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Editorial Reviews

Many people these days know about the dangers of falling in the elderly. Falls account for nearly 20,000 deaths annually in the United States. Caregivers do a lot to prevent these tragic accidents from occurring. Relatively few people, however, realize the danger of swallowing problems. They, too, take tens of thousands of lives every year through choking, pneumonia, and malnutrition. SWALLOW SAFELY seeks to erase this knowledge gap. The book presents in clear, non-technical language with illustrations how swallowing works normally, how things can go wrong, what symptoms to watch out for, and how to get help. The book is written primarily for caregivers of elderly persons and others with medical and neurologic problems such as stroke, Parkinson disease, multiple sclerosis, cancer, and Alzheimer disease that are commonly associated with swallowing problems. Appendices include a Letter For Your Doctor and Suggestions For Safe Swallowing.


Related Reviews

A useful resource for anyone caring for an elderly relative

Midwest Book Review @ 2010-09-10

Swallowing, something done effortlessly everyday can be a risk of death. "Swallow Safely: How Swallowing Problems Threaten the Elderly and Others" discusses swallowing disorders and the challenges that face older people in the everyday task of eating. The dangers of medications, precautions that can be taken, and more, "Swallow Safety" is a useful resource for anyone caring for an elderly relative.

I would have not stuffed my father's mouth full of food had Swallow Safely been available

Brenda Avadian "TheC @ 2010-08-06

Toward the end of my father's life, he had difficulty chewing food and eventually swallowing. I didn't know it then. One morning, while feeding him breakfast at the nursing home, I stuffed more and more food in his mouth, thinking this might stimulate him to swallow.
Upon seeing his stuffed cheeks, the aide who usually helped him eat exclaimed, "Brenda what are you doing?"
Embarrassed I confessed, "He won't eat!"
What did I know?

I'm embarrassed to admit it now, thanks to Roya Sayadi, PhD, CCC-SLP and Joel Herskowitz's, MD new book. Swallow Safely educates and empowers caregivers to prevent those with swallowing problems from choking.

Highlights:

Four-steps to the swallowing process, p. 15.
It's amazing how many of us don't even focus on our eating; yet, with an estimated 600 swallows daily, a lot can go wrong!

Difference between a "café coronary" and a heart attack, p. 49.
Heimlich maneuver--on someone else and self-administered, p. 58.
Two additional points bear mentioning:
follow then stay with a choking person, as embarrassment may cause him/her to leave the setting.
pneumonia may not show up for months after a choking incident.

Medications and how to manage them when they cause dryness and swallowing complications, p. 78 and in appendix. Tips for taking meds, p. 85.

Treating swallowing problems including: warnings about mixing foods, the need for sensory stimulation and aiding the swallow reflex with an ice-cold applicator dipped in lemon juice, diet modification can get emotional, aspirating even while tube feeding, pgs. 91- 107.

What to expect when going for a thorough swallowing exam, p. 113.

The role of the caregiver, p. 121 I was particularly touched by this paragraph (italics added for emphasis): It is your love that guides you to learn more, your caring that ensures... recommendations are carried out..., your patience and strength that enable you to be with someone you love through difficult times.

Mindful swallowing, p.125.
Read this twice, it can save your or your loved one's life!

Appendices include a form where you can record your observations of a loved one's difficulty swallowing and tips for swallowing safely.

Sayadi and Herskowitz caution family caregivers to be more specific in helping loved ones define their advance directives. Many are either DNR (Do Not Resuscitate) or resuscitate. Yet, there remains a lot of gray area in between these extremes, such as when a mildly impaired individual chokes on a bone. In such an instance, detailed instructions on the Heimlich maneuver are offered.

Given the number of medical terms used throughout the book, it would have been nice to refer to a glossary-something the authors should consider including in a subsequent edition.

Also, as one whose nose runs each time I eat, I'd like to learn more about this and why it occurs. When I asked Herskowitz, he offered the following explanation: The runny nose and the watery eyes result from reflex irritation of the mouth, throat, or (most ominously) the larynx.

I know I could have been much better informed had Swallow Safely been available while my father was still alive.

Recommended for family and professional caregivers for those experiencing swallowing difficulties due to stroke, Alzheimer's, MS, ALS, cancer, heart disease, and even healthy individuals who experience swallowing problems.


Reviewed by Brenda Avadian
Editor, The Caregiver's Voice Book Review

"Swallow Safely" Very Important Book!

Eileen @ 2010-07-16

Swallow Safely is a very important book. It explains everything you need to know about swallowing. I am so glad that Dr.Herskowitz & Roya Sayadi gave us all this important information that is easy to read, understand and to put into action. I learned that there are exercises to help build up muscle control to help a person swallow. Swallowing problems not only affect older people, but can also affect the very young including babies. This book was a great donation to all of us who have swallowing problems and for those who care for people with swallowing problems. Thank you. Dr. Herskowitz & Roya Sayadi.Swallow Safely: How Swallowing Problems Threaten the Elderly and Others. A Caregiver's Guide to Recognition, Treatment, and Prevention

Swallow Safely: Timely Book for Elders and Caregivers

Carol Bradley Bursac @ 2010-07-15

"SWALLOW SAFELY" is a very helpful book, a valuable reference when it comes to swallowing.
The authors provide special tips for those of us caring for loved ones with Alzheimer's, Parkinson's,
stroke, and other diseases that can cause specific swallowing problems.

If you've ever had food or beverages go down the wrong tube when engaged in an animated discussion
while dining, now you know why you experienced coughing, watering eyes, runny nose and other
uncomfortable things while friends anxiously looked on. Just as important, now you realize you should do
something about it, before someone has to save your life with the Heimlich maneuver.

SWALLOW SAFELY is a book for everyone. If you're a caregiver, it's a must.Minding Our Elders: Caregivers Share Their Personal Stories

Swallow Safely: Timely Book for Elders and Caregivers

Carol Bradley Bursac @ 2010-07-15

"SWALLOW SAFELY" is a very helpful book, a valuable reference when it comes to swallowing.
The authors provide special tips for those of us caring for loved ones with Alzheimer's, Parkinson's,
stroke, and other diseases that can cause specific swallowing problems.

If you've ever had food or beverages go down the wrong tube when engaged in an animated discussion
while dining, now you know why you experienced coughing, watering eyes, runny nose and other
uncomfortable things while friends anxiously looked on. Just as important, now you realize you should do
something about it, before someone has to save your life with the Heimlich maneuver.

SWALLOW SAFELY is a book for everyone. If you're a caregiver, it's a must.Minding Our Elders: Caregivers Share Their Personal Stories

Important Information for those with swallowing problems & their carergivers

Janet Perry "Needlep @ 2010-07-08

Swallowing problems can affect far more than the elderly and whether you have a known swallowing problem or have something that could affect your swallowing in the future, you should get this book.

Problems that can affect swallowing include many neurological diseases, such as MS or Parkinson's, diseases like Scelraderma, or any medication that has dry mouth as a side effect. These drugs include common antihistimines, like Benadryl, and anti-nausea medicines, like Dramamine. Any of these things can cause swallowing problems.

In this book you'll learn how swallowing correctly works and how problems can occur. Besides giving you detailed instructions in the Heimlich Manuever (in different positions), you will also learn about strategies for swallowing more easily.

I was impressed that the authors have lots of experience in this area and have seen many problems. They are aware that swallowing problems don't just affect the elderly. They write in a way that makes the book useful for both those with problems and their caregivers without making either feel excluded.


I was very impressed.

Well done! Important Book!

Marilyn J. Mcleod "C @ 2010-07-04

This book is so well written, with illustrations, so easy to follow. This is very important information that will save lives.

How to recognize, treat and prevent life-threatening swallowing problems

Susan Johnson "Sue J @ 2010-06-26

This husband/wife physician team brings to light the dangers of swallowing that can affect those dealing with Stroke, Parkinson Disease, Multiple Sclerosis, Alzheimer Disease, ALS, Cancer, COPD, Heart Disease and Head Injury. In clear layman's language they explain the signs and techniques for dealing with this all too often ignored danger. This potentially life-saving book on how to keep a swallowing problem from becoming fatal is a must read for caregivers and seniors.
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