Contributions from Ken Altman, Max Haxer, Thomas Murry
This is the first textbook worldwide on the speech pathology management of chronic refractory cough. It offers a comprehensive overview of the condition, outlines therapy in great detail and consolidates recent advances in this area.
Cough is such a common experience that it in fact accounts for the largest number of ambulatory health care visits internationally. Most cases of acute cough resolve spontaneously however Chronic Refractory Cough is another matter. This is defined as a cough that lasts for longer than eight weeks, and persists despite medical treatment; and it is a significant health problem for many people. Often lasting for months or even years, chronic refractory cough has debilitating side effects including stress urinary incontinence, depression, poor sleep, headaches and reduced quality of life. Some patients resign from work and many avoid social situations. Even simple activities such as conversing or using the telephone can become distressing because talking can trigger coughing episodes.
Although medical treatment is ineffective for Chronic Refractory Cough, speech pathology intervention can be effective in treating the condition. Understanding laryngeal function in chronic refractory cough has changed, and there are now effective treatment programs that can be used to help people with these problems. However while speech pathology intervention is effective in treating refractory chronic refractory cough, patients have difficulty accessing this intervention outside of specialist voice clinics.
Management of chronic refractory cough is an expanding area for speech pathologists, yet many have limited clinical exposure to the treatment of this condition and comprehensive details of the theory and treatment are not readily available in published form. This book, the result of a therapy program which is defined by the authors, who are both practicing clinicians as well as researchers, and based on evidence and background research, can be used by speech pathologists in all clinics.
Laryngeal hypersensitivity is emerging as the key concept in chronic refractory cough. It is the target of mechanisms studies, novel therapies and also novel pharmacological developments. This book will explain the importance of laryngeal hypersensitivity, how it can be recognized, and how it can be treated.
Speech pathologists, referring medical specialists and patients have expressed a need for more specialized speech pathology services for the management of chronic refractory cough. In particular, speech pathologists are requesting more comprehensive and cohesive information to guide their patient management.
Presently, there are no widespread education programs and material is generally disseminated through journal articles published in a wide array of literature and by word of mouth. This book fills the gap. It is the first manual available to speech pathologists to support their treatment of chronic refractory cough and to eliminate their reliance on conference presentations, infrequent journal articles and short textbook descriptions.
Presented here are a comprehensive overview of the conditions, detailed outlines of therapy options, and qualified guidance on recent advances in this area that speech pathologists need and are looking for when treating these patients.