What is Dysphagia?
Dysphagia is the medical term for difficulty swallowing. It is when people have trouble moving food, liquid, pills or even saliva out of the mouth, through the throat and esophagus (food tube), and into the stomach.
Resources We Offer
Stay up-to-date in the field of swallowing and swallowing disorders (dysphagia). Read, comment and ask questions on my latest collection of hot topics.
Trouble Swallowing Pills? What to do for Pill DysphagiaDifficulty Swallowing Pills Learn REAL Strategies to Help You Swallow Your Pills Easily! by Karen Sheffler, MS,...
Low Radiation Risks from Videofluoroscopic Swallow Studies (Adults)Know the Facts: What are the True Radiation Risks from Videofluoroscopic Swallow Studies By Karen Sheffler, MS,...
Dysphagia Digest: Multiphase Dysphagia EvaluationsMultiphase Dysphagia Evaluations: Pharyngoesophageal Inter-Relationships by Karen Sheffler, MS, CCC-SLP, BCS-S of...
Find out more on dysphagia, swallow studies, and more with this compilation of educational information for all.View More
Central place to guide clinicians through the online dysphagia world and provide useful resources to enhance patient care.View More
Expert-opinions on a wide range of dysphagia products and resources for people with difficulty swallowing and their caregivers.View More
About Karen ShefflerMS, CCC-SLP, BCS-S Download CV
I graduated from the University of Wisconsin-Madison in 1995 with master’s degree in Speech-Language Pathology. There, I was influenced by great mentors in the field of swallowing and swallowing disorders (dysphagia) like Jay Rosenbek, JoAnne Robbins, and James Coyle. Once the “dysphagia-bug” bit, I have never looked back.
Initially, I worked in skilled nursing facilities and rehabilitation centers, but since 1999 I have been in acute care. I obtained my Board Certification as a Specialist in Swallowing and Swallowing Disorders (BCS-S) in August of 2012. I am committed to life-long-learning. I was awarded my 6th ASHA Award for Continuing Education (ACE Award) in November 2018. I am committed to life-long learning and increasing public awareness in dysphagia. I am a member of the Dysphagia Research Society (DRS), the American Speech-Language Hearing Association’s Special Interest Group 13: Swallowing and Swallowing Disorders, and the National Foundation of Swallowing Disorders (NFOSD). I was awarded the Hormel Health Hero Award in 2019.
I started SwallowStudy.com in May 2014 to create a valuable evidence-based dysphagia resource for professionals and patients.
Hormel Health Labs Health Hero Award
Karen was the first recipient of the Hormel Health Labs Health Hero Award!
Read the full article: Health Hero Advances Dysphagia Research – Hormel Health Labs
National Dysphagia Awareness Month
June is National Dysphagia Awareness Month in the United States! Check out Karen’s posts on her Twitter and Facebook pages (@SwallowStudySLP). She posted over 70 times to raise awareness during the month of June. Follow hashtags: #NDAM, #DysphagiaAwareness and #Dysphagia for many informative posts & infographics.
Read more about dysphagia with this article on RightAtHome.net, written after interviewing Karen Sheffler: https://www.rightathome.net/blog/dysphagia-difficulty-swallowing-in-older-adults
Podcast with Fox Rehab (5/1/19)
Dysphagia Research Society (DRS) annual conference May 2019
Karen attended the Dysphagia Research Society’s (DRS) annual conference March 6-9, 2019. She is on the DRS Website, Communications, and Public Relations Committee and assisted with fundraising and social media promotion for the event. This global conference drew people to San Diego, CA from 24 different countries.
Additionally, Karen had thousands of people following her 85+ live tweets, helping to connect the global dysphagia community of clinicians and researchers. Karen has also been promoting the International Dysphagia Diet Standardization Initiative (www.IDDSI.org) for years, and she is seen here at the IDDSI booth at the DRS conference with the IDDSI co-chair, Peter Lam. RD, CFE.
Karen attended the Academy of Nutrition and Dietetics
Karen attended the Academy of Nutrition and Dietetics’ (AND) Food and Nutrition Conference Expo (#FNCE17) for the first time. This was a great opportunity for interdisciplinary networking. Karen presented at the Hormel booth to raise awareness about the International Dysphagia Diet Standardization Initiative (IDDSI). Karen (middle) is here with Peter Lam, RD, CFE, Co-Chair of IDDSI (on left) and Tim R. Garry, RD, LD, Director of Marketing for Hormel Health Labs / Hormel Food Sales, LLC
National Foundation of Swallowing Disorders (NFOSD)
Karen is a member of and supports the National Foundation of Swallowing Disorders (NFOSD). Karen is here with Elizabeth Lipton, Executive Director of the NFOSD, at the Dysphagia Research Society Annual Meeting in Baltimore, MD in March, 2018.
A True IDDSI Champion
Karen is an IDDSI Champion and has been writing blogs and lecturing about IDDSI to raise awareness since 2014. Karen is pictured here again with Peter Lam, RD, CFE, Co-Chair of IDDSI (Note: Peter’s co-chair is Dr Julie Cichero, BA, BSpThy(Hons), PhD, who is a Speech-Language Pathologist in Australia).
Karen is displaying a colorful IDDSI informational poster. Go to www.IDDSI.org/Resources/ to download your own IDDSI posters, Powerpoints and more.
Hormel Health Labs Presentation
Karen educated food service professionals about swallowing/swallowing disorders and IDDSI for the Hormel Health Labs presentation at the Southeast region’s Navigator meeting in Tampa, Florida in March 2018. She made tubes that simulate the average diameter of the trachea (or airway) of infants, children, women and men to reinforce the reality of choking risks.
She had the audience performing the easy food and liquid testing methods created by the International Dysphagia Diet Standardisation Initiative (IDDSI), such as: The Fork Pressure Test and the IDDSI Flow Test. Go to http://iddsi.org/framework/ for more information.
Free IDDSI Webinars
Karen presented on BeckyDorner.com, providing the following 2 FREE webinars, brought to you by Hormel Health Labs. Learn more about IDDSI by listening to both of the webinars at: https://www.beckydorner.com/hormelhealthlabs/
One-Day Live Dysphagia Seminars
Karen provides live one-day seminars on dysphagia for Summit Professional Education, and she was in New Jersey, Minnesota, and New York in 2018. The course is now available online at Summit Professional Education. Course title: ‘What Every Therapist Needs to Know About Dysphagia: Swallowing Screening, Evaluation, & Treatment to Maximize Safety & Quality of Life.’
It is taught at the intermediate level and is a broad-sweep across the field, including: why to be concerned about dysphagia, why and how to advocate for your patients, screening, evaluation, treatment, palliative care/ethical considerations, IDDSI and more. It is designed for SLPs of all experience levels who need to make sure they have the latest evidence-based practices and resources. Karen and Summit encourage OTs and PTs to attend as well for excellent interdisciplinary care. Please notify Summit Education if you have a group interested in a live seminar near you.
Live Webinar for Martin Bros. Distributing Company
Karen gave a live webinar for Martin Bros. Distributing Company, Inc educating dietary managers and registered dietitians about the International Dysphagia Diet Standardisation Initiative (www.IDDSI.org). Interesting webinar poll results as of October 2018: 25% of participants were not at all familiar with IDDSI yet. 42% were a little familiar, 29% were somewhat familiar, and only 4% were very familiar. 87% of respondents are still using the old diet label of “Mechanical Soft,” and a variety of other non-standardized diet labels are still being used.
Learn more about the global wave to standardize diets for patient safety at www.IDDSI.org.
3D Printed Pharmaceuticals Summit
Karen presented at the first ever 3D Printed Pharmaceuticals Summit on November 8, 2018 in Livingston, NJ. She was invited to be on a panel titled: 3D Printing of Pharmaceuticals and Biologics to Address Unmet Medical Needs. The conference was sponsored by the Center for Medicine in the Public Interest (CMPI.org) and Aprecia – The 3DP Pharmaceutical Company (Aprecia.com).
Dysphagia is a significant unmet need in traditional drug manufacturing, as people struggle every day to safely swallow their medications. Please see Karen’s blog for more exciting information on how 3D printing will revolutionize what we think of as a finished drug product.
American Speech-Language & Hearing Association (ASHA) in Boston, MA
Karen spoke at the 2018 national convention of the American Speech-Language & Hearing Association (ASHA) in Boston, MA. Together with Theresa Richard, MA, CCC-SLP, BCS-S from SwallowYourPride podcast, she spoke about revolutionizing the old concept that the videofluoroscopic swallow study/VFSS (aka, modified barium swallow study) is the only gold standard for dysphagia evaluations.
When an SLP is thoroughly evaluating an individual’s difficulty with swallowing, it cannot be a dichotomy between just the traditional two exams of the VFSS versus the FEES/Fiberoptic Endoscopic Evaluation of Swallowing. You choose the exam that best fits your clinical questions and hypotheses. Your evaluation process may include one of these exams, both, none, and/or the myriad of other ways to evaluate the swallow with appropriate referrals to our other colleagues in the field of deglutition (i.e., gastroenterologists, otolaryngologists, etc). To reflect this thinking, Karen coined the new term of a “Platinum Standard of Personalized Medicine.”
This means that you are using a personalized medicine approach for you dysphagia evaluations. Your more precise evaluations will lead to targeting treatment to the individual’s needs. Read more on personalized medicine and precision medicine in Karen’s blog.
Online Training & Webinars
With her clinical expertise, connections with researchers around the world and witty humor, bring Karen on to enrich your next conference, lecture series or webinar.Learn More
I used Ms. Sheffler as an expert on a nursing home choking death case. Her report was one of the best expert reports I have seen in thirty years of practice. The report was very helpful in getting the case resolved at mediation. She was quick and thorough with her work and it was a pleasure working with her.
What may seem like an insignificant gestures of outreach on your part have contributed so greatly to my professional growth in the past year already - that no amount of praise would be sufficient! The level of advocacy you offer and the breadth and depth of knowledge you possess on this topic is unfathomable.
Anthony Lewis, M.A., CCC-SLP
Thank you very much for your involvement in this case as an expert. Your report was very helpful in assisting the parties in settling the case.
I highly recommend Karen Sheffler’s VFSS courses on SpeechPathology.com! Karen’s presentation style was engaging and the information was in depth yet easy to understand. I gained functional knowledge that will improve my clinical decision-making in dysphagia.
Nina Ziemba, M.S., CCC-SLP
Karen’s ability to reach and educate professionals and the public from her review of current literature and conference proceedings helps us all!
MARTIN B. BRODSKY, PHD, SCM, CCC-SLP, ASHA FELLOW
Karen has a wonderful way of synthesizing science for clinical audiences. Her ability to communicate clearly and apply scientific results to real challenges in the clinical world is extremely important and goes a long way to filling the knowledge translation gap that scientists face.
Dr Catriona M. Steele, Ph.D., CCC-SLP, BCS-S, S-LP(C), Reg. CASLPO, ASHA Fellow
Karen Sheffler is an inspiring clinician and colleague. As an expert in the area of swallowing disorders (dysphagia), she has contributed greatly to our profession. She has written informative evidence-based articles, summarizing and translating the latest research in a simple and easily comprehensible format for clinicians and researchers alike.
Thank you for your presentation. Your extensive knowledge and sense of humor helped to advance the knowledge base of our attendees. It was an asset to the program.
I want to personally thank you for taking the time to review this matter for us and for our client. Your willingness to devote your time to the review of this matter helped us to achieve an excellent resolution
Karen Sheffler was a great speaker, educating our audience of Dietary Managers and Registered Dietitians on IDDSI. She is so easy to work with, and she provided many great additional online resources for the audience to get more information.