Question
If patients do not want thickened liquids with meals can they be permitted to have ice chips?
Answer
No, I would not allow ice chips during a meal especially if they aspirate thin liquids. Typically we don't chew ice chips or swallow them immediately. Generally, we allow them to partially or totally melt into a thin liquid before we swallow. I understand why patients would want ice chips but the thin liquids will easily pick up food particles and residue that is going to give them a higher risk of aspiration and possibly lead to aspiration pneumonia.
Gale Estes-Waddell, M.A., CCC-sp has over 25 years of experience working with adults and pediatrics in the acute, rehabilitation, outpatient and home health settings. Gale has developed, consulted and managed several interdisciplinary dysphagia programs. She is trained in Neurodevelopmental treatment for adults. Gale has presented nationally on topics of dysphagia and Neurodevelopmental Therapy.
Gale Estes-Waddell, M.A.,CCC-SLP
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