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In this episode of the Inside Medical Nutrition podcast, Dr. Linia Patel hosts a discussion with Sandra Robinson, a speech and language therapist, and Caroline Hill, a dietitian, about the importance of a multidisciplinary team (MDT) approach in managing patients with dysphagia.
The discussion begins by defining the different types of teamwork: multidisciplinary, interdisciplinary, and transdisciplinary. The guests emphasise the value of an interdisciplinary approach (IDT), where team members actively collaborate and communicate to provide coordinated care. They contrast this with a multidisciplinary approach, where professionals work independently with less interaction.
The podcast highlights the diverse members of an MDT, including physicians, nurses, therapists, assistants, chefs, and, importantly, the patients and their families. They discuss how MDTs function in primary care and the role of specialist nurses in bridging communication gaps.
The conversation explores the impact of COVID-19 on dysphagia management, particularly the increased reliance on telehealth. While telehealth offers benefits, it also presents challenges, such as ensuring patient safety, relying on facilitators, and addressing communication barriers. Best practices for virtual consultations include being prepared with technology, supporting patients and facilitators, and setting clear expectations.
The guests stress the importance of ongoing education and awareness of dysphagia, suggesting that speech and language therapy training should begin at the undergraduate level. They also propose considering a title like "dysphagia practitioner" to better reflect the scope of practice.
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