Dysphagia
Clinical Management in Adults and Children
- 3rd Edition - September 4, 2020
- Authors: Michael E. Groher, Michael A. Crary
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 3 6 4 8 - 3
Master the evaluation and treatment of swallowing disorders! Dysphagia: Clinical Management in Adults and Children, 3rd Edition provides the information you need to diagnose… Read more
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Request a sales quoteMaster the evaluation and treatment of swallowing disorders! Dysphagia: Clinical Management in Adults and Children, 3rd Edition provides the information you need to diagnose and manage dysphagia in patients of all ages. Emphasizing evidence-based practice, this complete resource covers topics from esophageal disorders to respiratory and iatrogenic disorders. This edition adds a new Aging and Dysphagia chapter and is updated with the latest research and advances in dysphagia management. Written by speech-language pathology educators Michael E. Groher and Michael A. Crary, this guide helps you develop clinical reasoning skills and learn today’s best practices in dysphagia management.
- Learning features include chapter outlines, learning objectives, and bullet-point summaries in each chapter, helping you focus on and master key content.
- Emphasis on evidence-based practice prepares you to make and then properly support your diagnostic and treatment decisions.
- Case histories promote critical thinking in realistic clinical situations.
- Critical thinking questions help you assess your knowledge and reinforce understanding of the material.
- Video clips on the Evolve companion website depict a range of swallowing disorders.
- Cover
- Title page
- Contents
- Copyright Page
- Contributors
- Preface
- Part I: Foundations
- Chapter 1: Dysphagia Unplugged
- What Is Dysphagia?
- Incidence and Prevalence
- Consequences of Dysphagia
- Who Manages Dysphagia?
- Levels of Care
- Take Home Notes
- Chapter 2: Normal Swallowing in Adults
- Normal Anatomy
- Normal Physiology
- Bolus and Delivery Variation
- Swallow and Normal Aging
- Neurologic Controls of Swallowing
- Take Home Notes
- Part II: Dysphagia in Adults
- Section 1: Causes and Characteristics of Dysphagia
- Chapter 3: Aging and Dysphagia
- Terminology
- Undernutrition
- Intervention
- Take Home Notes
- Chapter 4: Adult Neurologic Disorders
- Preliminary Considerations: Swallowing Symptoms and Neurologic Deficits
- Cortical Functions
- Swallowing Deficits in Hemispheric Stroke Syndromes
- Swallowing Deficits in Dementia
- Swallowing Deficits in Traumatic Brain Injury
- Subcortical Functions
- Subcortical Functions and Swallowing Impairment: Parkinson’s Disease
- Brainstem Functions
- Lower Motor Neuron and Muscle Disease
- Idiopathic or Iatrogenic Disorders of Swallowing That Resemble Neurogenic Dysphagia
- Take Home Notes
- Chapter 5: Dysphagia and Head and Neck Cancer
- Cancer as a Disease
- Treatments for Head and Neck Cancers
- Dysphagia and Head and Neck Cancer
- Assessment Strategies for Dysphagia in Head and Neck Cancer
- Therapy Strategies for Dysphagia in Head and Neck Cancer
- Take Home Notes
- Chapter 6: Esophageal Disorders
- Role of the Speech-Language Pathologist
- Structural Disorders
- Esophageal Motility Disorders
- Lower Esophageal Sphincter Abnormalities
- Gastroesophageal Reflux Disease
- Laryngopharyngeal Reflux
- Differential Diagnosis
- Disorders of the Pharyngeal Esophageal Segment
- Pharyngoesophageal Relations
- Take Home Notes
- Chapter 7: Respiratory Disorders
- Background
- Artificial airways
- Swallowing and Tracheotomy
- Aspiration Pneumonia
- Chronic Obstructive Pulmonary Disease
- Take Home Notes
- Chapter 8: Iatrogenic Disorders
- Background
- Postsurgical Causes of Dysphagia
- Traumatic Injuries
- Medications
- Take Home Notes
- Section 2: Evaluation of Swallowing
- Chapter 9: Clinical Evaluation of Adults
- Rationale
- Symptoms of dysphagia
- Signs of dysphagia
- Medical History
- Physical Examination
- Tests to Detect Aspiration
- Standardized Tests
- Supplemental Tests
- Take Home Notes
- Chapter 10: Imaging Swallowing Examinations: Videofluoroscopy and Endoscopy
- Considerations for an Imaging Swallowing Examination
- Videofluoroscopic Swallowing Examinations
- Endoscopic Swallowing Examinations
- Strengths and Weaknesses of the Endoscopic Swallowing Study
- Direct Comparisons between Fluoroscopic and Endoscopic Swallowing Examinations
- Take Home Notes
- Section 3: Approaches to Treatment
- Chapter 11: Treatment for Adults
- General Treatment Considerations
- Prepare Your Patient for Therapy: Medical and Surgical Interventions
- Which Techniques and What to Consider
- Managing Dysphagia Symptoms: Compensation, Rehabilitation, and Prevention
- Changing the Swallow: Rehabilitation Approaches
- Protecting the Airway: Breath Hold and Supraglottic and Super-Supraglottic Swallows
- New Rehabilitation Directions: Exercise Principles and Modalities
- Prevention in Dysphagia Management
- Final Comments on Using Evidence
- Take Home Notes
- Chapter 12: Ethical Considerations
- Medical Ethics
- Tube Feeding
- Reasons for Tube Feeding
- Weaning from Feeding Tubes
- Aspiration Pneumonia
- Nonmedical Risks and Benefits
- Ethical Dilemmas
- Take Home Notes
- Part III: Dysphagia in Infants and Children
- Chapter 13: Typical Feeding and Swallowing Development in Infants and Children
- Development of Head and Neck Anatomy
- Development of other Body Systems Involved in Feeding
- Development of Feeding Reflexes
- Development of Motor and Cognitive Skills Involved in Early Feeding
- Breastfeeding
- Bottle Feeding
- Introduction of Solids
- Transition to Mature Mealtime Behavior
- Nutrition and Growth Considerations in Infants and Children
- Take Home Notes
- Chapter 14: Disorders Affecting Feeding and Swallowing in Infants and Children
- Swallowing and Dysphagia
- Pediatric Feeding Disorders
- Interruptions to Early Feeding Development
- Respiratory and Cardiac Disorders That May Affect Feeding and Swallowing
- Gastrointestinal Disorders That May Affect Feeding and Swallowing
- Neurologic Disorders That May Affect Feeding and Swallowing
- Congenital Abnormalities That May Affect Feeding and Swallowing
- Maternal and Perinatal Conditions That May Affect Child Feeding and Swallowing
- Prematurity
- Iatrogenic Complications That May Affect Feeding and Swallowing
- Other Factors That May Potentially Affect Feeding and Swallowing in Children
- Take Home Notes
- Chapter 15: Evaluating Feeding and Swallowing in Infants and Children
- Members of the Feeding and Swallowing Team
- Models of Teamwork
- International Classification of Functioning, Disability, and Health
- Case History
- Clinical Feeding Evaluation
- Imaging Studies
- Other Instrumental Assessments
- Assessment Considerations for Infants
- Assessment Considerations for Older Children
- Assessing Hospitalized Children with Acute Health Issues
- Assessing Children in the Community with Chronic Health Issues or Developmental Delay
- Take Home Notes
- Chapter 16: Treatment of Feeding and Swallowing Disorders in Infants and Children
- Setting Therapy Goals
- Models of Service Delivery
- Therapy Focused on Swallowing and Airway Protection
- Therapy Interventions for Swallowing Impairments
- Therapeutic Compensations for Swallowing Impairments—Use of Thickened Liquids
- Therapeutic Compensations for Swallowing Impairments—Alternatives to Thickening Liquids
- Therapeutic Compensations for Swallowing Impairments—Modified Foods
- Other Aspects of Feeding Therapy
- Oral Sensory-Motor Therapy
- Mealtime Equipment
- Mealtime Positioning
- Behavioral Feeding Therapy
- Feeding Therapy as Part of Nutritional Supplement Weaning
- Therapy Consideration for Infants
- Therapy Consideration for Older Children
- Working with Hospitalized Children with Acute Health Issues
- Working with Children Living in the Community
- Measuring Therapy Outcomes
- Take Home Notes
- Appendix A: Common Bottles
- Appendix B: Cervical Auscultation Equipment
- Appendix C: Common Cups
- Appendix D: Common Pacifier and Oral Toys
- Appendix E: Common Spoons for Children
- Appendix F: Bottle Nipples
- Appendix G: Common Infant Feeding Positions
- Appendix H: Common Mealtime Seating Options for Children
- Glossary
- Index
- No. of pages: 400
- Language: English
- Edition: 3
- Published: September 4, 2020
- Imprint: Mosby
- Hardback ISBN: 9780323636483
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Michael E. Groher
Affiliations and expertise
Professor, Truesdail Center for Communicative Disorders, University of Redlands, Redlands, CAMC
Michael A. Crary
Affiliations and expertise
Professor, Speech-Language Pathology
Co-Director, Swallowing Research Laboratory
Department of Communication Sciences and Disorders
University of Central FloridaRead Dysphagia on ScienceDirect