Preface

**Section 3 Management of Dysphagia 119**

Chapter 9 **Dysphagia and the Family 159**

Ward

**VI** Contents

Chapter 7 **Nutritional Support in Dysphagia 121** Vishal G. Shelat and Garvi J. Pandya

Nicoll Kenny and Shajila A. Singh

**Section 4 Dysphagia in Specific Populations 177**

Chapter 10 **Dysphagia in Parkinson's Disease 179**

Chapter 11 **Dysphagia in Dystonia 189**

Teive

de Melo

Chapter 8 **Decision Making for Enteral Nutrition in Adult Patients with**

**Dysphagia – A Guide for Health Care Professionals 137**

Rebecca L. Nund, Nerina A. Scarinci, Bena Cartmill and Elizabeth C.

Rosane Sampaio Santos, Carlos Henrique Ferreira Camargo, Edna Márcia da Silva Abdulmassih and Hélio Afonso Ghizoni Teive

Abdulmassih, Rosane Sampaio Santos and Hélio Afonso Ghizoni

Livia Scelza, Catiuscia S.S. Greco, Agnaldo J. Lopes and Pedro Lopes

Carlos Henrique Ferreira Camargo, Edna Márcia da Silva

Chapter 12 **Dysphagia in Chronic Obstructive Pulmonary Disease 201**

Chapter 13 **Histopathological Change of Esophagus Related to Dysphagia**

**in Mixed Connective Tissue Disease 229** Akihisa Kamataki, Miwa Uzuki and Takashi Sawai

In the last decades, the assessment and treatment of dysphagia has become an in‐ creasingly important part of the work of speech pathologists in clinical setting. As the general population ages, this population is confronted with an increase in dis‐ ease and consequent the sequalae of these diseases. Also, changes in lifestyle have contributed largely to an increase in medical conditions and the incidence of cer‐ tain diseases.

These ever changing situations in the general population, and subsequent in health care, has without a doubt led to a shift of practice for speech pathologists. In most countries in the 1990s, the care for dysphagic patients was only a part of the daily activities of a speech pathologist working in a clinical setting. Whereas nowadays, worldwide speech pathologists have a full-time job in managing swallowing disor‐ ders in a range of different settings, ranging from ICUs to rehabilitation centers to even private practices.

Since the 1990s, the quality of care has increased for dysphagic patients as re‐ searchers have gained more insight in factors that lead to swallowing problems and therapy has become more targeted, improving the outcomes. Although the quality of treatment and the research have increased, there is still a lot unknown about dysphagia and outcomes can still be improved. Fortunately as the world becomes more and more a global community, clinicians and researchers are now able to attend conferences on dysphagia in every corner of the world and share their ideas and thoughts. Nowadays there are several international organizations that focus solely on swallowing and swallowing disorders and in the last decades the dysphagia community has grown into a global family of researchers and clini‐ cians.

This book reflects the current international status of dysphagia research, with con‐ tributions by esteemed colleagues from (in alphabetical order) Australia, Belgium, Brazil, Italy, Japan, Malaysia, Singapore and South-Africa. The book focuses on anatomy, assessment of dysphagia and the management of dysphagia in specific populations. Contributions are written in such a way, that they might help clini‐ cians in their clinical decision making, by providing detailed background informa‐ tion or present novel approaches to assessment and treatment.

It was a pleasure to work with each of the authors and we are thankful that they participated with their original work. We hope this book will contribute to the

knowledge of clinicians about swallowing disorders and will help them further to improve treatment outcomes and patients' quality of life.

August 2015,

#### **Renée Speyer**

Department of Otorhinolaryngology and Head and Neck Surgery Leiden University Medical Center Leiden, The Netherlands; College of Healthcare Sciences, James Cook University Townsville, Queensland, Australia

### **Hans Bogaardt**

Faculty of Health Sciences, The University of Sydney, Sydney, Australia **Anatomy and (Patho-)Physiology**

knowledge of clinicians about swallowing disorders and will help them further to

Department of Otorhinolaryngology and Head and Neck Surgery

**Renée Speyer**

Leiden University Medical Center

College of Healthcare Sciences,

Townsville, Queensland, Australia

Leiden, The Netherlands;

James Cook University

Faculty of Health Sciences, The University of Sydney,

**Hans Bogaardt**

Sydney, Australia

improve treatment outcomes and patients' quality of life.

August 2015,

VIII Preface
