they didn't feel their clinician was going to support their hope or was going to help give them hope, or was going to disparage their hopes, they would shut down and they wouldn't share. And so I think, one of the things is to be reflecting on yourself.  What are the messages that you are giving about how you are a safe person to talk to, about whether you are somebody that they can engage in these risky conversations about? I think there's a couple of things as well. We need to recognize that just because somebody says they hope for something doesn't mean that they expect it to happen. We all have unrealistic hopes and expectations. You know,  psychologist colleagues talk to me about how actually having unrealistic hope is part of being psychologically adjusted, and why should that be different for people with stroke? Who are we to say that we hold the expertise. Now, that's not to say that there aren't challenges. So sometimes you might need to do a bit of a balance of, oh, is this something I need to engage in a conversation about? You know, an example is, if somebody is going to invest quite a bit of money in something that actually, there's no evidence to support and could potentially be problematic. There's a really good guideline I found from Christy Simpson, who's an ethicist, who talked about what are the positive effects that this hope has for people? What would be the impacts of taking it away, both positive, but also, what are the negative things that it would do? And so actually engaging in a bit of a risk analysis to think critically about what is holding this hope doing for somebody. Linked to that in the latest paper we did around recalibrating hope, it really highlighted to me the importance of trusting people to often recalibrate their own hopes. So I went back to my original participants from my 2013 research a couple of years later, and I looked at their experiences of hope over that time. And what we found was most of them recalibrated their hopes. They hoped for different things over that time, and they had done that as they engaged in different activities, as they tried things, as they considered their progress, as they rethought what mattered to them. And so that really highlighted, to me, the need to trust people, but it also highlighted the need to think about, how do we support a context that supports people to do that recalibration. Those who were more likely to recalibrate and hold both hope and realism together were people who had social networks, who were engaging in meaningful activities, and who had a sense of purpose and possibility. One of my participants didn't have that. They had lost their social connections. They had no activities in which they were engaging in what was meaningful, and their hope had shrunk. And so it talks to me again, those earlier conversations we've had about well being, thinking about what's meaningful, what supports wellbeing, that's exactly the same thing that supports hope. How are we supporting people's social wellbeing? How are we supporting their relational wellbeing? How are we helping them connect to what is meaningful and what is possible, not just to their impairments, and maybe what is not working so well. I think it's really important to be explicitly thinking about, what is it that helps people bring joy, have joy? What brings them peace in the present? And how can we help them have that sense that things are okay, even if they're not perfect, but also help them have that sense of looking to a future that's possible. Ellen Bernstein-Ellis  Okay, we only have a minute or two left, but I'm going to throw this last question out to you. Felicity, if you had to pick only one thing that we need to achieve urgently as a community of providers, of professionals, what would that one thing be? This is almost like your elevator pitch. You got 60 seconds here. So, so Felicity Bright  So my one thing, in a long, complex sentence, is that speech and language therapists need to reprioritize communication and supporting people to live well after stroke and aphasia, and they need to consider how we model to our colleagues and to our patients and families, and how we support cultures of care that value relationships and relational work, that value and support communication, and that value and support wellbeing.    Ellen Bernstein-Ellis  Oh my goodness, well said, Felicity. Thank you so much for the honor of having this interview today. I know it's going to be impactful to our listeners, and I want to thank our listeners as well. For references and resources mentioned in today's show,  please see our show notes. They're available on our website@www.aphasiaaccess.org and there you can also become a member of our organization, browse our growing library of materials and find out about the Aphasia Access Academy, and if you have an idea for a future podcast episode, email us at info@aphasia access.org.  For Aphasia Access Conversations,  I'm Ellen Bernstein-Ellis, and thanks again for your ongoing support of Aphasia Access. Thank you, Felicity. Felicity Bright  My pleasure. Thank you for having me.   References and Resources AUT Centre for Person Centred Research: https://cpcr.aut.ac.nz/our-research Biel, M. (Host). (2016). An interview with Felicity Bright: The patient's engagement and experience with you, the speech pathologist (No. 2) [audio podcast episode). ANCDS. SoundCloud.https://soundcloud.com/ancds/ep-2-an-interview-with-felicity-bright-the-patients-engagement-and-experience?utm_source=www.ancds.org&utm_campaign=wtshare&utm_medium=widget&utm_content=https%253A%252F%252Fsoundcloud.com%252Fancds%252Fep-2-an-interview-with-felicity-bright-the-patients-engagement-and-experience  Bright, F. A., Ibell‐Roberts, C., Featherstone, K., Signal, N., Wilson, B. J., Collier, A., & Fu, V. (2024). ‘Physical well‐being is our top priority': Healthcare professionals' challenges in supporting psychosocial well‐being in stroke services. Health Expectations, 27(2), e14016. Bright, F. A., Ibell-Roberts, C., & Wilson, B. J. (2024). Psychosocial well-being after stroke in Aotearoa New Zealand: a qualitative metasynthesis. Disability and Rehabilitation, 46(10), 2000-2013. Bright, F. A., Kayes, N. M., McCann, C. M., & McPherson, K. M. (2013). Hope in people with aphasia. Aphasiology, 27(1), 41-58. Bright, F. A., McCann, C. M., & Kayes, N. M. (2020). Recalibrating hope: A longitudinal study of the experiences of people with aphasia after stroke. Scandinavian Journal of Caring Sciences, 34(2), 428-435. Bright, F. A., Kayes, N. M., Soundy, A., & Drown, J. (2024). Limited conversations about constrained futures: exploring clinicians' conversations about life after stroke in inpatient settings. Brain Impairment, 25(1). Ellis-Hill, C., Payne, S., & Ward, C. (2008). Using stroke to explore the life thread model: an alternative approach to understanding rehabilitation following an acquired disability. Disability and rehabilitation, 30(2), 150-159. Foster, A., O'Halloran, R., Rose, M., & Worrall, L. (2016). “Communication is taking a back seat”: speech pathologists' perceptions of aphasia management in acute hospital settings. Aphasiology, 30(5), 585-608. Parr, S., Byng, S., & Gilpin, S. (1997). Talking about aphasia: Living with loss of language after stroke. McGraw-Hill Education (UK). Simpson, C. (2004). When hope makes us vulnerable: A discussion of patient-healthcare provider interactions in the context of hope. Bioethics, 18(5), 428-447

In this week's episode Professional Practice Advisor, Jess Kaplonyi, speaks with Dr Shana Taubert about Videofluoroscopic Swallow Studies (VFSS) and SPA's newly published guideline. They discuss speech pathologist-led VFSS, the shortage of contrast agents, culturally safe studies, and the future of videofluoroscopy. Resources: SPA Practice Guideline Videofluoroscopic swallow study (members only): https://www.speechpathologyaustralia.org.au/resource?resource=964 Australian Radiation Protection And Nuclear Safety Agency [ARPANSA] (2008). Radiation protection of the patient: https://www.arpansa.gov.au/our-services/training/radiation-protection-of-the-patient Warren-Forward, H., Mathisen, B., Best, S., Boxsell, P., Finlay, J., Heasman, A., Hodis, D., Morgan, C., & Nixon, J. (2008). Australian speech-language pathologists' knowledge and practice of radiation protection while performing videofluoroscopic swallowing studies. Dysphagia, 23(4), 371-377. https://doi.org/10.1007/s00455-008-9151-6 Swallowing Rehabilitation Research Laboratory. (n.d.-b). Barium calculator. https://steeleswallowinglab.ca/srrl/best-practice/barium-recipes/iddsi-barium-calculator/ Swallowing Rehabilitation Research Laboratory. (n.d.-c). Instruction manual for ASPEKT-C method. https://steeleswallowinglab.ca/srrl/wp-content/uploads/ASPEKT-C-Instructions-for-Website-V1.0-Nov-18-2019.pdf Speech Pathology Australia acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past and present. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community and acknowledge that sovereignty was never ceded. Free access to audio transcripts for all Speak Up Podcast episodes are available via the Association's Learning Hub, you will need to sign in or create an account. 1. Go to: www.speechpathologyaustralia.org.au/Public/…e616542. 2. Filter – Format – Podcast – Search 3. Select the podcast of your choice 4. Enroll (you will need to sign in or create an account) 5. Add to cart – Proceed to checkout – Submit 6. You will receive an email Order Confirmation with a link back to the Learning Hub 7. The Podcast and transcript will be available in your Learning Centre For further enquiries, please email learninghub@speechpathologyaustralia.org.au

Brooke Richardson, MS, CCC-SLP/L is a hospital-based speech-language pathologist caring for adults with complex medical needs. She deeply values teamwork and collaboration to get the best outcomes for patients, across the continuum of care. Brooke is also the founder of The Modern MedSLP, a continuing education platform that helps medical speech-language pathologists grow and thrive. She's spoken internationally on topics like acute care, complex medical decision-making, and respiratory muscle training. When she's not doing all things SLP, you can find Brooke spending time with her family, enjoying a good cup of coffee, or planning her next travel adventure.   Brianna (Bri) Miluk, CCC-SLP, CLC is an outpatient and home-based speech language pathologist  whose professional focus is with infants and medically-complex children with feeding and swallowing disorders. Bri is also working on her PhD in Communication and Information Sciences through the University of Alabama with a research focus on pediatric feeding misinformation on social media. Bri is the owner of Pediatric Feeding Therapy which strives to provide evidence-based, high quality continuing education to professionals. She has spoken internationally on pediatric feeding disorders, manages the instagram @pediatricfeedingslp and is the host of the podcast The Feeding Pod. When she isn't working or studying, she enjoys playing kickball and making reels like a true millennial!

While we often like to talk about research findings that shows us statistical significance in data and solid numbers we can lean on for treatment approaches… What about the kind of data that ISN'T objectively measured? The kind that shows us what patients or other clinicians experience think, or believe. I'm talking about qualitative research! Is qualitative research viewed as “less reputable” than quantitative research? What kind of valuable information can we pull from patient experiences, opinions, and views? Beatrice Manduchi PhD, MSc, BSc (SLP) is here to talk all about it in today's episode of the Swallow Your Pride podcast! Beatrice is a speech-language pathologist who went from clinician to researcher and is currently working as a postdoc fellow at MD Anderson Cancer Center. Beatrice specializes in dysphagia, particularly in head and neck cancer. Tune into this episode to take a break from numerical data and explore the world of qualitative research and its impact on dysphagia! Link to show notes: https://syppodcast.com/340 TIMESTAMPS: Qualitative Research Interest (00:03:20) Importance of Qualitative Methods (00:05:17) Qualitative Research vs. Quantitative Research (00:06:07) Impact of Qualitative Research on Dysphagia (00:09:37) Patient Perspectives in Research (00:10:51) Integrating Qualitative Research with Clinical Practice (00:12:14) Conducting Qualitative Research (00:15:02) Data Saturation in Qualitative Research (00:17:22) The Role of Frameworks in Qualitative Research (00:20:18) Passion for Patient-Centered Research (00:22:18) Understanding Bias in Interviews (00:23:16) Nuances of Interview Guides (00:24:18) Proactive vs. Reactive Therapies (00:26:11) Patient Comfort with Therapies (00:29:00) Streamlined Processes in Therapy (00:30:22) Patient Education Importance (00:32:52) Setting Diet Goals (00:33:56) Shared Decision-Making Challenges (00:38:01) Surprising Findings from the Study (00:39:17) Next Steps in Research (00:41:22) The post 340 – The Power of Qualitative Research in Speech and Language Pathology – Beatrice Manduchi PhD, MSc, BSc (SLP) appeared first on Swallow Your Pride Podcast.

In this podcast recorded in 2024, our guests Professor David Wright and Jan Flynn discuss how best to administer medicines to people with dysphagia.INFORMATION FOR HEALTHCARE PROFESSIONAL USE ONLY

Okay, this might sound like a trick question, but…What is dysphagia? This single question might be the most “swallow your pride” kind of question for medical SLPs yet… Because, believe it or not, we have yet to establish a standardized definition of dysphagia! Which is exactly why Martin B. Brodsky Ph.D., Sc.M., CCC-SLP, F-ASHA, and Debra Suiter PhD, CCC-SLP, BCS-S are putting together a conference called “Defining Dysphagia: In Search of a Unified Definition for the Aging Population” and are joining me on this week's episode of the Swallow Your Pride Podcast to talk about it! Dr. Brodksy and Dr. Suiter lay out the facts, questions, and barriers surrounding dysphagia definitions and how they impact clinical practice, research, and patient care. From the discrepancies between patient complaints and clinical definitions to the impacts that dysphagia has on coding and reimbursement, this single word has yet to reach a universal interpretation. The Defining Dysphagia conference is happening September 13th - 15th, and you can register now at https://syppodcast.com/definingdysphagia Timestamps:   Importance of Consensus Definition (00:28:32) Speaker Lineup for Saturday (00:30:58) Telehealth in Dysphagia Treatment (00:31:09) Neurodegenerative Diseases Focus (00:32:12) Clinical Relevance of Speakers (00:33:30) Speakers' Role in Delphi Process (00:34:12) Conference Structure and CEUs (00:36:35) Multidisciplinary Nature of Conference (00:39:14) Invitation to Attend (00:40:36) Conference Website Information (00:41:16) The post 337 – That's Not What Dysphagia Means: The Search for a Standardized Definition of One of the Most Important Words in Our Field. appeared first on Swallow Your Pride Podcast.

PhD Platform:Innovative Evidence-Based Assessment and Treatment of Oropharyngeal Dysphagia and Communication Disorders in Infants and Young Children at High Risk of Cerebral Palsy.Recorded live at AusACPDM from the main exhibition hall - the pod is a little noisier than the regular episodes but it does make it feel like you're right here with us in Cairns North Queensland!

First, Seven Minute Summary (SMS) highlighting all three articles 1. Dysphagia after ACDF 2. Microendoscopic Laminotomy for Spinal Stenosis with Spondylolisthesis 3. Staged Vs. Same Day Anterior/Posterior Fusion for ASD

Did you know that dysphagia can occur not only in people with head and neck cancer, but also in people with cancers outside the anatomical swallowing regions? This is an area that is often overlooked in clinical practice and is also an under-researched topic. To shed light on this important issue, we interviewed Prof. Ciarán … EP 32: Dysphagia beyond head and neck cancer with Ciarán Kenny Read More »

Today I discuss my work with a seven year old child who was tube fed starting at age 4 months. He had years of therapy but did not make progress and even with tube feeds, weight gain was poor. I had to unravel his past, explore his prior diagnostics, win his trust and form a plan. In two years, we reached our goals with PreChaining and Food Chaining therapy, nutritional rehab and a comprehensive feeding team care plan. Want to know how we did it? Listen…

Heidi is an inpatient speech-language pathologist at University of Virginia Children's Hospital. She works in their NICU, PICU, general peds floor, and serves as the primary therapist in their Early Developmental Clinic. In addition to her full-time SLP role, she also is a writer for The Informed SLP and content creator for Therapy Insights. She recently started the Virginia Pediatric Dysphagia Collaborative that seeks to connect inpatient SLPs across the state to engage in CEU events, learning, and networking. In her free time, she wrangles her former preemie who is now 4 years old and is on a mission to see all the national parks.   My email contact: jut2qr@uvahealth.org   If you're interested in joining the Pediatric Dysphagia Collaborative please reach out or if you're interested in help starting your own I am happy to help.  ____________________   You can listen to this episode wherever you stream podcasts and at www.3cdigitalmedianetwork.com/telepractice-today-podcast   Please rate, review, subscribe, and share this episode!   If you would like to be a guest on Telepractice Today, please send a brief biography and your contact information to todd@3cdigitalmedianetwork.com.   For advertising or sponsorship opportunities, please contact todd@3cdigitalmedianetwork.com.    

You know how dentists have those intraoral cameras that let patients see what's going on in their mouth? What if SLPs could use those as part of their dysphagia assessment?  Or as part of their biofeedback during therapy to check for residue and to see if certain compensatory strategies work? Just imagine quickly peeking into a patient's mouth with an angled intraoral camera and finding bread in the valleculae from the patient's last meal (which was two hours ago)! Turns out we can! James Curtis, PhD, CCC-SLP, and Ann Miles, PhD, are two SLPs and researchers who are exploring this idea and spill all the beans with us in this week's episode of The Swallow Your Pride Podcast! Join James and Anna as they discuss the intraoral camera and… The benefits of adding it to our dysphagia assessments Potential applications in therapy and patient education The pioneering work of Jose Vergara's team in Brazil Technical challenges Patient tolerance Current and future research Access to this instrument Tune in and give a shout-out to your local dentist for inspiring this idea! TIMESTAMPS: Initial exploration of intraoral cameras (00:05:42) Clinical application of intraoral cameras (00:10:44) Advantages and limitations of intraoral cameras (00:12:51) Procedure for using intraoral cameras (00:15:05) Challenges with intraoral cameras (00:19:01) Patient Positioning and Maneuvering (00:20:05) Challenges and Skills of Rigid Exam vs. Flexible Scope (00:20:56) Advantages of Intraoral Cameras (00:21:10) Importance of Post-Swallow Images and Video Clips (00:22:28) Sensitivity and Reliability of Intraoral Cameras (00:24:30) Comparative Research and Reproducibility (00:26:02) Limitations and Need for More Research (00:28:25) Cost and Infection Control Considerations (00:32:15) Integration into Clinical Protocols (00:33:42) Future Research and Implementation Studies (00:37:44) Intraoral Camera Use in New Zealand (00:40:09) Availability and Cost of Intraoral Cameras (00:40:56) Patient Populations for Intraoral Camera Use (00:41:38) Challenges and Benefits of Rigid Endoscopy (00:44:23) The post 333 – Can Intraoral Cameras Improve Dysphagia Management? Let's Zoom In… appeared first on Swallow Your Pride Podcast.

Thanks to Danny Voyes (human_transformer_90 on Instagam) and Derrek Cooke, owner of Derrek's Bags , for joining the Alex Garrett Podcast Nework. Derrek's Bags is an online store you can visit here: https://www.etsy.com/shop/DerreksBags. We talk about Spina Bifida and the love of baseball! I implore to also visit the New York State Spina Bifida Assocation here: https://sbanys.org/In addition, in honor of Dysphagia Awareness month, Danny and I talk about his progress made in swallow therapy.I present to you these conversations in hopes of finding that you are not alone on your journey as well as resources you may not have known about prior to this podcast! Thanks for listening! 

In this episode Liz and Jesse are joined by Dr Leisa Turkington to learn about disordered swallowing (dysphagia). Leisa is a senior speech pathologist and clinical researcher at RBWH with three decades of experience and a PhD to top it all off. This is so much more than the basics. Leisa's Five Things: What is disordered swallowing? How do you assess for dysphagia? Why is dysphagia dangerous? Who is at risk of dysphagia? Dysphagia and the bedside nursing considerations.

Informed Consent in Dysphagia: The Challenges of Balancing Patient's Rights and Provider Best Practices with Hillary Cooper, MA, CCC-SLP and Michelle Coffaro, MS, CCC-SLP​ Members link to the course quiz: https://medslpcollective.com/courses/informed-consent-in-dysphagia-the-challenges-of-balancing-patients-rights-and-provider-best-practices-replay-webinar/ 0.2 ASHA CEUs / 2 PDHs Available.  To get ASHA CEUS/ PDHs for this course, you can join the MedSLP Collective Membership here: https://medslpcollective.com/invite After this webinar, you will be able to… Identify three main components of the Patient Self Determination Act of 1990 that apply to the informed consent process. Describe the dietary modification recommendation informed consent process. Identify the differences between “coercive” and “non-coercive” strategies for ethically managing patients who choose diets other than what is clinically recommended. Agenda: 0-5 Minutes: Introduction 5-25 Minutes: Litigation in Dysphagia (an overview) 25-45 Minutes: All about the Patient Self Determination Act of 1990 45-75 Minutes: Waivers, Hospice, & PEGS, Oh My! 75-100 Minutes: Navigating the Informed Consent Process 100-120 Minutes: Case Scenarios/ Q&A Speaker Information and Disclosures FINANCIAL DISCLOSURE: Hillary Cooper will receive an honorarium for this webinar from Mobile Dysphagia Diagnostics. She is the owner of North Louisiana Swallow Solutions and Speech Therapy Services of North Louisiana, LLC, and receives a salary. Michelle Coffaro will receive an honorarium for this webinar from Mobile Dysphagia Diagnostics. She receives a salary from Midwest Speech Therapy, LLC, TriState Imaging and Swallowing Solutions, and West Chester Hospital. NON-FINANCIAL DISCLOSURE: Hillary Cooper is a member of the ASHA 2019 Convention Program Planning Committee – Business and Practice Management. Michelle Coffaro has no non-financial disclosures. The post WEBINAR: Informed Consent in Dysphagia: The Challenges of Balancing Patient's Rights and Provider Best Practices appeared first on The MedSLP Collective Podcast.

Comprehensive, relevant and insightful conversations about health and medicine from the largest healthcare system in the Maryland D.C. region: this is MedStar Health DocTalk.In our latest podcast episode, host Debra Schindler talks with thoracic surgeon Dr. Duane Monteith and gastroenterologist Dr. Dana Sloan for a comprehensive look into esophageal cancer. They discuss everything from early symptoms and risk factors to advanced treatment options like minimally invasive surgery. This episode is packed with valuable insights that could make a significant difference in early detection and treatment. For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.

Guest: Martin B. Brodsky, Ph.D., Sc.M., CCC-SLP, F-ASHA - In this episode, Michelle is joined by none other than THE Martin B. Brodsky, Ph.D., Sc.M., CCC-SLP, F-ASHA, Section Head for Speech-Language Pathology in the Integrated Surgical Institute at Cleveland Clinic and Adjunct Associate Professor of Physical Medicine and Rehabilitation and Pulmonary and Critical Care Medicine at Johns Hopkins University. Martin opens this hour, sharing his journey into critical care for adults and the role of mentors. Then Martin and Michelle deep dive into ICU delirium, discussing potential etiologies that could trigger it and how it could impact a patient's cognition and deglutition. The hour wraps with a discussion on the speech-language pathologist's role and responsibility to support patients across the life continuum with respect to the ethical timing of intervention. If you are an SLP who treats across the life continuum or are interested in working with adults, this is the episode for you!

Rehab following glossectomy surgery (aka surgical removal of some or all of the tongue) is critical to improving an individual's quality of life. So, what does dysphagia therapy after glossectomy actually look like? Inside this week's new resource by Katie Moore, M.S., CCC-SLP, you'll explore:

The feeding team evaluation and the oh so important first treatment sessions of the plan are discussed. This is the case history of a two-year-old born at 24 weeks. This child is a preemie grad with failure to thrive and aspiration of liquids. How do you start? Who needs to see the child? What does the home program look like? What other referrals do you need? Expand your team PreChaining therapy approach to meet the needs of the child and family. This episode is full of multidisciplinary ideas to add to your treatment program and I share ideas about how to expand the treatment program over time. Thanks for listening and Happy Chaining! --- Send in a voice message: https://podcasters.spotify.com/pod/show/cheri-fraker/message

Dysphagia is a condition in which the individual has difficulty swallowing. Proper swallowing relies on a complex coordination involving more than 30 nerves and muscles. When even one of these elements fails to work properly, dysphagia can result.  In this episode, you'll learn:  The four stages of swallowing…more complex than we realize! Causes of dysphagia Signs and symptoms of dysphagia (AKA: important things to watch for!) Complications of dysphagia Bedside swallow evaluations Diagnostic tests for dysphagia Modified diet textures Safety around feeding and aspiration prevention ___________________ Full Transcript - Read the article and view references. FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!  Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.

This episode features Grace Burnside, a second year speech language pathology graduate student at CU Boulder. This week Grace goes into detail about applying working in an inpatient/outpatient NICU and PICU as an graduate student intern. Grace shares the uniqueness of her experience including some of the opportunities to learn where many students don't AND what she found to be the most challenging! For students who are interested in being speech pathologists in a NICU or PICU or have any interesting in feeding in the early years, this episode is for you! ⁠⁠⁠⁠⁠ You can follow Grace on Instagram @grace_ryann11⁠ Follow us on instagram ⁠⁠⁠⁠⁠⁠@speechingitreal⁠⁠⁠⁠⁠⁠ Follow your host, Christy Ubieta ⁠⁠⁠⁠⁠⁠@christymarieu⁠⁠⁠⁠⁠⁠ Email anytime with questions or guest suggestions at speechingitreal@gmail.com

Get .1 ASHA CEU: https://courses.slpnerdcast.com/courses/podcast-quiz-foundational-knowledge-in-adult-dysphagia-abje0044Episode SummaryDɪsfeʒə? Dɪsfɑʒə? Təmeto, təmɑto? That is one of the many questions tackled in this week's episode with Dr. Lindsey Griffin, a leading professional in the field of adult dysphagia and assistant professor at Emerson College in Boston. For those of you not practicing in the field of swallowing, this episode will certainly ring some grad school bells as Dr. Griffin walks us through some swallowing bascs that include a refresher on the phases of swallowing and some tried and true strategies to support individuals with swallowing challenges (You guys remember the good ol' chin tuck, right?). Working in this area of our field already? You'll enjoy some powerful discussions on evidence-based, person-centered decision-making in dysphagia practice amongst several remaining resource and research limitations. Listen in and learn about the difference between restorative exercises and compensatory strategies, the why and how of tailoring intervention techniques to an individual's physiological impairments, and the role of technology in dysphagia care. You will no doubt find yourself following along with the maneuvers discussed, just make sure to swallow your coffee first!So, grab a plate of “minced and moist” snack foods and cozy up with Kate, Amy and Dr. Griffin for some nerdy swallow chat! You can learn more about Dr. Griffin here.Summary Written by Tanna Neufeld, MS, CCC-SLP, Contributing EditorLearning Outcomes1. Describe the difference between restorative exercises and compensatory strategies 2. Relate three restorative treatment techniques to the targeted physiological impairment3. Identify two devices used in dysphagia rehabilitationReferencesBhutada, Ankita M., et al. “Factors Influencing Initiation of Pharyngeal Swallow in Healthy Adults.” American Journal of Speech-Language Pathology, vol. 29, no. 4, 2020, pp. 1956–1964., doi:10.1044/2020_ajslp-20-00027.Humbert, Ianessa A., et al. “Swallowing Kinematic Differences Across Frozen, Mixed, and Ultrathin Liquid Boluses in Healthy Adults: Age, Sex, and Normal Variability.” Journal of Speech, Language, and Hearing Research, vol. 61, no. 7, 2018, pp. 1544–1559., doi:10.1044/2018_jslhr-s-17-0417.Martin-Harris, Bonnie, et al. “MBS Measurement Tool for Swallow Impairment—MBSImp: Establishing a Standard.” Dysphagia, vol. 23, no. 4, 2008, pp. 392–405., doi:10.1007/s00455-008-9185-9.Valenzano, Teresa J., et al. “Respiratory–Swallow Coordination in Healthy Adults During Drinking of Thin to Extremely Thick Liquids: A Research Note.” Journal of Speech, Language, and Hearing Research, vol. 63, no. 3, 2020, pp. 702–709., doi:10.1044/2019_jslhr-19-00163.OTHER REFERENCE ON LAPTOPOnline Resources:IOPI: https://iopimedical.comEMST (Expiratory Muscle Strength Training): https://emst150.com/IDSI (International Dysphagia Diet Standardization Initiative): https://iddsi.org/ Disclosures:Lindsay Griffin Financial Disclosures: Lindsay is an employee of Emerson College. Non-financial: Lindsay is a member of ASHA SIG 13 and the Dysphagia Research SocietyKate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast. Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG. Amy Wonkka financial disclosures: Amy is an employee of a public school system and co-founder for SLP Nerdcast. Amy Wonkka non-financial disclosures: Amy is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. Time Ordered Agenda:10 minutes: Introduction, Disclaimers and Disclosures20 minutes: Descriptions of the difference between restorative exercises and compensatory strategies 15 minutes: Descriptions of restorative treatment techniques to the targeted physiological impairment 10 minutes: Descriptions of devices used in dysphagia rehabilitation 5 minutes: Summary and ClosingDisclaimerThe contents of this episode are not meant to replace clinical advice. SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated. We are NOT PhDs, but we do research our material. We do our best to provide a thorough review and fair representation of each topic that we tackle. That being said, it is always likely that there is an article we've missed, or another perspective that isn't shared. If you have something to add to the conversation, please email us! Wed love to hear from you!__SLP Nerdcast is a podcast for busy SLPs and teachers who need ASHA continuing education credits, CMHs, or professional development. We do the reading so you don't have to! Leave us a review if you feel so inclined!We love hearing from our listeners. Email us at info@slpnerdcast.com anytime! You can find our complaint policy here. You can also:Follow us on instagramFollow us on facebookWe are thrilled to be listed in the Top 25 SLP Podcasts!Thank you FeedSpot!

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Ikuo Hirano and Dr. Margaret (Peggy) Marcon highlight why dysphagia may be overlooked and share insights from their own clinical practice on how to unmask EoE behind patients' adaptive behaviors. ADVENT is a medical education non-promotional resource for healthcare professionals organized by Sanofi and Regeneron. Learn more at ADVENTprogram.com. This podcast is intended for healthcare professionals only.   Disclaimer:  This program is non-promotional and is sponsored by Sanofi and Regeneron Pharmaceuticals, Inc. The speakers are being compensated and/or receiving an honorarium from Sanofi and Regeneron in connection with this program The content contained in this program was jointly developed by the speakers and Sanofi and Regeneron and is not eligible for continuing medical education (CME) credits Speaker disclosures: Dr. Ikuo Hirano, MD has received consultation fees from Adare/Ellodi, Allakos, Pfizer/Arena, AstraZeneca, Celgene/Receptos, Eli Lilly, EsoCap, Gossamer Bio, Parexel/Calypso, Regeneron, Sanofi, Shire/Takeda, Phathom, Nexstone. He has participated in clinical trials for AstraZeneca, Celgene/BMS, Regeneron, Shire/Takeda, Ellodi/Adare, Allakos and been a member of Speaker Bureaus for Sanofi and Regeneron. Dr. Peggy Marcon has received fees from Nutricia, Sanofi for education. © 2024 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. MAT-GLB-2304790 v1.0 03/2024 MAT-US-2402674 v1.0 - P Expiration Date: 03/07/2026

Guest: Eric Blicker, SLP.D, CCC-SLP, BCS-S - In this episode, Renee is joined by Dr. Eric Blicker for a productive discussion about the relationship between laryngopharyngeal reflux disease (LPRD), chronic obstructive pulmonary disease (COPD), and dysphagia. Eric provides evidence-based research to support the interplay between these disease processes and findings SLPs may see on FEES. Join Renee and Eric for a knowledge-filled, research-based discussion.

Almost a decade ago, our hospice and palliative care team decided to do a “Thickened Liquid Challenge.”  This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids.  The rules of the challenge were simple: fluids must be thickened to “honey consistency” using a beverage thickener for a 12-hour contiguous period. All of us failed the challenge. We then decided to challenge others and asked them to post their videos online using the hashtag #thickenedliquidchallenge.  Here are some of the results of those videos: https://geripal.org/the-thickened-liquid-challenge/ On today's podcast, we revisit dysphagia and thickened liquids with two researchers and speech-language pathologists, Raele Donetha Robison and Nicole Rogus-Pulia.  We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening.  We also talk about the importance of a proactive approach to involving speech-language pathologists in the care of individuals early on with neurodegenerative diseases like dementia and ALS. If you want to take a deeper dive, take a look at these articles: A nice overview of swallowing disorders in the older adults published in JAGS A study in JAGS showing that 89% of feeding tubes inserted during hospitalization were in patients with no preexisting dysphagia Nicole's article on shifting to a proactive approach of dysphagia management in neurodegenerative disease  

Have you ever worked with a patient with swallowing difficulties post anterior cervical discectomy and fusion (ACDF) surgery? Or maybe you've noticed surgeons don't even acknowledge the implications ACDF surgery can have on swallowing….. Medical SLP and NYU doctoral student in the Swallow Research Lab, Brynn Jones-Restelli, opens up the conversation to this tricky population on this week's episode of the Swallow Your Pride Podcast!Brynn walks us through a general overview of ACDF surgery, its nutritional implications, what we can expect to see as "normal abnormalities" post-ACDF surgery, and how to optimize post-surgical outcomes. You'll also get to hear about her current research and how she aims to characterize changes in swallowing associated with spinal disease and following spinal surgery.Ready to learn the ABCs of ACDF surgery and dysphagia? Tune in to this week's discussion and see what Brynn has to share about it! Get the show notes for this episode here : https://syppodcast.com/317 The post 317 – The ABCs of ACDF Surgery and Dysphagia appeared first on Swallow Your Pride Podcast.

Guest: Lindsay Stevens, MA CCC-SLP - Join Michelle and guest Lindsay Stevens, MA CCC-SLP, who brings her years of experience as a clinician and caregiver to help grow your evidenced-based practice regarding infant dysphagia. Are you unsure of what potential positional strategies you can employ to see little ones have joyful and successful feeds? If you have observed behaviors, signs, and symptoms that made you think the infant may need a thickening agent to assist, then this episode is for you. Lindsay is here to guide your clinical decision-making process by providing you with dynamic facts and resources to treat the littlest ones on your caseload!

From educating restaurant staff to bringing recipes to support groups, it's important to humanize dysphagia care.  And when it comes to fostering that approach with the head and neck cancer population, Theresa Yao, SLPD, MEd, MS, CCC-SLP will be the first to speak up! Tune into this week's episode of the Swallow Your Pride Podcast podcast to explore a holistic approach to managing dysphagia. Going beyond the bedside, Theresa shares the importance of considering personal factors, environment, and social participation alongside the swallowing impairment itself.  What does it mean to create a dysphagia-friendly community? How can you advocate for it? What extra steps can you take to help your patients with head and neck cancer - or dysphagia in general - feel more empowered?  Grab your notepad and prepare to get inspired. You won't want to miss this! Get the show notes for this episode here: https://syppodcast.com/313 Timestamps: Theresa Yao's background (00:01:21) The journey to voice and swallowing disorders (00:02:05) The importance of a whole-person approach (00:05:51) The whole person approach to dysphagia (00:06:51) Viewing patients as whole persons (00:08:51) The impact of dysphagia on social interactions (00:10:13) Involving patients in treatment planning (00:12:14) Creating dysphagia-friendly environments (00:15:58) The role of support groups in dysphagia management (00:17:55) The support group and patient empowerment (00:18:44) Support group advocacy and volunteer efforts (00:20:50) Community outreach and resources (00:21:57) Benefits of support groups for clinicians (00:25:14) Community engagement and awareness (00:27:06) Multidisciplinary team approach (00:28:28) Patient-reported outcome measures and quality of life assessment (00:30:44) Whole person approach and qualitative research (00:33:29) The post 313 – The Human Behind the Dysphagia: A Holistic Approach for Head and Neck Cancer Patients appeared first on Swallow Your Pride Podcast.

You know when a patient complains about swallowing difficulty and you do an instrumental, but everything looks fine? Excuse my lack of eloquence here, but…what the heck? This is often referred to as functional dyspahgia, and in this week's episode of The Swallow Your Pride Podcast, I had the absolute joy of talking about it with Jaimie Anderson MS, CCC-SLP, BC-ANCDS. Together we discuss the challenges that come with significant swallowing complaints that don't align with swallow studies, what functional dysphagia is, symptoms, diagnosis, and treatment options. Jaimie even throws in an analogy to help us better understand this mystery. Tune in and let us know what you think! Get the show notes: https://syppodcast.com/307 Timestamps: The challenges of diagnosing and treating patients with significant swallowing complaints (00:03:11) Introduction to functional dysphagia and its criteria (00:07:44) Excluding other potential causes of dysphagia before considering functional dysphagia (00:08:46) The challenges of limited treatment options (00:09:50) Diagnosing functional dysphagia (00:10:33) Inclusionary criteria for functional disorders (00:11:41) The challenges of diagnosing and treating patients with functional dysphagia (00:18:18) The importance of interdisciplinary collaboration in treating patients with functional dysphagia (00:19:45) The role of education and counseling in treating functional dysphagia (00:26:01) The software vs hardware analogy (00:26:49) Functional paralysis and neurological manifestations (00:28:15) Importance of education and counseling (00:31:49) The history of functional dysphagia (00:35:51) The challenges of diagnosing and treating dysphagia (00:37:09) Treatment options for functional dysphagia (00:39:47) The contact information and webinar announcement (00:44:58) The post 307- The Curious Case of Functional Dysphagia: What to do when the swallow looks fine, but doesn't feel fine. appeared first on Swallow Your Pride Podcast.

So you have a patient with dysphagia…what do you immediately start considering? Diagnosis…comorbidities…past medical history…past surgical history…current diet recs… ☝️Those are the typical go-to “textbook” checklist items, but there are other incredibly important considerations that will affect how you evaluate and treat your patient. These considerations impact your clinical recommendations and what matters most to your patients - and they deserve to be honored. I'm talking about cultural and religious considerations in dysphagia - which is exactly what Michelle Weber Dehgan MA, CCC-SLP, BCS-S & Kiana Gardner MA, CCC-SLP dive into this on this week's episode of the Swallow Your Pride Podcast! Together, we discuss the importance of cultural sensitivity in managing dysphagia. Michelle and Kiana highlight the significance of considering patients' cultural preferences, dietary restrictions, and access to food during evaluations and treatment recommendations. They share the results of a survey conducted among SLPs that highlight the challenges in accommodating nutritional preferences and religious and cultural beliefs. Tune in, take notes, and talk about what you learn with colleagues! Get the show notes at https://syppodcast.com/304 The importance of considering cultural preferences (00:04:34) Considering access to food and alternative options (00:06:50) Considering allergies and dietary restrictions (00:07:52) The Cultural Acceptance of a Simple Food (00:08:55) Impact of Hospital Menus on Patient Preferences (00:10:25) Survey Results on Speech Pathologists' Practices (00:12:20) Fasting during Ramadan and cultural rituals (00:17:56) Food preferences and cultural barriers (00:19:11) Patient-centered approach and cultural humility (00:22:06) Assumptions and Perspective (00:28:59) The therapy scheduling challenge (00:36:56) Catering to different cultural groups and partnering with food nutrition corporations. (00:46:41) The psychological impact of not being able to honor cultural or religious practices in the hospital. (00:47:44) The post 304 – Cultural Sensitivity in Dysphagia: Nourishing Patients Beyond Nutrition appeared first on Swallow Your Pride Podcast.

Today we're excited to bring to you the 300th episode of the Swallow Your Pride Podcast

“It flipped the whole household upside down. None of our meal times are quote-unquote normal...it's totally dysfunctional chaos.” ☝️This is the real and raw experience of Diane Wolff, dysphagia cookbook author and caregiver for her mother with dementia and impaired swallowing. This experience led Diane to write Essential Puree - The A to Z Guidebook: 67 Delicious Recipes for the Dysphagia Diet & Soft Food Diet, a cookbook addressing this overlooked aspect of care, including tips on simplifying recipes, cleanup, and food storage for families dealing with time constraints or challenges.  In this episode of the Swallow Your Pride Podcast, Theresa and Diane discuss the caregiver's journey and the need for more resources and solutions for loved ones living with dysphagia. From ditching food molds to piping puree onto colorful plates, Diane shares several of her recommendations to promote better dining experiences for everyone impacted by dementia and swallowing disorders. If Med SLPs can agree on anything, it's that food is more than sustenance. It's a way to connect, share love, and find joy in life. This episode dives into all of that and more with vulnerability and forward-thinking. Get the show notes: https://syppodcast.com/296 Timestamps: The importance of nutrition for seniors with swallowing disorders [00:03:08] Challenges of feeding a child with a feeding disorder [00:04:30] Creating easy and nutritious pureed meals [00:05:25] The importance of atmosphere and using pretty plates [00:10:07] Using a xanthan gum thickener for food consistency [00:11:18] Cooking the same recipe for the patient and the family [00:13:33] The nutritional status of the speaker's mother [00:21:30] Developing a line of pureed foods for hospitals and home healthcare [00:22:50] Patient and caregiver education on pureed foods and tools for the kitchen [00:27:07] Boosting the immune system during COVID [00:31:34] Collaboration between speech pathologists and other professionals [00:32:17] The caregiver's perspective [00:33:35] The post 296 – A Caregiver and Her Cookbook: How one woman's caregiving journey inspired a cookbook for dysphagia care appeared first on Swallow Your Pride Podcast.

Did you know there's a team of clinicians who come together each day in New York City to conquer dysphagia? In this episode of the Swallow Your Pride Podcast, Theresa Richard interviews Dr. Anaïs Rameau, laryngologist and trailblazer of New York City's first multidisciplinary dysphagia clinic! Together they discuss the concept, logistics, and benefits of an integrated swallowing disorder center that calls together a powerhouse team of dysphagia-serving healthcare professionals. This type of comprehensive care should be more accessible, and it's up to us to get the ball rolling. So, sit back, hydrate, and enjoy this inspirational episode. Get the show notes at https://syppodcast.com/295 The history of multidisciplinary dysphagia clinics [00:02:27] The Japanese transdisciplinary approach [00:06:39] Patient selection for multidisciplinary clinics [00:08:54] The assessment and intervention process [00:11:22] Logistics of the clinic and future considerations [00:12:36] Collaboration and teamwork in the clinic [00:13:43] The Dream Team of Multidisciplinary Specialists [00:21:44] The Role of Laryngeal ENTs and Manometry [00:25:27] Benefits and Challenges of Multidisciplinary Teams [00:28:55] The post 295 – The First Multidisciplinary Dysphagia Clinic in New York City: A discussion with the MD who started it all appeared first on Swallow Your Pride Podcast.

So a patient walks into a fluoroscopy suite, points to their throat, and says “I have trouble swallowing.” You do the VFSS, and their oropharynx looks…okay! Maybe even within normal limits! Now what? *The esophagus has entered the chat* In this podcast episode, Theresa Richard interviews Dr. Watts, a speech-language pathologist, researcher, and clinician scientist at the University of South Florida known for her work with esophageal dysphagia.  Get the show notes: https://syppodcast.com/293 The passion for esophageal dysphagia [00:02:19] The development of the REST protocol [00:03:30] Future research and expansion of the REST protocol [00:06:06] The nature of modified barium swallow [00:10:17] Screening protocol and next steps [00:11:23] Importance of multidisciplinary team [00:13:58] The implementation of esophageal dysphagia education [00:19:58] The prevalence of esophageal dysphagia and the need for further investigation [00:20:59] The importance of counseling and referrals in dysphagia management [00:23:06] The Art and Science of Fluoroscopy [00:29:04] Standardized Protocol for Reporting Results [00:30:18] Describing Aberrant Movement and Reporting Failed Screening [00:31:19] The post 293 – The Esophagus Has Entered the Chat: Understanding and Addressing Esophageal Dysphagia with Dr. Watts appeared first on Swallow Your Pride Podcast.