What are the potential reasons why the sour bolus did not help trigger a faster swallow in her patient?

A new clinician was told by her supervisor tha Show more Dysphagia: Clinical Management in Adults and Children A new clinician was told by her supervisor that patients who demonstrate a pharyngeal swallow delay may benefit from the therapeutic intervention of a sour bolus. The clinician was told that the hospital kept a large supply of lemon ice on each floor for this purpose. The clinician was working with a patient who showed slowed eating/swallowing as a result of a partial tongue resection secondary to cancer. After 6 days of therapy with the lemon ice the clinician did not believe that the swallow delay had improved. What are the potential reasons why the sour bolus did not help trigger a faster swallow in her patient? Name a compensatory technique OR a facilitation technique that might this help this patient and explain your rationale. Show less

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