Tuesday, January 24, 2012

Dissertation Blog Post #1


Hello Everyone~ Welcome to my Blog!

My name is Javanese but everyone refers to me as “Jav”. I am Speech-Language Pathologist in Chicago, Illinois. Our first dissertation blog assignment for EDD 9300 Methods of Inquiry course is to create a dissertation blog and discuss our problem statement for our dissertation. My particular area of research interest is Dysphagia diagnosis and treatment. I work primarily in adult rehabilitation settings including, skilled nursing and long-term care facilities. I typically provide Dysphagia intervention services to patients with an Alzheimers diagnosis. Due to the progressive nature of this disease, nutrition and hydration are commonly affected. In addition, the ability to safely swallow and self-feed independently diminishes. SLPs in skilled nursing and long-term care settings play a critical role in treatment and management of Dysphagia with Alzheimer’s patients. Our role within this population is to ensure diet toleration, safety and to provide education to family and caregivers. But according to Curfman (2005), the role of the SLP will change over time because of the progressive nature of the dementia disease process and its effect on swallowing function and nutrition. However, due to the wide range of presenting symptoms and complexities of Alzheimers patients suffering from Dysphagia, it’s difficult to determine what management, intervention and/or evidence-based treatment strategies are effective and appropriate for these patients. I can attest to this. When I initially began my career as an SLP, I was intimidated by providing treatment services to Alzheimer’s patients. I was so uncertain because each patient presented with different Dysphagia symptoms and required different treatment strategies and techniques. I felt unprepared for rehabilitating such a medically complex population.

Which leads me to my problem statement: Many Speech-Language Pathologists are unprepared in Dysphagia therapeutic intervention and treatment among Alzheimer’s patients in skilled nursing settings.



Curfman. S. (2005, August). Managing dysphagia in residents with dementia: skilled intervention for a common and troubling disorder. Nursing Homes. Retrieved from http://findarticles.com/p/articles/mi_m3830/is_8_54/ai_n15338409/ 24 Jan, 2012.