Wow. This is a game changer!

It’s 29 degrees C outside as I write this. Imagine being nil by mouth in this weather. I wrote this blog last year and was reminded of it as the parents of a young woman who has been nil by mouth for months told me last week that they wanted her to try it. ItContinue reading “Wow. This is a game changer!”

IDDSI, monkeys and myths

A myth-busting blog! Have you ever been asked to do something at work but not given a reason? Or have been doing something for years thinking you know why but it turns out to be wrong? Or you’re asked to do something, you then ask Why? and you’re told, “because that’s the way we doContinue reading “IDDSI, monkeys and myths”

Mixing it up

Can people with dysphagia have ‘mixed textures’ on the plate? No. But now and again, Yes. Have you noticed how every time we pose one of these questions, the answer is rarely straightforward? This is because we’re supporting individuals. People with specific needs, wishes and preferences on a background of comorbidities and treatments unique toContinue reading “Mixing it up”

I’m not drinking that, it’s wallpaper paste!

What’s up with thickeners? The use of thickeners is a compensatory measure. They’re for pulmonary safety rather than swallow rehabilitation. Most thickeners are now gum-based rather than starch-based. Why? Well, the starch-based thickeners aren’t amylase resistant. This meant that if a person with dysphagia held the thickened drink in their mouth for longer than usual,Continue reading “I’m not drinking that, it’s wallpaper paste!”

Get a SALT! He’s aspirating!!!

Does it matter if a person aspirates? Yes. And No. Well, sometimes. It depends. It’s a bit complicated… Aspiration Firstly, what is aspiration? One of the ways that Speech and Language Therapists measure aspiration is by using the Penetration-Aspiration Scale (PAS). It looks like this. So it’s basically a 6, 7 or 8 on theContinue reading “Get a SALT! He’s aspirating!!!”

There’s no such thing as a ‘soft diet’

Nor a sloppy diet. Nor a runny diet. Nor a chopped diet. Nor a mashed diet. Nor a dysphagic diet. Because the wrong texture diet can kill. Patient Safety Alert In 2018, a Patient Safety Alert (PSA)[i] was published over concerns regarding the term ‘soft diet’. They looked at National Reporting and Learning System (NRLS)Continue reading “There’s no such thing as a ‘soft diet’”