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Improving Clinical Skills: Lessons from a Case of Esophageal Foreign Body in a Nonverbal Patient

Improving Clinical Skills: Lessons from a Case of Esophageal Foreign Body in a Nonverbal Patient

Introduction

The case study titled A Hard Case to Swallow: Crucifix Esophageal Foreign Body in a Nonverbal Patient provides critical insights into the challenges and management of esophageal foreign bodies, particularly in nonverbal patients. This research is pivotal for speech-language pathologists and other practitioners working with vulnerable populations, such as children or individuals with communication disorders. The study underscores the importance of a thorough differential diagnosis and rapid intervention to prevent severe complications.

Understanding the Case

The case involves a 70-year-old nonverbal woman with severe dementia who presented with a dry cough, a symptom that could easily be misattributed to other conditions, especially during a pandemic. Upon examination, a large crucifix was discovered lodged in her esophagus. This scenario highlights the necessity for clinicians to consider esophageal foreign bodies in patients presenting with atypical respiratory symptoms, especially those who are nonverbal or have intellectual disabilities.

Key Takeaways for Practitioners

Practitioners can derive several key lessons from this case study:

Implications for Speech-Language Pathologists

For speech-language pathologists, this case underscores the importance of vigilance and comprehensive assessment in nonverbal patients. It also highlights the role of SLPs in the post-removal phase, where they can assist in dietary management and monitor for potential aspiration risks. Moreover, SLPs should advocate for regular training and updates on handling such emergencies, ensuring they are prepared to act swiftly and effectively.

Encouraging Further Research

While this case provides valuable insights, it also opens avenues for further research. Practitioners are encouraged to explore:

By engaging in research and continuous learning, practitioners can enhance their skills and improve patient outcomes significantly.

Conclusion

This case study serves as a critical reminder of the complexities involved in managing esophageal foreign bodies, particularly in nonverbal patients. By applying the lessons learned and pursuing further research, practitioners can enhance their diagnostic and intervention skills, ultimately improving patient care.

To read the original research paper, please follow this link: A Hard Case to Swallow: Crucifix Esophageal Foreign Body in a Nonverbal Patient.


Citation: Barlow, J. A., Larson, N. P., Wray, J., & Bridwell, R. E. (2020). A hard case to swallow: Crucifix esophageal foreign body in a nonverbal patient. Cureus, 12(7), e9286. https://doi.org/10.7759/cureus.9286
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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