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A New Home Health Approach to SWALLOWING DISORDERS

Chetney, Rhonda MS, RN; Waro, Karol MS, CCC, SLP


Dysphagia has devastating effects on millions of adults and children in the United States and contributes to the increasing cost of healthcare because of the aspiration that results. A new treatment, Vital-Stim, is a form of electrical stimulation that speech therapists can administer in the home care setting. This article reflects one agency’s success in changing people’s lives by helping them swallow again.

Rhonda Chetney, MS, RN, is Director of Clinical Operations, Sentara Home Care Services, Chesapeake, VA, where Karol Waro, MS, CCC, SLP, is a Speech Language Pathologist.

Address for correspondence: c/o Sentara Home Care Services, 535 Independence Parkway, Suite 200, Chesapeake, VA 23320 (

© 2004 Lippincott Williams & Wilkins, Inc.