Return to the Case of Mrs. J.—The Conclusion The ethics column in the November 1997 newsletter addressed an ethical dilemma involving team conflict. This article revisits that case. Mrs. J. is a 46-year-old woman with a 15-year history of chronic-progressive Multiple Sclerosis. She was admitted to the rehabilitation hospital following a recent exacerbation. Video fluoroscopic swallow evaluation ... Article
Article  |   July 01, 1998
Return to the Case of Mrs. J.—The Conclusion
Author Notes
  • Your comments, questions, are solicited, and will be included in the “Conclusion of the Case of Mr. I.” Please send comments to Neil McKaig at editor13@yahoo.com.
    Your comments, questions, are solicited, and will be included in the “Conclusion of the Case of Mr. I.” Please send comments to Neil McKaig at editor13@yahoo.com.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Ethical Dilemmas
Article   |   July 01, 1998
Return to the Case of Mrs. J.—The Conclusion
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), July 1998, Vol. 7, 5-8. doi:10.1044/sasd7.2.5
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), July 1998, Vol. 7, 5-8. doi:10.1044/sasd7.2.5
The ethics column in the November 1997 newsletter addressed an ethical dilemma involving team conflict. This article revisits that case.
Mrs. J. is a 46-year-old woman with a 15-year history of chronic-progressive Multiple Sclerosis. She was admitted to the rehabilitation hospital following a recent exacerbation. Video fluoroscopic swallow evaluation confirmed clinical suspicions that she was aspirating thin liquids and was at significant risk for aspirating solids secondary to severe ataxia. The recommendation was made for pureed food and thick liquids, to take liquids by spoon, and to use a chin tuck on each swallow.
Diet recommendations for Mrs. J were made only after the patient's wishes for continuing P.O. intake (while weighing the fact that she requires assistance and a modified diet to take nutrition and hydration in the safest way) were evaluated.
First Page Preview
First page PDF preview
First page PDF preview ×
View Large
Become a SIG Affiliate
Pay Per View
Entire SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia) content & archive
24-hour access
This Issue
24-hour access
This Article
24-hour access
We've Changed Our Publication Model...
The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups.