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A BRIEF OVERVIEW OF DYSPHAGIA, THE IMPORTANCE OF ORAL HYGIENE, AND THE FRAZIER WATER PROTOCOL Julie Girgis, M.A., CCC-SLP Rancho Los Amigos National Rehabilitation Center  Downey, California CSUF-NSSLHA Thursday, February 17, 2011
What is Dysphagia? ,[object Object],[object Object],[object Object],[object Object]
DIAGRAM OF THE  SWALLOWING MECHANISMS
How can you tell if a person has dysphagia?   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How can you tell if a person has dysphagia? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Possible Consequences of Dysphagia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BEGINNING OF ASPIRATION (AKA ‘PENETRATION’) ,[object Object],[object Object],[object Object]
ASPIRATION ,[object Object],[object Object],[object Object],[object Object]
Possible Consequences of Dysphagia (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A Glimpse at Pneumonia ,[object Object]
How can dysphagia be treated? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What does oral hygiene have to do with dysphagia? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],What does oral hygiene have to do with dysphagia?
So the question is … Can a person who is unsafe to eat/drink by mouth or is drinking thickened liquids because they are at risk for aspiration DRINK REGULAR WATER OR ICE CHIPS???
FRAZIER WATER PROTOCOL (FWP) (Free Water Protocol) ,[object Object],[object Object],[object Object]
How is it initiated? ,[object Object],[object Object],[object Object]
As a Speech-Language Pathologist, you responsibility  is… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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February Speaker: Julie Girgis

  • 1. A BRIEF OVERVIEW OF DYSPHAGIA, THE IMPORTANCE OF ORAL HYGIENE, AND THE FRAZIER WATER PROTOCOL Julie Girgis, M.A., CCC-SLP Rancho Los Amigos National Rehabilitation Center Downey, California CSUF-NSSLHA Thursday, February 17, 2011
  • 2.
  • 3. DIAGRAM OF THE SWALLOWING MECHANISMS
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. So the question is … Can a person who is unsafe to eat/drink by mouth or is drinking thickened liquids because they are at risk for aspiration DRINK REGULAR WATER OR ICE CHIPS???
  • 15.
  • 16.
  • 17.