Is the patient at increased risk of pulmonary infection? ( see blog post here on factors other than aspiration that place patient at risk for pneumonia).Is there a significant reduction in aspiration with trials of thickened liquids during the instrumental evaluation?.Does the patient show consistent aspiration on an instrumental evaluation of swallowing?.
I do this judiciously and using the following decision-making process:
A more accurate name would be the “honey-thick liquid challenge.” While I almost never recommend honey-thickened liquids ( see my blog here for rationale), I do recommend nectar-thickened liquids with appropriate patients. Unfortunately, this challenge has been named the “thickened liquid challenge,” which could be confusing for patients who find these videos on YouTube. Many physicians and speech pathologists have never tried the liquids they so frequently prescribe to patients, so this increased awareness may help initiate important conversations with patients, clinicians and family members about quality of life and patientʼs rights to decline recommended interventions. By: Kelley Babcock, MS, CCC-SLP, BCS-S, #thickenedliquidchallengehas certainly raised awareness of how difficult it can be for patients to enjoy honey-thickened liquids.
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