346 – Risky Business: Navigating the Risk of Aspiration & Its Impacts Using the BOLUS Framework
Swallow Your Pride Podcast
Theresa Richard, MA, CCC-SLP, BCS-S
4.8 • 899 Ratings
🗓️ 31 October 2024
⏱️ 38 minutes
🧾️ Download transcript
Summary
What if you could take all of the evidence on aspiration, pneumonia, and dysphagia that has been amassed since the 1990s…
…and package it into a clinical framework for SLPs to make informed decisions about aspiration risk?
*BOLUS framework has entered the chat*
Aaron Padilla MS, CCC-SLP, BCS-S and Phyllis Palmer, PhD, CCC-SLP join me on the Swallow Your Pride Podcast to introduce and explain the development of the BOLUS framework - a tool that considers:
Bolus characteristics
Oral health
Lifestyle factors
Unintended disease
System status
We dig into how this framework can guide your clinical decisions AND help you have more meaningful conversations with your patients and healthcare team about risk management.
Ready to enhance your clinical decision-making process? Tune into Episode 346 and let me know what you think!
Go and dowload the references and handout here: https://syppodcast.com/346
TIMESTAMPS:
Discussion of the Bolus Framework (00:03:13)
Physiological Actions Against Aspiration (00:04:56)
Chronic Aspiration and Inflammation Cycle (00:07:59)
Conceptualizing Risk for Aspiration Patients (00:09:34)
Oral Health and Aspiration Risks (00:11:29)
Iatrogenic Disease and Aspiration (00:13:47)
Evidence Review of the Bolus Framework (00:15:40)
Clinical Application of the Bolus Framework (00:19:08)
Implementation Science in Clinical Practice (00:23:07)
Patient-Centered Decision Making (00:24:16)
Research and Future Directions (00:25:27)
Interprofessional Collaboration (00:27:12)
Bolus Framework in Clinical Practice (00:29:25)
Health Literacy and Communication (00:32:20)
Empowering Families in Decision Making (00:33:03)
Critical Evaluation of Thickened Liquids (00:34:25)
The post 346 – Risky Business: Navigating the Risk of Aspiration & Its Impacts Using the BOLUS Framework appeared first on Swallow Your Pride Podcast.
Transcript
Click on a timestamp to play from that location
| 0:00.0 | On this episode of the Swallow Your Pride podcast, we have Dr. Phyllis Palmer and Aaron Padilla. |
| 0:06.0 | Dr. Phyllis Palmer is the Department of Speech and Hearing Sciences at the University of New Mexico. |
| 0:11.6 | Under the umbrella of improving dysphasia management for all New Mexicans and dysphasia education for future clinicians, |
| 0:17.7 | her lines of research address methodologies to improve clinician education, |
| 0:21.3 | including her interactive textbook, swallowing across the lifespan, and the recent |
| 0:25.5 | development of a swallow disorders data repository, development and implementation of risk |
| 0:30.7 | associated with aspiration using the proposed bolus framework, and improved understanding |
| 0:36.1 | of the swallow disorder associated with OPMD, a disease |
| 0:40.3 | with high incidence in New Mexico. |
| 0:43.8 | And Aaron Padilla is an acute care speech pathologist with Presbyterian health care services |
| 0:48.4 | at Rust Medical Center in Rio Rancho, New Mexico. |
| 0:52.5 | He is a board certified specialist in swallowing and swallowing |
| 0:54.7 | disorders and enjoys bridging the gap between the research lab and clinical world through |
| 0:59.0 | implementation science. He has been a member of the Swallow Disorders Research Lab in collaboration |
| 1:04.0 | with Dr. Palmer at the University of New Mexico since 2012. During this time, projects have included |
| 1:09.9 | cultural considerations, follow diagnostics, |
| 1:12.3 | and the development and implementation of the bolus framework, a multifaceted tool to assist |
| 1:17.1 | in clinical decision making. Hope you all enjoy this episode. I had such a blast recording with |
| 1:22.4 | these guys. They are just absolutely fantastic. And I just really, truly loved the beautiful marriage |
| 1:29.3 | of researcher and clinician. And I know you're all going to benefit from this episode. And so |
| 1:34.3 | will our patients. Welcome to the Swalio Pride podcast. I'm your host, Teresa Richard. I'm a board certified |
| 1:51.6 | specialist in swallowing and swallowing disorders and founder of the MetaSLP Collective |
... |
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