The Dysphagia Expert

The Med SLP Maze: How  patients get lost in healthcare silos
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

The Med SLP Maze: How patients get lost in healthcare silos

Have you ever felt like you're constantly trying to piece together a puzzle, but half the pieces are missing, and the other half belong to a different box entirely? Or perhaps you're pulling on one end of a rope, and other interdisciplinary team members (IDT) are pulling on the other, creating tug-of-war instead of a cohesive effort? This isn't just a feeling; it's the reality of working in a healthcare system fractured by 'silos.' Discover how this invisible maze is causing real problems for patients – and what we, as Med SLPs, can do to help them find their way out. You might be surprised at the true cost of our disconnected healthcare world.

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The Hydration Equation: How to keep your patients hydrated.
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

The Hydration Equation: How to keep your patients hydrated.

Dysphagia and dehydration go hand in hand. Especially when thickened liquids come into the mix. Learn why dehydration is a silent epidemic in the elderly, explore fluid-dense foods, and understand the Dehydration Risk Appraisal Checklist (DRAC). Featuring insights from Kathy Panther of the Frazier Institute, this article provides SLPs and caregivers with actionable tips to improve hydration, reduce aspiration risk, and enhance patient well-being.

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The Cost of Overconfidence: A case for humility in healthcare
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

The Cost of Overconfidence: A case for humility in healthcare

That "I've got this" vibe we sometimes project? It might be the ghost of TV doctors past. This article explores how medical dramas can create unrealistic expectations in our SLP work and offers a powerful antidote: humility, patience, and genuine connection.

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How closely related are dysphagia and aspiration pneumonia?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

How closely related are dysphagia and aspiration pneumonia?

Aspiration pneumonia always means dysphagia, right? Think again. Discover the surprising truth behind lung infections, the hidden causes beyond swallowing difficulties, and why focusing solely on the oropharynx can lead to misdiagnosis and unnecessary interventions.

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Pulmonary Disease and Dysphagia: What SLPs need to know
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Pulmonary Disease and Dysphagia: What SLPs need to know

Explore the complex relationship between lung disease and dysphagia. Learn practical strategies for evaluating and managing swallowing impairments in pulmonary-compromised patients, based on expert insights.

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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 are too many?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Ice, Ice, Baby: How many ice chips are too many?

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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