Navigating Eating, Drinking and Swallowing in Adults
50 Top Tips from A-Z
1st Edition
Published on 25. August 2025
Book
Hardback
200 pages
978-1-032-77017-8 (ISBN)
Description
This book offers accessible and concise information to enable both student and qualified clinicians to navigate essential eating, drinking and swallowing (EDS) knowledge and equip them to meet relevant clinical competencies.
Arranged alphabetically, the book provides an A to Z of EDS assessment and management in adults, guiding readers through key aspects, from aetiologies to xerostomia and from cranial nerve assessments to videofluoroscopy. This dip in, dip out resource is packed with information of immediate clinical relevance, facilitating synthesis between theory and practice, and encourages readers to view their clients in a holistic, person-centred way. It contains printable resources and concludes with a useful appendix providing worked examples of clinical scenarios.
Divided into 50 tips to enhance practice, this pocket-sized guide is an essential resource for all trainee and newly qualified speech and language therapists, as well as more experienced clinicians moving into the field.
Arranged alphabetically, the book provides an A to Z of EDS assessment and management in adults, guiding readers through key aspects, from aetiologies to xerostomia and from cranial nerve assessments to videofluoroscopy. This dip in, dip out resource is packed with information of immediate clinical relevance, facilitating synthesis between theory and practice, and encourages readers to view their clients in a holistic, person-centred way. It contains printable resources and concludes with a useful appendix providing worked examples of clinical scenarios.
Divided into 50 tips to enhance practice, this pocket-sized guide is an essential resource for all trainee and newly qualified speech and language therapists, as well as more experienced clinicians moving into the field.
More details
Series
Language
English
Place of publication
London
United Kingdom
Publishing group
Taylor & Francis Ltd
Target group
College/higher education
Professional and scholarly
Professional Practice & Development and Undergraduate Advanced
Illustrations
1 s/w Abbildung, 1 s/w Zeichnung, 43 s/w Tabellen
43 Tables, black and white; 1 Line drawings, black and white; 1 Illustrations, black and white
Dimensions
Height: 198 mm
Width: 129 mm
Weight
570 gr
ISBN-13
978-1-032-77017-8 (9781032770178)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
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E-Book
08/2025
1st Edition
Routledge
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Book
08/2025
1st Edition
Routledge
€33.40
Shipment within 10-20 days
E-Book
08/2025
1st Edition
Routledge
€27.49
Available for download
Person
Sophie MacKenzie has practised as a speech and language therapist (SLT) in both acute and rehabilitation settings. She began her first academic role in 2007, combining clinical management of the acute SLT team at Maidstone and Tunbridge Wells NHS Trust with teaching at the University of Greenwich and Canterbury Christ Church University. She moved into full-time academia in 2010 and has taught EDS to both undergraduate and postgraduate pre-registration students, as well as post-registration master's students, at City St Georges, University of London. Her PhD focused on exploring spirituality with people with expressive aphasia, and person-centred and holistic care remains her passion, as well as the nurturing of future clinicians. Sophie is the author of Working with Adults with Eating, Drinking and Swallowing Needs and is currently a senior lecturer in SLT at Health Sciences University, UK.
Content
List of abbreviations xv
Acknowledgements xviii
Introduction xix
A 1
Aetiologies 1
Neurogenic 1
Structural 2
Functional 7
Ageing 8
Learning disability and physical disability 8
Anatomy and physiology 8
Key structures 9
Musculature 11
Physiology 12
Oral preparatory stage 12
Oral stage 13
Pharyngeal stage 14
Oesophageal stage 15
Aspiration, laryngeal penetration and choking 15
Aspiration pneumonia 17
B 18
Bolus 18
Buccinator, buccal tension 19
C 21
Cervical auscultation 21
Clinical history 22
Clinical reasoning 22
Judith 25
Prakash 26
Tommy 30
Dervla 30
Clinical swallow examination (CSE) 31
Compensatory strategies 32
Head/body positions 32
Swallow manoeuvres 34
Changes to the environment 35
Helping the person to eat and drink 35
Utensils 36
Texture modification 37
Cranial nerves, cranial nerve assessment (CNA) 37
D 46
Dentition 46
Direct therapy techniques 47
Dysphagia 47
E 54
End-of-life 54
Enteral feeding 55
Epiglottis/epiglottic retroversion 57
F 60
Fibreoptic endoscopic evaluation of swallowing (FEES) 60
G 63
Goal-setting and measuring outcomes 63
H 68
Holistic EDS practice 68
Psychological aspects 69
Social aspects 71
Spiritual/religious aspects 71
Cultural aspects 73
Supporting clients' psychological, social,
spiritual/ religious and cultural needs 74
Mitigating the power differential 74
Narrative in EDS needs 75
chaos 76
restitution 76
quest 77
I 79
International Classification of Disability,
Functioning and Health (ICF) 79
International Dysphagia Diet Standardisation
Initiative (IDDSI) 80
J 83
Joint working 83
Carer 84
Chaplain 84
Client 85
Dietitian 85
Doctor 85
Healthcare assistant 86
Nurse 86
Occupational therapist 87
Pharmacist 87
Physiotherapist 88
Physiotherapist (respiratory) 88
Psychologist 89
Radiologist 89
Radiographer 89
Speech and language therapy assistant 90
Speech and language therapy student 90
K 92
Keep reflecting and learning 92
Reflection 92
Continuing professional development (CPD) 92
Killian's triangle 94
L 95
Larynx 95
Laryngeal anatomy, physiology, function
and innervation 95
Laryngeal or hyolaryngeal excursion 97
Laryngeal palpation 97
Hyolaryngeal excursion and treatment options 99
Cough and cough testing 100
M 103
Mastication 103
Medication 103
N 105
Nil by mouth (NBM)/nil per os (NPO) 105
Neurological underpinnings 105
O 109
Odynophagia 109
Oral hygiene, oral examination and oral care 109
P 112
Positioning 112
Presbyphagia 114
Osteophytes 114
Pulse oximetry 116
Q 118
Questions to ask the client and carer (case history) 118
R 122
Residue 122
Oral residue 122
Pharyngeal residue 123
Risk 124
S 126
Session planning 126
T 129
Tastes for pleasure 129
Three tenets of EDS management 129
Tracheostomy 130
Description 00
Effect on swallowing 00
Decannulation 133
EDS assessment 134
EDS management 136
Key differences between tracheostomy and
laryngectomy 137
U 138
Uvula 138
V 140
Videofluoroscopy (VF) 140
What is it? 140
What happens during the procedure? 140
Why might you refer a client? 143
Pros and cons 144
Personnel 145
Consent 145
Safety considerations 146
Writing the report 147
W 148
Water - protocols and tests 148
Frazier Free Water Protocol 148
Timed Water Swallow Test (TW ST) 149
X 151
Xerostomia, sialorrhoea and salivation 151
Xerostomia 152
Sialorrhoea 153
Y 155
Yoghurt 155
Your supervision and support 155
Z 157
Zoom or EDS assessment and management
via teleheath 157
Appendix 160
References 175
Index 181
Acknowledgements xviii
Introduction xix
A 1
Aetiologies 1
Neurogenic 1
Structural 2
Functional 7
Ageing 8
Learning disability and physical disability 8
Anatomy and physiology 8
Key structures 9
Musculature 11
Physiology 12
Oral preparatory stage 12
Oral stage 13
Pharyngeal stage 14
Oesophageal stage 15
Aspiration, laryngeal penetration and choking 15
Aspiration pneumonia 17
B 18
Bolus 18
Buccinator, buccal tension 19
C 21
Cervical auscultation 21
Clinical history 22
Clinical reasoning 22
Judith 25
Prakash 26
Tommy 30
Dervla 30
Clinical swallow examination (CSE) 31
Compensatory strategies 32
Head/body positions 32
Swallow manoeuvres 34
Changes to the environment 35
Helping the person to eat and drink 35
Utensils 36
Texture modification 37
Cranial nerves, cranial nerve assessment (CNA) 37
D 46
Dentition 46
Direct therapy techniques 47
Dysphagia 47
E 54
End-of-life 54
Enteral feeding 55
Epiglottis/epiglottic retroversion 57
F 60
Fibreoptic endoscopic evaluation of swallowing (FEES) 60
G 63
Goal-setting and measuring outcomes 63
H 68
Holistic EDS practice 68
Psychological aspects 69
Social aspects 71
Spiritual/religious aspects 71
Cultural aspects 73
Supporting clients' psychological, social,
spiritual/ religious and cultural needs 74
Mitigating the power differential 74
Narrative in EDS needs 75
chaos 76
restitution 76
quest 77
I 79
International Classification of Disability,
Functioning and Health (ICF) 79
International Dysphagia Diet Standardisation
Initiative (IDDSI) 80
J 83
Joint working 83
Carer 84
Chaplain 84
Client 85
Dietitian 85
Doctor 85
Healthcare assistant 86
Nurse 86
Occupational therapist 87
Pharmacist 87
Physiotherapist 88
Physiotherapist (respiratory) 88
Psychologist 89
Radiologist 89
Radiographer 89
Speech and language therapy assistant 90
Speech and language therapy student 90
K 92
Keep reflecting and learning 92
Reflection 92
Continuing professional development (CPD) 92
Killian's triangle 94
L 95
Larynx 95
Laryngeal anatomy, physiology, function
and innervation 95
Laryngeal or hyolaryngeal excursion 97
Laryngeal palpation 97
Hyolaryngeal excursion and treatment options 99
Cough and cough testing 100
M 103
Mastication 103
Medication 103
N 105
Nil by mouth (NBM)/nil per os (NPO) 105
Neurological underpinnings 105
O 109
Odynophagia 109
Oral hygiene, oral examination and oral care 109
P 112
Positioning 112
Presbyphagia 114
Osteophytes 114
Pulse oximetry 116
Q 118
Questions to ask the client and carer (case history) 118
R 122
Residue 122
Oral residue 122
Pharyngeal residue 123
Risk 124
S 126
Session planning 126
T 129
Tastes for pleasure 129
Three tenets of EDS management 129
Tracheostomy 130
Description 00
Effect on swallowing 00
Decannulation 133
EDS assessment 134
EDS management 136
Key differences between tracheostomy and
laryngectomy 137
U 138
Uvula 138
V 140
Videofluoroscopy (VF) 140
What is it? 140
What happens during the procedure? 140
Why might you refer a client? 143
Pros and cons 144
Personnel 145
Consent 145
Safety considerations 146
Writing the report 147
W 148
Water - protocols and tests 148
Frazier Free Water Protocol 148
Timed Water Swallow Test (TW ST) 149
X 151
Xerostomia, sialorrhoea and salivation 151
Xerostomia 152
Sialorrhoea 153
Y 155
Yoghurt 155
Your supervision and support 155
Z 157
Zoom or EDS assessment and management
via teleheath 157
Appendix 160
References 175
Index 181