This is the Swallier Pride Podcast and today's guest is Bianca Colson.

She graduated from the University of Pittsburgh in 2008 with a master's from

Towson University in Maryland and has been working at Sinai Rehab Center at

Sinai Hospital as an adult medical SLP and has 12 years of experience in a variety of

settings. She received a certification as a brain injury specialist while in acute rehab and has completed certifications in vital stem, LSTT, and thieves.

Throughout the past few years, and specifically during COVID, she was feeling very discouraged about the lack of family

and patient-centered care.

She developed strong relationships

with chronic disease management

and palliative care teams to support

and learn from conversations

with nutrition decisions

when patients were demonstrating risks with PO intake.

In 2021, Sinai Hospital of Baltimore

recognized Bianca as a specialist in the area of palliative dysphasia.

Through years of extensive research and work through the nutrition care committee,

her hospital has elected to adopt a diet order set titled

The Permissive Dispasia Diet,

which includes educational resources for careful hand feeding and a hospital wide education protocol for counseling families and patients on decision making for long term nutritional needs during acute and chronic illness.

The power plan was just initiated in June of 2022 and thus initial outcomes data is still

pending. The overall goal is to enrich the conversation surrounding decisions for entrel nutrition to provide a risk-verse benefit rather than identifying aspiration and recommending ANH for those patients who may not benefit or those that choose not to receive non-world

feeds. So far, Bianca has been able to reach her affiliated some acute rehab

...