Management Of Speech And Swallowing In Degenerative Diseases

The ability to communicate is critical for people with life-threatening conditions. With loss of communication, they can no longer control their health care, make necessary financial and legal arrangements, or remain close to the family and friends whose support they desperately need. The ability to eat safely is no less critical. When eating becomes so difficult that it loses all enjoyment, patients usually eat too little and their health rapidly declines. These two vital aspects of managing a degenerative disease are typically the responsibility of the speech-language pathologist. Yorkston, Miller, and Strand, speech-language pathologists at a neuromuscular speech and swallowing disorders clinic, set forth the state-of-the-art in compassionate and effective speech and swallowing intervention for four degenerative diseases: amyotrophic lateral sclerosis (ALS), Parkinson's disease, Huntington's disease, and multiple sclerosis (MS). Because restoration of normal speech is an unrealistic goal, the authors emphasize ways to preserve functional communication. They present compensatory techniques for the typical features of each dysarthria and illustrate how to introduce augmentative communication gradually to supplement natural speech, ensuring a smooth transition to nonvocal communication. The authors stress the importance of maintaining adequate hydration and caloric intake in the face of progressive dysphagia. For each stage of involvement, they suggest compensatory strategies and dietary modifications you can implement to allow the patient to eat as safely and independently as possible. You'll read about the different feeding tube options and the transition to supplementary tubefeedings, then to complete alimentation by tube. You'll find scales for rating the deterioration of speech and swallowing in ALS, Parkinson's disease, Huntington's disease, and MS, plus reproducible clinical interview and evaluation forms. The patient and family education section provides handouts about normal speech and swallowing, information about each of the four diseases, and compensatory techniques for speech and swallowing that you can customize for each individual. With Management of Speech and Swallowing in Degenerative Diseases, Yorkston, Miller, and Strand have made an important contribution to improving the quality of care and the quality of life for people living with progressive neuromuscular disease.

Numerous books have been written on various medical aspects of Parkinson's Disease. Until now, however, there has not been published a text which focuses specifically on the debilitating speech, cognitive-linguistic, and swallowing disorders associated with this disease. The current body of literature in the field of speech pathology pertaining to the description, assessment, and management of the communication and swallowing difficulties experienced by people with Parkinson's Disease is extensive. However, the majority of this literature is published in research journal article format, or as individual book chapters in various books. The first of its kind, Communication and Swallowing Disorders in Parkinson's Disease condenses and organizes this information into an accessible format in order to provide a comprehensive understanding of these disorders and their management in this clinical population.

This comprehensive text summarizes what is known about the myriad of different neurological conditions that cause dysfunction of communication, swallowing, and breathing as it relates to the upper aerodigestive tract. It serves to provide clinicians and scientists, at all levels of experience, a practical and thorough review of these diseases, their management, and frontiers in science. Chapters are written by experts in these conditions from a broad spectrum of medical specialties in order to create a book that is inclusive of diagnostic and therapeutic considerations that clinicians should think about when caring for patients with these conditions. Neurologic and Neurodegenerative Diseases of the Larynx will be an instrumental resource in guiding clinicians to better recognize the subtle and not so subtle voice, swallowing, and airway manifestations of these diseases, and improve management of patient symptoms and concerns in order to maximize both quality of life and longevity. It will aide otolaryngologists, laryngologists, neurologists, speech language pathologists, and other allied health care professionals in developing a more efficient, evidence-based, patient-focused, and multi-specialty approach to managing these complex and challenging patients.

A major new reference work with entries covering the entire field of communication and speech disorders.

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

This is a quick-access, pocket-sized guide to the diagnosis and treatment of all major movement disorders. Written for busy practitioners who need an immediate reference at the bedside, it presents medical, behavioral, surgical, and nonpharmacological approaches in an expanded outline and bulleted format. The revised and expanded second edition is divided into four convenient sections. The medical section provides a starting point for assessing and treating patients who present with a movement disorder and guides practitioners through the clinical presentation, diagnosis, and work up of all major disease categories. A new section on psychiatric issues delves into the behavioral features that typically manifest with Parkinson disease, Huntington disease, Tourette syndrome, and also covers conversion disorders with concomitant movement abnormalities. The surgical approach section has been completely updated to incorporate recent advances in functional neurosurgery including deep brain stimulation. The final section on non-pharmacologic therapies includes informative chapters on physical and occupational therapy, speech and swallowing evaluation and therapy, and nutrition. The second edition also incorporates new information about sleep-related movement disorders and covers treatment of Parkinson disease in greater depth. Loaded with tables, algorithms, and flow charts that illustrate key concepts, outline management of disorders, and highlight important information about diagnosis and treatment, this book is a highly useful addition to the pockets of all clinicians who work with patients with movement disorders. Key Features: Completely revised and updated second edition of popular practical resource for busy clinicians Covers medical, psychiatric, surgical, and nonpharmacologic approaches to all types of movement disorders Written concisely in expanded outline, bullet-point format for quick access to information Emphasizes diagnosis, work-up, and treatment Packed with management algorithms, tables, and flow charts outlining drug dosing, side effects, and other therapeutic regimens

This book provides the busy clinician with a quick, symptom-based guide to the clinical presentation, diagnosis, work-up, and management of the most common types of movement disorders encountered in clinical practice, including Parkinson's disease, chorea, dystonia, myoclonus, and ataxia. Written in expanded outline format, with frequent diagnostic and therapeutic algorithms, tables, and scales, it is an essential guide for clinicians faced with patients with movement disorders. A Practical Approach to Movement Disorders is a welcome departure from the typical lengthy, disease-based hardbound texts ill suited for the busy clinician. Practical yet authoritative, this fit-in-your-coat-pocket guide begins with a comprehensive description of the different presentations of movement disorders. It then details the medical, surgical, and non-pharmacological approaches, including speech and swallowing therapy and physical and occupational therapy. Key features include: Symptom-based, rather than disease-based, chapters A focus on the most common movement disorders A unique section on the neurological aspects of deep brain stimulation (DBS) Dozens of diagnostic and management pearls Suggested readings for each chapter Handy and comprehensive, A Practical Approach to Movement Disorders is the only guide for busy clinicians needing quick information on movement disorders.