Dysphagia Care Across the Continuum: A Multidisciplinary Dysphagia Research Society Taskforce Report of Service-Delivery During the COVID-19 Global Pandemic

Miles, Anna; Connor, Nadine P.; Desai, Rinki Varindani; Jadcherla, Sudarshan R.; Allen, Jacqui; Brodsky, Martin B.; Garand, Kendrea L Focht; Malandraki, Georgia A.; McCulloch, Timothy M.; Moss, Marc; Murray, Joseph; Pulia, Michael S.; Riquelme, Luis F.; Langmore, Susan E.

doi:10.1007/s00455-020-10153-8

Cited by 64 publications

(128 citation statements)

References 70 publications

(108 reference statements)

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“…Telepractice was thus viewed as a solution to this problem. Telepractice over in-person face-to-face interaction for dysphagia screening and intervention has been recommended to avoid the risk of COVID-19 transmission (Fritz et al, 2020;Miles et al, 2020;Soldatova, Williams, Postma, Falk, & Mirza, 2020).…”

Section: Introductionmentioning

confidence: 99%

Uptake of telepractice among speech-language therapists following COVID-19 pandemic in India

Aggarwal¹,

Patel²,

Ravi

2020

Speech, Language and Hearing

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Uptake of telepractice has drastically increased among speech-language therapists (SLTs) following the COVID-19 pandemic. This study aimed to explore the sudden uptake of telepractice in India among SLTs. An online survey consisting of 20 questions was carried out between 4 and 17 May 2020 using Google form. The participants comprised of SLTs who indicated that they had shifted their services to telepractice during the COVID-19 pandemic. Descriptive analysis was used to summarize the findings. Eighty-four SLTs participated in the study, working across different work settings and from 21 to 53 years of age. Forty-nine percent of SLTs had conducted more than 11 telepractice sessions, 89% conducted only individual sessions. Further, 85% had a mostly paediatric caseload with 75% working with child language disorders. They learnt about telepractice in a range of ways including from colleagues (19%), social media and the internet (18%), formal education (24%), reading (8%) and experience (8%). Overall, SLTs exhibited a positive attitude towards the use of telepractice. The most common platform used was WhatsApp video calling feature (82%), although more than one platform was being used. The greatest challenges faced were dealing with network issues (38%) and lack of cooperation from the child during sessions (27%). The findings highlight an acceptance and uptake towards telepractice. This might pave the path for serious consideration for telepractice in the field of speech-language therapy in India in the future.

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Section: Introductionmentioning

confidence: 99%

Uptake of telepractice among speech-language therapists following COVID-19 pandemic in India

Aggarwal¹,

Patel²,

Ravi

2020

Speech, Language and Hearing

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“…This commentary has summarised the actions taken in this regard and may serve as a reference to clinicians who are responsible for swallowing assessments and dysphagia management. Clinicians should also remain aware of all changes to guidelines on dysphagia management [11,12,14], for nursing homes [33] or for certain clinical populations from other specialities [34].…”

Section: Resultsmentioning

confidence: 99%

“…The CSE was classified as medium risk according to stratification risk for COVID-19 transmission. The risk of the procedure is attributed by the close proximity to the residents' upper mucosa, prolonged exposure and possibility of reflexive cough during the procedures [11]. Compared with the general community, nursing home residents are at substantially higher risk for having bacterial and viral infections [12].…”

Section: Introductionmentioning

confidence: 99%

Management of Dysphagia in Nursing Homes During the COVID-19 Pandemic: Strategies and Experiences

Fong

Tsai²,

Tong

et al. 2020

SN Compr. Clin. Med.

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The global 2019 novel coronavirus disease (COVID-19) pandemic has had devastating effects not only on healthcare systems worldwide but also on different aspects of the care provided to nursing home residents. Dysphagia management is a crucial component of the care provided to many nursing home residents. This article presents the dysphagia management strategies applied in Hong Kong during the COVID-19 pandemic and the related experiences. A two-tier protection system was implemented wherein residents were categorised according to their contact and hospitalisation histories. The provided swallowing management and personal protective equipment level differed between the two tiers. The article also discusses the referral and prioritisation of clinical services for residents requiring swallowing management, as well as the adaptations of swallowing assessment and management during the pandemic. The possible effects of COVID-19 on mealtime arrangements in nursing homes, the implications of the pandemic on the use of personal protective equipment and the use of telepractice in nursing homes were also discussed. This article has summarised the actions taken in this regard and may serve as a reference to clinicians who are responsible for swallowing assessments and dysphagia management in nursing homes.

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“…In order to support clinicians in daily practice during COVID-19 pandemic, several guidance documents have been written by bodies of different professions in different areas of the world [ 3 – 6 , 8 , 9 , 17 – 21 ]. All published documents recommend the use of PPE for live management of dysphagia in COVID+ve patients and encourage compensatory treatments and telepractice.…”

Section: Discussionmentioning

confidence: 99%

ESSD Commentary on Dysphagia Management During COVID Pandemia

et al. 2020

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Since the World Health Organization declared the COVID-19 pandemic a Global Public Health Emergency, experts in swallowing are seeking guidance on service delivery and clinical procedures. The European Society for Swallowing Disorders provides considerations to support experts in swallowing disorders in clinical practice. During the COVID-19 pandemic, assessment and treatment of patients with oropharyngeal dysphagia should be provided, while at the same time balancing risk of oropharyngeal complications with that of infection of patients and healthcare professionals involved in their management. Elective, non-urgent assessment may be temporarily postponed and patients are triaged to decide whether dysphagia assessment is necessary; instrumental assessment of swallowing is performed only if processing of the instruments can be guaranteed and clinical assessment has not provided enough diagnostic information for treatment prescription. Assessment and management of oropharyngeal dysphagia is a high-risk situation as it must be considered an aerosol-generating procedure. Personal protective equipment (PPE) should be used. Telepractice is encouraged and compensatory treatments are recommended.

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Dysphagia Care Across the Continuum: A Multidisciplinary Dysphagia Research Society Taskforce Report of Service-Delivery During the COVID-19 Global Pandemic

Cited by 64 publications

References 70 publications

Uptake of telepractice among speech-language therapists following COVID-19 pandemic in India

Uptake of telepractice among speech-language therapists following COVID-19 pandemic in India

Management of Dysphagia in Nursing Homes During the COVID-19 Pandemic: Strategies and Experiences

ESSD Commentary on Dysphagia Management During COVID Pandemia

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