Assessment of Dysphagia in Adults

Maria Provencio-Arambula, M.A., CCC-SLP Maria H. Provencio-Arambula, M.A., CCC-SLP, graduated from California State University, Fresno (CSU Fresno) with a master's degree in speech-language pathology. She was the recipient of the CSU Fresno Dean's medal. During her studies at CSU Fresno, Maria was a Ronald E. McNair Graduate Equity Fellow. In addition, she completed a Master's degree project on assessment and treatment of dysphagia and helped complete a collaborative study involving CSU Fresno and Children's Hospital, Central California, on treating stuttering in preschool children. Dora Provencio, M.A., CCC-SLP Dora Provencio, M.A. graduated from California State University, Fresno (CSU Fresno) with a master's degree in Speech-Language pathology. She currently is an administrative assistant and rehab director for L & J Telesmanic Rehab Systems, Inc., a private practice which has been providing services in the Central California area for over 15 years. In her current position, Dora has trained many speech-language pathologists in assessment and treatment of dysphagia in a variety of patients and regularly supervises services offered to patients with dysphagia. She has extensive experience in varied practice settings, including acute hospital inpatient and outpatient rehabilitation centers, home health, and long-term care facilities. She developed the modified barium videofluoroscopic swallow dysphagia team and procedure at Sierra Kings District Hospital, Reedley, CA, and at Selma Community Hospital, Selma, CA. She is a bilingual speech-language pathologist who is fluent in reading, writing and speaking Spanish. She is co-author of the Spanish Test for Assessing Morphological Production. She regularly guest lectures on dysphagia and multicultural assessment and treatment of speech and language disorders at California State University (CSU Fresno) program in Communicative Disorders She has also taught graduate seminars at CSU Fresno. She has presented seminars and short courses at California State Speech-Language-Hearing Association District 5 Conferences. She is a founding board member and current president of the CSU Fresno Communicative Disorders Alumni Chapter. M. Hegde, Ph.D. M. N. Hegde, Ph.D. is Professor of Speech-Language Pathology in the Department of Communicative Disorders at California State University, Fresno. A highly regarded author in speech-language pathology, his books include leading texts in academic courses and valuable resources for clinicians. His books have been used in worldwide in speech-language pathology programs.

Preface. Introduction to the Dysphagia Assessment Resources and Protocols. Introduction to Feeding and Swallowing. Normal Swallow. Assessment of Swallowing. Screening for Swallowing Problems. Protocols for the Preparatory Evaluation. History of the Patient and the Swallowing Problems. Materials Needed for Preparatory Evaluation. Protocols for the Clinical Swallowing Evaluation. Orofacial Examination. Clinical Swallow Examination. The Swallowing Examination Protocol. Communicating the Assessment Results. Diet Recommendations. General Guidelines for Diet Modification. Nonoral Feeding Options. Recommendations for Treatment. Assessment Resources for Patients, Nursing Staff, and Postings. The Artificial Airway. Modified Barium Videofluoroscopic Swallow Study. Overview of Selected Instrumental Evaluation Procedures. English/Spanish Glossary. References. Index.