About The Book

Dysphagia Assessment and Treatment Planning: A Team Approach, Fourth Edition is an ideal resource for dysphagia courses in speech-language pathology graduate programs. The unique value of this book is its multidisciplinary approach. Too often, speech-language pathologists function clinically with insufficient interaction with, or understanding of, the roles of other professionals involved with their patients. This text incorporates information pertinent to the roles, tools, and views of a multidisciplinary dysphagia team, including physicians, speech pathologists, nurse specialists, and dietitians, who work together on a daily basis.

In this fourth edition, the organization has changed, with chapters concerned with assessment techniques coming first, and material addressing special populations comprising the latter portion of the text. This reflects what is likely a more typical approach to dysphagia in graduate courses concerned with the topic and one that complements teaching of the subject matter.

New to the Fourth Edition

  • The treatment chapter (Chapter 10) has been updated to reflect the current status of therapeutic approaches previously considered in treating dysphagic patients.
  • Chapters dealing with nursing (Chapter 11) and nutrition (Chapter 12) have been updated to incorporate the latest recommendations in nursing care and dietary considerations for patients experiencing dysphagia.
  • The pediatrics chapter (Chapter 13) has been expanded to address specific problems and needs not only of infants but also the entire spectrum of childhood.
  • A chapter devoted to the esophagus (Chapter 14) addresses new information on the management of esophageal disorders, including the novel double-balloon dilation of the UES and a device for manually opening the upper esophagus.
  • Chapters addressing special populations, including neurogenic disease (Chapter 15) and head and neck cancer (Chapter 16), incorporate the latest information regarding dysphagia and approaches to treatment pertinent to each group.
  • A brand-new addition to the book is Chapter 18, which addresses dysphagia associated with alterations to the spine as a consequence of either disease or surgery.
  • A major new inclusion in the current edition are materials utilizing a new software program, called “Swallowtail,” that permits the all-in-one measurement, display and storage of timing, displacement, and other measures from fluoroscopic studies.

About The Authors

Rebecca Leonard, PhD, CCC-SLP, is a Professor Emeritus in the Department of Otolaryngology at the University of California, Davis, and former Clinical Director of the Voice-Speech-Swallowing Center in the ENT Clinic. Dr. Leonard continues to be actively involved in research activities associated with the center. Her research interests include normal and disordered swallowing, changes in swallowing across the life span, development of quantitative radiographic techniques to assess the upper airway and esophagus during swallowing, aversive effects on structures of the upper airway associated with environmental stimuli (ozone), and the effects of ablative procedures on voice, speech, and swallowing and the rehabilitation of these effects with prosthetic appliances and reconstructive procedures. Her MS and PhD degrees are from Purdue University, and she is a Fellow of the American Speech-Language-Hearing Association.

Katherine A. Kendall, MD, FACS, completed her residency in Otolaryngology at the University of California, Davis. After residency, she joined the faculty at the University of California, Davis, where she was the medical director of the dysphagia team and the Voice, Speech and Swallowing Center and, along with co-author Dr. Rebecca Leonard, developed the Laryngology and Swallowing Assessment program. In 2004, Dr. Kendall joined the otolaryngology department at Park Nicollet Clinic in Minnesota. As director of laryngology services, Dr. Kendall was actively involved in education and training of speech pathologists in the area of voice and swallowing. Dr. Kendall joined the otolaryngology faculty at the University of Minnesota in 2007 and created a Voice Clinic at the Minneapolis VA Medical Center, offering multidisciplinary evaluation and treatment of voice and swallowing disorders. Dr. Kendall joined the Division of Otolaryngology at the University of Utah in 2012 and continues her work on the treatment of voice and swallowing disorders.

Table Of Contents

Introduction
Multimedia List
Acknowledgments
Contributors

Chapter 1. Anatomy and Physiology of Deglutition
Katherine A. Kendall

Chapter 2. Head and Neck Physical Exam
Katherine A. Kendall

Chapter 3. Clinical Swallow Evaluation
Susan J. Goodrich and Alice I. Walker

Chapter 4. Endoscopy in Assessing and Treating Dysphagia
Rebecca Leonard

Chapter 5. Radiographic Evaluation of the Pharynx and Esophagus
Jacqui Allen

Chapter 6. Dynamic Fluoroscopic Swallow Study: Swallow Evaluation with Videofluoroscopy
Susan McKenzie and Rebecca Leonard

Chapter 7. DSS: A Systematic Approach to Analysis and Interpretation
Susan McKenzie and Rebecca Leonard

Chapter 8. Dynamic Swallow Study: Objective Measures and Normative Data in Adults
Rebecca Leonard

Chapter 9. Other Technologies in Dysphagia Assessment
Maggie A. Kuhn

Chapter 10. The Treatment Plan
Rebecca Leonard and Katherine A. Kendall

Chapter 11. Nursing Evaluation and Care of the Dysphagic Patient
Ann E. F. Sievers

Chapter 12. Nutritional Concerns and Assessment in Dysphagia
Beverly Lorens and Katherine A. Kendall

Chapter 13. Pediatric Clinical Feeding Assessment
Anna Miles

Chapter 14. Esophageal Phase Dysphagia
Peter C. Belafsky and Catherine J. Rees Lintzenich

Chapter 15. Neurogenic Dysphagia
Jacqui Allen

Chapter 16. Dysphagia in Head and Neck Cancer Patients
Katherine A. Kendall

Chapter 17. Laryngopharyngeal Reflux
Catherine J. Rees Lintzenich and Peter C. Belafsky

Chapter 18. Spinal Abnormalities in Dysphagia
Derrick R. Randall

Index

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