{"id":4270,"date":"2021-05-20T19:27:01","date_gmt":"2021-05-20T23:27:01","guid":{"rendered":"https:\/\/norahspeaks.com\/blog\/?p=4270"},"modified":"2021-05-20T19:33:04","modified_gmt":"2021-05-20T23:33:04","slug":"dysphagia-and-cultural-sensitivity","status":"publish","type":"post","link":"https:\/\/norahspeaks.com\/blog\/slp\/dysphagia-and-cultural-sensitivity\/","title":{"rendered":"Dysphagia and Cultural Sensitivity"},"content":{"rendered":"
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Earlier this month, I discussed the ASHA Code of Ethics<\/a> and cultural competence. Today, I am going to look at the Code of Ethics in the view of dysphagia assessment and treatment.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Principle I, Article K of the ASHA Code of Ethics (2016) states that “<\/span>Individuals who hold the Certificate of Clinical Competence shall evaluate the effectiveness of services provided, technology employed, and products dispensed, and they shall provide services or dispense products only when benefit can reasonably be expected.”<\/span><\/p>

In her article <\/span>“Food Culture, Preferences and Ethics in Dysphagia Management “ (2015),<\/span><\/i> SLP Belinda Kenny explains an ethical violation with dysphagia: <\/span>“<\/b>Essentially, two people with the same severity of swallowing impairment may experience very different impacts upon social and cultural participation.” (Kenny 2015).<\/span><\/p>

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 Principle I, Article B in the ASHA Code of Ethics (2016) states that “Individuals shall use every resource, including referral and\/or interprofessional collaboration when appropriate, to ensure that quality service is provided.” There may be other resources SLPs can, such as communicating with his other health care providers, who might be aware of a patient’s cultural preferences and could provide guidance. We also can listen to our patient’s information they provide and research dysphagia treatment for culturally diverse populations.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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 Principle I, Article M that says “Individuals who hold the Certificate of Clinical Competence shall use independent and evidence-based clinical judgement, keeping paramount the best interests of those being served. If we are informed of cultural food preferences, and are ignorant of said preferences, whether intentional or not, we are violating the ASHA Code of Ethics Principle I, Article C (2016) which articulates that “Individuals shall not discriminate in the delivery of professional services or in the conduct of research and scholarly activities on the basis of race, ethnicity, sex<\/span>, gender<\/span> identity\/gender<\/span> expression, sexual orientation<\/span>, age, religion, national origin, disability, culture, language, or dialect.” <\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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“Adults with intact swallowing reflexes make food choices that reflect their attitudes towards health, spiritual beliefs, cultural norms and life experiences.” (Kenny 2015). The same opportunity is necessary for patients with dysphagia of all cultural and spiritual backgrounds to experience autonomy and as much pleasure and comfort as possible with eating and drinking. As speech-language pathologists, we need to work with patients and their caregivers to make the best decision regarding diet, taking into account both nutrition and cultural preferences. We have our own perceptions of health with feeding, and must be aware of the potential influence of those beliefs when counseling the patient. Kenny outlines four health professional skills for shared decision making with dysphagia treatment: “communication, imagination, courage and reflection” (Kenny, 2015). We need to participate in “open communication, creative problem solving, leadership, and reflection during patient\/health professional interactions.” (Kenny 2015). Beyond what The best practice for a situation like this is to incorporate shared decision making. This method allows clinicians to develop rapport and the risks and benefits of dysphagia management to provide the best plan of care for individual patients.<\/p>

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References<\/span><\/p>

Adult Dysphagia. (n.d.). Retrieved March 29, 2020, from <\/span>https:\/\/www.asha.org\/PRPSpecificTopic.aspx?folderid=8589942550§ion<\/span><\/a> <\/span><\/p>

Code of Ethics. (2016, March 1). Retrieved March 28, 2020, from <\/span>https:\/\/www.asha.org\/Code-of-Ethics\/<\/span><\/a><\/p>

Cultural Competence. (n.d.). Retrieved March 28, 2020, from <\/span>https:\/\/www.asha.org\/Practice-Portal\/Professional-Issues\/Cultural-Competence\/<\/span><\/a><\/p>

Issues in Ethics: Cultural and Linguistic Competence. (2017). Retrieved March 28, 2020, from <\/span>https:\/\/www.asha.org\/Practice\/ethics\/Cultural-and-Linguistic-Competence\/#sec1.2<\/span><\/a><\/p>

Kenny, B. (2015). Food Culture, Preferences and Ethics in Dysphagia Management. <\/span>Bioethics<\/span><\/i>, <\/span>29<\/span><\/i>(9), 646–652. doi: 10.1111\/bioe.12189<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Earlier this month, I discussed the ASHA Code of Ethics and cultural competence. Today, I am going to look at the Code of Ethics in the view of dysphagia assessment and treatment. Principle I, Article K of the ASHA Code of Ethics (2016) states that “Individuals who hold the Certificate of Clinical Competence shall evaluate …<\/p>\n

Dysphagia and Cultural Sensitivity<\/span> Read More »<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":""},"categories":[63],"tags":[],"aioseo_notices":[],"featured_image_src":null,"featured_image_src_square":null,"author_info":{"display_name":"norah.aljunaidi@gmail.com","author_link":"https:\/\/norahspeaks.com\/blog\/author\/norah-aljunaidigmail-com\/"},"_links":{"self":[{"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/posts\/4270"}],"collection":[{"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/comments?post=4270"}],"version-history":[{"count":3,"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/posts\/4270\/revisions"}],"predecessor-version":[{"id":4273,"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/posts\/4270\/revisions\/4273"}],"wp:attachment":[{"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/media?parent=4270"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/categories?post=4270"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/norahspeaks.com\/blog\/wp-json\/wp\/v2\/tags?post=4270"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}