Food for Thought A Journey to Food in a Can Requiring No Thought at All Viewpoint
Viewpoint  |   March 01, 2013
Food for Thought
Author Affiliations & Notes
  • Laurie Sterling
    The Methodist Hospital, Speech Pathology Department, MDA/ALS Center at Methodist Neurological Institute, Houston, TX
  • Rebecca Axline
    The Methodist Neurological Institute, Department of Neurology, MDA/ALS Center at Methodist Neurological Institute, Houston, TX
  • Patrice Ragland
    Houston, TX
  • Disclosure: Laurie Sterling, Rebecca Axline, and Patrice Ragland have no financial or nonfinancial relationships related to the content of this article.
    Disclosure: Laurie Sterling, Rebecca Axline, and Patrice Ragland have no financial or nonfinancial relationships related to the content of this article.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Food for Thought
Viewpoint   |   March 01, 2013
Food for Thought
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2013, Vol. 22, 32-37. doi:10.1044/sasd22.1.32
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2013, Vol. 22, 32-37. doi:10.1044/sasd22.1.32

Speech-language pathologists have little, if any, formal training in counseling during graduate school. Working with neurodegenerative diseases such as amyotrophic lateral sclerosis (ALS) requires more listening than talking and direct therapy. Knowing what to say and how to address patient emotions about loss of speech and swallowing function can be difficult. We share an patient with ALS's perspective of her experiences in life as she lost her ability to go out to lunch with her coworkers and fought to maintain her weight. We introduce the SPIKES protocol (Baile et al., 2000) for delivering “bad news” as a format for speech-language pathology sessions when broaching difficult topics such as percutaneous endoscopic gastrostomy (PEG) tube placement.

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