Esophageal Dysphagia: A Guide for the SLP
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Esophageal Dysphagia: A Guide for the SLP

Speech-language pathologists play a crucial role in diagnosing esophageal dysphagia. Understand the modified barium swallow study, differential diagnosis, and key questions to ask. Learn about treatment options and when to refer to a gastroenterologist.

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Free Water Protocol: Free for who?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Free Water Protocol: Free for who?

The Free Water Protocol (FWP) allows patients with dysphagia to drink water between meals. But is it safe? Learn about the pros and cons of FWP, including improved quality of life and increased hydration, as well as the risks of aspiration and the importance of careful patient selection. We'll explore the latest research and clinical considerations for implementing FWP safely and effectively.

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Ethical Dilemmas in Dysphagia
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Ethical Dilemmas in Dysphagia

This post explores the complex medical and ethical dilemmas surrounding dysphagia management and nutrition. Discover how to approach these sensitive situations by prioritizing patient autonomy, informed decision-making, and interdisciplinary collaboration. Learn about the role of advance directives, end-of-life considerations, and the importance of clear communication in navigating these challenges.

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Embracing Cultural Diversity in Healthcare: A Path to Patient-Centered Care
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Embracing Cultural Diversity in Healthcare: A Path to Patient-Centered Care

This blog post explores the importance of cultural awareness and sensitivity in speech-language pathology. Learn how understanding cultural differences can enhance communication, build trust, and improve patient satisfaction. Discover practical strategies for providing culturally competent care and bridging cultural gaps in healthcare.

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Breathing and Swallowing: A Balancing Act
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Breathing and Swallowing: A Balancing Act

As SLPs, we know breathing and swallowing are connected. Changes in oxygen support (FiO2) impact swallowing. Learn how different oxygen delivery methods (nasal cannula, masks, ventilators) affect swallowing function, plus key considerations like CO2 retention and oxygen toxicity. This guide helps SLPs understand the relationship between respiratory support and safe oral intake.

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Ice, Ice, Baby: How many ice chips is too much?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Ice, Ice, Baby: How many ice chips is too much?

Tired of vague ice chip recommendations for your dysphagia patients? This article provides practical tips and strategies for speech-language pathologists to determine the appropriate amount of ice chips for individuals with swallowing difficulties. Learn how to gather data, analyze trends, and communicate clear guidelines for safe and effective ice chip use.

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Rethinking Dysphagia Management in Dementia Care
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Rethinking Dysphagia Management in Dementia Care

Dementia, dysphagia, and patient-centered care. Explore spaced retrieval, environmental modifications, and swallowing strategies for improved quality of life.

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Dysphagia Detectives: How Storytelling Enhances Patient Care
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Dysphagia Detectives: How Storytelling Enhances Patient Care

Ever felt like a medical detective, searching for clues to solve a patient's puzzling symptoms? In this blog post, we explore the power of storytelling in healthcare, inspired by Lisa Sanders' book "Every Patient Tells a Story." Discover how actively listening to your patients can uncover crucial details and lead to more accurate diagnoses. Plus, learn why interrupting patients can hinder effective care and how embracing "slow thinking" can enhance your practice.

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Beyond Best Practice: Why Individualized Care Matters in Speech Pathology
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Beyond Best Practice: Why Individualized Care Matters in Speech Pathology

Is "best practice" always best? Dive into this blog post to explore the complexities of individualized care in speech-language pathology. We'll challenge the status quo, explore the ever-evolving nature of medical knowledge, and discuss why a one-size-fits-all approach simply doesn't work. Discover how to embrace critical thinking, stay curious, and provide truly patient-centered care.

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Why We Practice: Embracing Imperfection in Healthcare
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Why We Practice: Embracing Imperfection in Healthcare

Why do we call it "medical practice"? In this blog post, I explore the importance of embracing imperfection in healthcare. We'll delve into the reality of mistakes, learn from errors, and discover how using a decision journal can enhance your practice. Plus, we'll uncover why I once spent 6 weeks getting a patient off a diet he actually preferred! Join me on this journey of reflection and continuous improvement.

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Beyond the Pharynx: A New Approach to Esophageal Dysphagia
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Beyond the Pharynx: A New Approach to Esophageal Dysphagia

Today, SLPs are not only welcomed into the world of esophageal dysphagia management but we are also encouraged to help patients with nowhere else to turn. We can be their saving grace. To further discuss this area, I'd like to discuss a groundbreaking technique that has revolutionized how SLPs can approach esophageal dysphagia management. It's called the Dysphagia Intervention for the Esophageal Zone (DIEZ) technique.

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To Tube or Not to Tube: Navigating Aspiration Risk in Dementia
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

To Tube or Not to Tube: Navigating Aspiration Risk in Dementia

Aspiration pneumonia is a serious concern, especially in patients with dementia. It's a complex issue with no easy answers. I often am asked how I handle this sensitive situation and what options we have. Here's a breakdown of the thought process I go through when considering aspiration risk, particularly in the context of a patient with dementia

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Is Your Team Helping or Hurting Your Patients? 3 Keys to Effective Teamwork
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Is Your Team Helping or Hurting Your Patients? 3 Keys to Effective Teamwork

Ever felt like your team meetings were more like a solo performance by the loudest person in the room? This article delves into the fascinating dynamics of group decision-making, exploring how "groupthink" can sabotage even the most skilled teams. BUT it also reveals the incredible power of true collaboration, where diverse perspectives and open communication unlock solutions that no individual could achieve alone. Get ready to transform your team into a powerhouse of collective intelligence and discover the secrets to unlocking its full potential. It's a journey of connection, communication, and collaboration you won't want to miss.

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We All Scream for Ice Cream: But does that include patients on thickened liquids?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

We All Scream for Ice Cream: But does that include patients on thickened liquids?

Hold on to your spoons, folks. This is the story of a delicious revolution against the tyranny of the "ice cream police." Prepare to be amazed as we shatter the myth that ice cream is a forbidden fruit for those with swallowing difficulties. Get ready to ditch the outdated rules and embrace a sweeter, more joyful approach to dysphagia management.

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Wave Goodbye to the Diet Waiver
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Wave Goodbye to the Diet Waiver

Ever wondered what to do when a patient insists on eating a risky diet despite your best advice? Diet waivers might seem like an easy solution, but they're actually a legal and ethical minefield! This article dives deep into the dangers of these waivers, exploring why they fail to protect healthcare providers and can even put patients at greater risk. Discover the patient-centered approach that truly safeguards both you and your clients, fostering trust and empowering informed decisions. It's time to ditch the waivers and embrace a better way.

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Diagnosing Aspiration Pneumonia: Why it’s so hard and what it means for the SLP
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Diagnosing Aspiration Pneumonia: Why it’s so hard and what it means for the SLP

Aspiration pneumonia: it's a shadowy figure lurking in the medical world, often misdiagnosed or missed entirely. This deep dive explores the perplexing challenges of pinning down this "elusive beast," from the lack of clear diagnostic criteria to the frustrating limitations of chest X-rays. But don't despair! This isn't just a doom-and-gloom tale. We'll unravel the complexities of aspiration pneumonia, arming you with knowledge to better understand its diagnosis and ultimately help your patients navigate this tricky terrain. Get ready to piece together the puzzle – it's a journey you won't want to miss!

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Thick Fix: Should thickened liquids be recommended or are they just a quick fix?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Thick Fix: Should thickened liquids be recommended or are they just a quick fix?

Think thickened liquids are the magic bullet for all swallowing problems? Think again! This eye-opening piece challenges the "thick fix" mentality in dysphagia management. Delve into the surprising research on thickened liquids, from their impact on medication effectiveness and hydration to the crucial role of patient preference. Discover why a collaborative, patient-centered approach is essential for ethical and effective care. It's time to break free from the status quo and explore the full spectrum of options.

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