Balasubramanium, R.K., Manchaiah, V., & Rangarathnam, B.
EBP Briefs, 15(4), 1-6.
Publication year: 2022

Elijah is a Speech-Language Pathologist (SLP) in Lincoln, Nebraska (NE). He works in a medical center that uses interdisciplinary practice in cancer treatment. His team had an opportunity to evaluate Rachel who was diagnosed with a Stage II carcinoma of the tongue. Rachel is a 70-year-old single woman who lives in the rural town of Mason City, NE. The nearest metropolitan area for Rachel is Lincoln and is located about 150 miles from Mason City. Rachel’s team of oncology care determined that she needs an established protocol of radiation treatment (RT). Elijah performed baseline swallowing examinations in person at his place of employment in Lincoln before beginning RT. Rachel was recommended for prophylactic dysphagia therapy. Unfortunately, she may not be able to travel over 2.5 hours every week for her dysphagia care. She does not have a support system or access to care closer to home. The situation has negatively impacted her health and healthrelated quality of life (HRQoL) substantially. Elijah was interested in offering his services through telepractice; however, he had questions regarding the research evidence for dysphagia therapy outcomes for individuals with head and neck cancers (HNC) using telepractice.