Dysphagia Assessment and Treatment Planning Workbook

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Dysphagia Assessment and Treatment Planning
Workbook A Team Approach 5th Edition Julie
Barkmeier-Kraemer Digital Instant Download
Author(s): Julie Barkmeier-Kraemer, Rebecca Leonard
ISBN(s): 9781635504965, 1635504961
Edition: 5th
File Details: PDF, 8.90 MB
Year: 2023
Language: english
DYSPHAGIA
Assessment and Treatment Planning

WORKBOOK
A TEAM APPROACH
FIFTH EDITION

Julie Barkmeier-Kraemer
Rebecca Leonard
 DYSPHAGIA
Assessment and Treatment Planning

WORKBOOK
A TEAM APPROACH

FIFTH EDITION
 DYSPHAGIA
Assessment and Treatment Planning

WORKBOOK
A TEAM APPROACH

FIFTH EDITION

Julie Barkmeier-Kraemer, PhD, CCC-SLP

Rebecca Leonard, PhD, CCC-SLP
9177 Aero Drive, Suite B
San Diego, CA 92123

email: [email protected]
website: https://www.pluralpublishing.com

Copyright ©2025 by Plural Publishing, Inc.

Typeset in 11/13 Palatino by Flanagan’s Publishing Services, Inc.

Printed in the United States of America by Integrated Books International

All rights, including that of translation, reserved. No part of this publication may be reproduced,
stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical,
recording, or otherwise, including photocopying, recording, taping, web distribution, or
information storage and retrieval systems without the prior written consent of the publisher.

For permission to use material from this text, contact us by

Telephone: (866) 758-7251
Fax: (888) 758-7255
email: [email protected]

Every attempt has been made to contact the copyright holders for material originally printed in
another source. If any have been inadvertently overlooked, the publisher will gladly make the
necessary arrangements at the first opportunity.

Library of Congress Cataloging-in-Publication Data:

ISBN-13: 978-1-63550-496-5
ISBN-10: 1-63550-496-1
 Contents

Introduction vii
Acknowledgments ix
Multimedia List xi

1 Anatomy and Physiology of Deglutition Questions 1

2 Head and Neck Physical Exam Questions 17
3 Clinical Swallow Evaluation Questions 23
4 Endoscopy in Assessing and Treating Dysphagia Questions 49
5 Barium Radiographic Evaluation of the Pharynx and Esophagus Questions 55
6 Dynamic Fluoroscopic Swallow Study: Swallow Evaluation With 61
Videofluoroscopy Questions
7 DSS: A Systematic Approach to Analysis and Interpretation Questions 69
8 Dynamic Swallow Study: Objective Measures and Normative Data in Adults Questions 77
9 Other Technologies in Dysphagia Assessment Questions 89
10 The Treatment Plan: Behavioral Approaches Questions 93
11 The Treatment Plan: Medical and Surgical Questions 107
12 Airway Considerations in Dysphagia Questions 113
13 Nutritional Considerations in Dysphagia Questions 119
14 Pediatric Clinical Feeding Assessment Questions 125
15 Esophageal Phase Dysphagia Questions 135
16 Neurogenic Dysphagia Questions 145
17 Dysphagia in Head and Neck Cancer Patients Questions 151
18 Laryngopharyngeal Reflux Questions 159
19 Spinal Abnormalities in Dysphagia Questions 165
www
BONUS ONLINE-ONLY CHAPTER Telehealth

Answers 173
References 241

v
 Introduction

After teaching Dysphagia for 14 years at the and Kendall textbook, Dysphagia Assessment and
University of Arizona, I find that the common Treatment Planning.
denominator across every semester save for This workbook was previously created to
my most recent one was a desire for a textbook facilitate retention and improved implementa-
and course format that integrated fundamental tion of content within the Dysphagia Assessment
information about the anatomy and physiology and Treatment Planning textbook. Based on feed-
of the aerodigestive tract into clinically relevant back received by prior users of the workbook
knowledge needed to problem-solve the diverse in academic classrooms, we have added course-
range of individuals with feeding and swallow- friendly teaching and examination materials
ing problems. After using several textbooks that including online media for students and instruc-
did not fully meet my needs, I found the Leon- tors on the PluralPlus companion website.
ard and Kendall textbook and discovered that it Lecture materials are updated to incorporate
contains nearly every element needed for train- revised materials in the textbook for inclusion
ing speech-language pathologists in dysphagia. in a Dysphagia course. The workbook mirrors
I implemented the second edition of the Leonard the Dysphagia Assessment and Treatment Planning
and Kendall textbook in my graduate course on textbook’s reorganization of chapters. The for-
Dysphagia and found the magical combination mat of the workbook also maintained the prior
of basic fundamentals as well as evidence-based student-friendly approach for facilitating the
models of interdisciplinary clinical practice. The retention and application of information con-
contributions from every professional on the tained within the text. In addition, the work-
University of California–Davis (UCD) Voice, book provides a separate updated set of quiz/
Speech, and Swallowing team added the nec- exam questions and key responses for each
essary contribution of information from pro- textbook chapter for use by course instructors.
fessionals in otolaryngology, nursing, dietary, The prior workbook material providing instruc-
speech-language pathology, and gastroenterol- tion on qualitative and quantitative approaches
ogy. The textbook also integrates a synopsis of to analyzing videofluoroscopic studies are also
the most recent and relevant literature about updated and are available online including case-
deglutition to propose evidence-based methods based examples.
of assessment and treatment approaches. This We hope that the incorporation of online
continuity of update and revision to incorporate clinical and teaching materials for the textbook
the latest evidence-based approach and advance- and workbook provides improved instruc-
ments in the science and technology of clinical tional course materials and clinically relevant
services continues to be a unique contribution approaches for learning assessment and treat-
of the most recent fifth edition of the Leonard ment approaches to dysphagia.

JB-K

vii
 Acknowledgments

The authors gratefully acknowledge the con- their superb model of dysphagia assessment and
tributions of colleagues at the UCD and at the treatment. We would also like to acknowledge
University of Arizona who initially provided and thank our team of students and colleagues
feedback on several of the original chapter mate- in the Voice, Airway, Swallowing Translational
rials developed for use in the workbook. We are (VAST) Research Lab and Utah Voice Disor-
also grateful to those providing feedback directly ders Center who contributed importantly to the
and indirectly regarding the use of the original review, critique, and assistance toward complet-
workbook in an academic dysphagia course. ing this revised edition of the workbook. Specifi-
Without this feedback, the ideas for the current cally, we would like to thank and acknowledge
range of course-based online materials would the following contributors toward the revised
not have occurred. The co-editors of the textbook, workbook content and updated media and case
Drs. Rebecca Leonard and Katherine Kendall, examples: Kaitlyn Dwenger, Miranda Wright,
continue to be a source of inspiration by setting Maya Stevens, Beth Lanza, Leann Smith, and
a standard for incorporating evidence-based Derrik Legler. Finally, thank you to all of the
practice and interdisciplinary expertise within colleagues and students who have provided
their textbook including recruitment of new valuable comments and suggestions about their
chapter authors with relevant content expertise. experience with the workbook materials for
Their textbook offers one of the only such mod- training and teaching purposes. We are hope-
els of dysphagia practice that implements the ful this revised workbook and textbook bundle
recommended standard of care within a medi- meets the needs and desires of all who have
cal setting. We are honored to offer this supple- adopted them for learning, teaching, training,
mentary set of learning materials to complement and reference purposes.

ix
 Multimedia List

Chapter 4
Video 4–1. FEESPT1
Video 4–2. FEESPT2

Chapter 8
Video 8–1. BOLTRANSITSWALLGESTTIMING
Video 8–2. YngEldSwallow
Video 8–3. BCR

xi
 1
Anatomy and
Physiology of Deglutition
Questions

1
2 DYSPHAGIA ASSESSMENT AND TREATMENT PLANNING WORKBOOK: A TEAM APPROACH

1. Define the following terms.

a. Deglutition

b. Feeding

c. Mastication

d. Swallowing

e. Bolus

f. Aspiration

g. Laryngeal penetration
 1. ANATOMY AND PHYSIOLOGY OF DEGLUTITION QUESTIONS 3

h. Residue

i. Dysphagia

2. Match the following physiologic descriptions to their respective phase of deglutition.

A. Preparatory
B. Oral
C. Pharyngeal
D. Esophageal

Propulsion of the bolus into the pharynx

Mastication of the bolus

Transportation of the bolus through the esophagus to the stomach

The bolus is mixed with saliva

Transportation of the bolus through the pharynx into the esophagus

Airway closure occurs associated with cessation of respiration

The soft palate begins to elevate as the posterior tongue depresses

Bolus propulsion occurs through coordinated peristaltic contraction of both smooth

and striated muscle

3. The skeletal framework that supports mastication includes all of the following bones
EXCEPT the
a. mandible.
b. maxilla.
c. palatine.
d. frontal.
4 DYSPHAGIA ASSESSMENT AND TREATMENT PLANNING WORKBOOK: A TEAM APPROACH

4. The bony nasal septum is formed by these bones (fill in the blanks).

a.

b.

5. Match the following phases of deglutition with the correct image in Figure 1–1.

Figure 1–1

Preparatory Pharyngeal
Oral Esophageal
 1. ANATOMY AND PHYSIOLOGY OF DEGLUTITION QUESTIONS 5

6. The floor of the nasal cavity is formed by these bones (select all that are correct).
a. Ethmoid
b. Nasal
c. Palatine
d. Maxilla

7. The middle and superior conchae provide the lateral nasal skeletal framework for the middle
and superior turbinates that extend into the nasal cavity from this bone.
a. Sphenoid
b. Maxilla
c. Ethmoid
d. Palatine

8. Identify all of the skull bones comprising the cranium.

9. Identify the only mobile facial bone of the skull and the name of its joint.

10. Identify the cervical vertebrae typically associated with the location of the upper esophageal
sphincter prior to onset of a swallow.

11. Identify all of the facial bones that form the skeletal framework for the oral cavity.
6 DYSPHAGIA ASSESSMENT AND TREATMENT PLANNING WORKBOOK: A TEAM APPROACH

12. Identify the bone and particular portion of that bone through which the receptor organs for
smell pass into the olfactory nerve.

13. Identify the muscles in Figure 1–2.

Figure 1–2

F
 1. ANATOMY AND PHYSIOLOGY OF DEGLUTITION QUESTIONS 7

14. Identify the structures in Figure 1–3.

Figure 1–3

O
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 696 GENEALOGY: KIMBALL. Annie Lam-a^, b. Jan. 19,
1881. (2), Anna Isabellas, b. Jan. 6 1850; m. Aug. 29, 1877, Frank
Blaisdell, M. D., of Goffstowu. Children: (a), Arthur G.e, b. April 21,
1880. (6), Percy N.e, b. Dee. 1, 1881. (3), Frank Newton^, b. Xov.
17, 1851 ; was a telegraph operator; now a salesman in New York
citj. (4), Mary Etta^, b. April 6, 1854; d, July 14, 1855. (5), Charles
Fremouts, b. Oct. 4, 1856; m. Dec. 18, 1878, Ella M. Lufkin, of
Golfstown. He is in charge of a mauufaetory in Boston. Child : Alice
C.'', b. July 10. 1883. (6), Harry Chandler^, b. Aug. 10, 1858; was a
telegraph operator; now a clerk in Chelsea, Mass. (7), William
Edward^, b. March 15, 1861 ; was two years at a college in
Washington, D. C. ; was graduated at a college in Hartford, Conn. ;
is a mechanic. 7. Emily Jane*, b. Nov. 16, 1825. 8. Joseph KimbalP,
b. Sept. 3, 1827; m. 1, Sept. 5, 1850, Betsey Ann, dau. of Peter and
Lucy (Hopkins) Farnum, of Francestown, who d. May 9, 1869, aged
42; m. 2, June 22, 1871, Nettie H., dau. of Joseph M. and Eliza
(Tewksbury) Andrews, of New Boston; res. some years in
Manchester; has been an expressman between Manchester and New
Boston since 1855 ; res. New Boston. Children: (1), Arthur
Holbrooke b. April 12, 1873. (2), Henry Tewksburys, b. April 14,
1875. (3), Fred Kennard^, b. March 27, 1878. 9. Nathan^ b. April 4,
1829 ; m. July 1, 1861, Zebiah I., dau. of Peter and Lucy (Hopkins)
Farnum, of Francestown. He is a clerk in Manchester. Children: (1),
Emma Frances^, b. Oct. 25, 1862 ; d. Aug. 2, 1872. (2), Hattie
Hurd^, b. Feb. 17, 1865. (3), Joseph Holbrooke, b. Jan. 19, 1869.
(4), Mark BalchS b. May 13, 1877. 10. John NewtonS b. March 16,
1833 ; d. Oct. 5, 1839. 11. Sarah Eliza*, b. Jan. 9, 1836; was a
teacher in Boston; m. March 11, 1865, John G. Smith, of Beverly,
Mass., who was a soldier in the Civil war ; engaged in the fruit
business in New York city ; rem. to St. Louis in 1878. Children: (1),
Everett Hurd^, b. Nov. 12, 1866; a student in Washington university,
St. Louis. (2), Willie Chandler^, b. Feb. 2, 1869. (3), Martha
Graves^, b. Aug. 25, 1878. (4), Hannah KimbalP, b. Nov. 24, 1879.
7. Hannah^, b. Nov. 17, 1796; m. Dea. Luke Bowers, (q. v.) 8.
Annas, ^ j^iy 23, 1798 ; d. Nov. 1800. 9. Joseph^ b. Dec. 6, 1799;
d. Nov. 1800. 10. Dea. Joseph^, b. Jan. 21, 1801 ; m. Oct. 20,
1831, Lucy, dau. of James and Fanny Boyd, of Antrim. He owned
and lived on what was a part of his father's farm ; was for many
years a deacon in the Congregational church; d. in Somerville, Mass.,
in Sept. 1864, at the home of his sister, where he was visiting
previous to his leaving for the West, as was his intention. Mi"S.
Kimball, with her daughters, rem. to Antrim, where she d. Feb. 10,
1879. Children: —
 GENEALOGY: KIMHALL; KITTREDGE. 697 11. James B.*, d,
in childhood. 13. Mary Frances^* res. Medford, Mass. 18. Joseph
M."*, d. in 1862, aged 28 years. 14. L. Helen*,* res. Medford, Mass.
15. Benjarain^ b. Feb. 8, 1803; d. March 18, 1877; m. Oct. 27,
1829, Sally, dau. of Thomas Matthews (q. v.), who was b. Jan. 5,
1804, and d. March 31, 1887. He was a farmer ; owned and res. on
a part of his father's farm. Children: — 16. Lucetta Jane*, b. March
25, 1831 ; d. Aug. 23, 1844. 17. Sarah Caroline*, b. Aug. 13, 1835;
m. Henry Tuttle. (q. V.) 18. Benjamin Franklin", b. Dec. 30, 1839; d.
Dec. 13, 1841. 19. Edward Fayson*, b. Nov. 5, 1841; d. July 6, 1872.
20. Edwin Paige*, b. Nov. 5, 1841; d. in the service at Memphis,
Tenn., Aug. 26, 1863. His body is buried at Memphis. 31. Alfred
Holt*, b. Oct. 1, 1844; res. on the homestead. 22. Albert Matthews*,
b. Oct. 1, 1844; m. Oct. 19, 1870, Hannah Maria, dau. of Asa and
Lydia (Favor) Gordon (q. v.), who was b. in Henniker, Nov. 1, 1844;
res. first house east of Cavender's station in Greenfield. CHILDREN.
1. Lilla Estella5, b. in Peterboro', May 10, 1872. 2. Mary Caroline^,
b. iu H., Dec. 20, 1878. 33. Mary^ b. Oct. 14, 1805; m. Oct. 20,
1836, Ralph Holbrook Chandler, who had previously m. her sister
Phebe. (q. v.) CHILDREN. 1. Frances Ellen^, b. Oct. 11, 1838, to
whom we are under great obligations for the record of the Kimball
family ; she is a teacher. 2. Laura Maria*, b. Oct. 5, 1844; a teacher.
KITTREDGE. There is a tradition that the ancestor of the Kittredge
family in this country was the master of an English ship and the
bearer of dispatches between the medical faculty of England and a
foreign country. Being of a surgical turn of mind, he copied the
recipes entrusted to his care, and also experimented upon their
healing * These two sisters are now (Nov. ISSS) building a fine
residence above S. S. Fogg's, on High street in H. 45
 698 genealogy: kittredge. properties by breaking the limbs
of animals and observing the rapidity with which he could cause
them to heal. He afterwards took charge of some men who had
broken their limbs, and in doing so violated the medical laws of the
country and was obliged to flee to America, settling in Kittery, Me,
His name was John. There were several generations of the same
name. John\ John^, John^, and then Solomon^, m. Tabithy , whose
sixth child was 1. Dr. Stephen^ b. in Tewksbury, Mass., June 27,
1765; d. in H., Oct. 6, 1806; m. Mehitable Eussell, Nov. 27, 1787. On
the day of his marriage they went to Francestown to res.; rem. to
H., Oct. 6, 1790, where he remained until his death. He was a
successful physician and highly respected in town. On the second
day of May, 1802, his wife united with the church and consecrated
their children to the Lord, and May 30, 1805, he was chosen deacon
of the church. His widow remained in town until Sept. 1811, when
she m. 2, Daniel Bickford and rem. to Sedgwick, Me. Children of
Stephen and Mehitable R. Kittredge : — 2. Stephen^, b. May 3,
1789. 3. Gratia^, b. Dec. 29, 1790; m. Dr. Peter Tuttle. (q. v.) 4.
RusselP, b. Nov. 11, 1792; d. April 30, 1799. 5. Prentice^, b. Dec.
27, 1794; d. Jan. 6, 1820. 6. Marcus^, b. Oct. 22, 1796; d. Dec. 3,
1869. 7. Charles^ b. Dec. 22, 1798 ; no record. 8. RusselP, b. Jan.
14, 1801 ; no record. 9. Betsey", b. March 12, 1802; d. Nov. 25,
1823. 10. Kodney'', b. Dec. 3, 1804; d. in Charlestown, Me., May 1,
1883. 11. James Carter^ b. March 21, 1807; m. Oct. 22, 1829,
Amanda Melvina Kendall, who was b. in Sterling, Mass., April 9,
1810, and d. Oct. 16, 1857. He d. Feb. 21, 1853; res. several years
on Depot street in H., later in Clinton, Mass. CHILDKEN. 1. Angelia
Melvina", b. Feb. 17, 1831; d. Jan. 16, 1854; m. David Cady, Oct. 17,
1851. 2. Herman K.% b. March 2, 1833 ; d. Sept. 7, 1850.
 GENEALOGY: KITTREDGE; KNIGHT. 699 3. Harriet M.", b.
May 30, 1835; d. March, 1860; m. Jan. 1, 1855, George Mason. Two
children. 4. Darwin Carter, b. Jan. U, 1838 ; d. Jnly 3, 1855. 5. Sarah
Pratt', b. Dec. 4, 1840; m. July 16, 1860, Frank E. Carr. One child. 6.
Peter Tattle', b. July 9, 1843; m. April 7, 1869, Agnes Goddard. Four
children. 7. Moroa Submit', b. July 5, 1845; ni. June 3, 1869, James
Martin. Two children. 8. George Pratt", b. Aug. IS, 1847; d. July 11,
1872; ra. March 1, 1869, Anu-eau Jostlin. 9. Maria Louisa", b. Jan. 4.
1851 ; d. March 5, 1852. Children of DanieP and Mehitable R.
(Kittredge) Bickford : — 1, Calvin^, b. Jan. 2, 1813; was graduated
at Waterville (Me.) college ; was a few years since ^jrincipal of the
academy in "Warren, Me. 3. Rev. Luther-, b. Aug. 18, 1814; was
graduated at Waterville (Me.) college, also at the Theological
institute in Newton, Mass.; was settled in 1837, at Richmond, Va.;
afterwards at Waltham, Mass. KNIGHT. Walter Knight was one of the
first settlers of Salem, Mass., being there as early as 1626, with
Roger Conant. There is also a tradition that Joseph Knight, whose
elder brother d. in England, possessed of a large estate, came to this
country (date not known) and settled in Woburn, Mass. Benjamin^
Knight, who res. in Salem, Mass., had three sons, Enos^, John-, and
Ebenezer-, Enos^ was b. in Salem, Mass., in 1730 ; res. in Topsfield,
Mass., until 1781, when he rem. to New Ipswich. He was m. three
times. His first wife, who was the mother of his children, was Lois
Hawke, who d. in 1788, aged 62 years ; m. 2, Mrs. Mary Estabrook,
who d. in 1797, aged 57 years; m. a third wife, who d. in 1802. He
d. in 1804. Ten children, of whom Ebenezer^, Enos'^, David^, and
Benjamin*^ came to H. to res. John^ settled in Francestown, and
Elijah^ settled on the homestead, in New Ipswich, situated on what
is known as "Knight's Hill." 1. Ebenezer^ (Enos-, Benjamin^), b. in
Topsfield, Mass., March
 700 GENEALOGY: KNIGHT. 17, 1751; m. Margaret Peabody;
rem. to New Ipswich and then to H. ; res. at place marked " S.
Knight." Children : — 2. Asa" [4], b. in New Ipswich, Oct. 4, 1791. 3.
Robert*, b. in H., Nov. 5, 1800. 4. Asa* [2] (Ebenezer^ Enos'-,
Benjamin^), m. Feb. 6, 1817, Melinda Adams. He was a miller and
farmer ; res. in H. (at Coolidge's Mills), Milford, and New London,
where he d. Aug. 14, 1871. Children, all b. in H. : — 5. Rev.
Ephraim^ b. Nov. 1, 1817; m. April 20, 1847, Augusta B. Crane, of
Peterboro', His boyhood was passed in helping his father on the farm
and in the mill. His early advantages for an education were limited,
as the large and increasing family of his father made it necessary for
him to work wh^n there was work to do. When he was 18 years of
age he had never studied English grammar. At that time he went one
term to the new seminary in H. He made rapid progress, all the
enthusiasm of his nature was awakened, and he was soon in
advance of those whose advantages had been superior to his own.
He continued his studies and within two years taught a term of
school in Lyndeboro'. By teaching classes in mathematics to pay his
board and tuition, and teaching district schools in winter to pay for
his clothing, he was able to fit for college, but circumstances
prevented him from entering Waterville college in the spring of 1846,
as he had intended, and he returned to H. and finished the freshman
year under the direction of Mr. Colcord. In April, 1846, he began
what proved to be a seven years' engagement at New Hampton
academy as a teacher of mathematics, when he went to New
London, where he had charge of the same department of instruction
for twenty years, when failing health, in the summer of 1873,
compelled him to resign his position. He was also for many years
employed at intervals in giving lectures at teachers' institutes, and
was appointed, by Governor Weston, superintendent of the state
Normal school. He was ordained as a Baptist minister in 1869, at
Sutton, where he preached on alternate Sundays for four years. He
was also frequently called upon to attend funerals in the adjoining
towns. He was never idle. " He sowed beside all waters." He
received the honorary degree of A. M. from Brown university in
1849, and from Dartmouth college in 1861. He d. greatly lamented,
March 4, 1878. His former pupils have erected a handsome granite
monument to his memory.
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S. Knight." Children:— ^ y.isa' [ tj, b, in New Ipswich, Oct. 4, 1791.
Roberts b. in H., Nov. 5. '.'■■^'^ mini), m. Feb. 6, 1817, k. Asa* [2]
(Ebenezer^ I ilviinda Adams. He was r fui jdge"8 Milk), Milford,
anCliildreu, all b. in H. :— 5. Rev. Ephraim^ b. B, Crane, of
Peterbnro' father on the farm * diiralion wore lin. 1 • 'I' made it
necc^ uv. When he ^ ■ • grammar. Ai : H. He made liipi:v\T.:.kened,
and he v. I .i been superior t< I'A jie enthusiasm of his nature was
idvance of those whose advantages ' Qtinued his studies and within
n Lyndeboro'. By teaching fiud tuition, and teaching fothing, he was
able to fit um from entering Wateihad intended,, and he render the
direction o -even years' engage : !:rt.hematic8, when . same
departhealth, in the He was also .>rez at teachers' •'. Jis appointed,
by (joveruor Weston, superintend' •mal school. He was ordained as
a Baptist mini ■n, where he preached on alternate Sundays for : s
also frequently called upon to attend funer' towns. He was never
idle. "He sowed besiu ■t cned the honorary degree of A. M. from Bn
nd from Dartmouth college in 1861. Bi> d. i •II I 1s':>; His former
I'H il;^ l.ue erected memory. Qm^^
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 GENEALOGY: KNIGHT. 701 CHILDREN. 1. Herbert'', b. Jan.
1, 1850; d. in infancy. 2. Carl E.", b. Maj^ 6, 1851; a successful
lawyer in Milford. 3. William M.
 702 GENEALOGY : KNIGHT. years. He fitted for college at
the academy in New London, and was graduated at Dartmouth in
the class of 1861, supporting himself mainly while at college by
teaching school, working out at haying, and other employments. He
taught school in the fall and winter after leaving college, in
Washington, and in the spring of 1862 he began the study of law in
the office of G. W. Everett, in New London, and was admitted to the
bar at Newport, Sullivan county, in Sept. 1863. He opened a law
office in Dover in the spring of 1864, and in March, 1865, he rem. to
Charleston, Kanawha county, W. Va., where he has successfully
practised his profession until the present time. He was a member of
the Constitutional convention of West Virginia in 1872, but has had
no taste or desire for public office, and has attended closely to
business. CHILDREN. 1. Edward W.s, b. April 30, 1866 ; entered
Dartmouth college in the fall of 1883. 2. Harold^, b. July 3, 1868. 3.
Mary EtheF, b. Jan. 21, 1870. 13. Enos^ (Enos-, Benjamin^), b. in
Topsfield, Mass., Sept. 30, 1752; came to H. about the year 1782;
settled on place marked "H. Knight." He was a blacksmith, and made
all the nails used in the house occupied for many years by his
nephew, Samuel Knight; m. 1, Dorcas Nooning, who d. Jan. 2, 1815,
aged 60; m. 2, June 20, 1815, Mrs. Betsey Holt, of Deering. He d.
June 14, 1824. Children : — 14. Dorcas*, m. Jacob Emerson, (q. v.)
15. Dea. Aaron* [19], b. in New Ipswich in 1781. 16. Lois*, b. Dec.
17, 1784; m. Jonathan Pollard, (q. v.) 17. Ruth*, b. June 2, 1792; d.
Oct. 30, 1816. 18.- George* [31], b. Jan. 4, 1796. 10. Dea. Aaron*
[15] (Enos^, Enos^, Benjamin^), m. Rebecca, dau. of Ephraim
Adams,* of New Ipswich. He settled on the home place. He was a
man of ability and strong character, influential and respected. He
held the office of deacon in the Congregational church for many
years, and ever took an active interest in its welfare. In his life-labor
he was most rarelv sustained and blessed in his * Ephraiui Adams, b.
Dec. 15, 174!>, was the son of Epliraini and Lydia (Kinsman) Adams.
Ephr.iini Adams, Sr., was b. in Ipswich, Mass., in 17'24. He
represented his town in the Provincial congress, and was a man of
great intellectnal and moral power. He was a descendant ft-om
William Adams, who was in Cambridge in 163.'). but rem. to Ipswich
before 1642.
 GENEALOGY: KNIGHT. 703 wife, .and tlieir liome was tlie
center of an influence that was elevating. Rebecca ( Adams ) Knight
was intellectually, morally, and spiritually fitted to fill any sphere of
life in the foremost rank among the women of any time. Her sphere
was limited, but she made the most of it. She was an earnest
Christian, and a woman of deep, strong convictions. She took a
leading part in church work, and was ever a power for good. Her
influence was everywhere felt and recognized as a factor in building
up character in the church and general community. Her children
inherited to a large degree her remarkable qualities, and, as a family,
have not been unworthy of such a mother. She was b. Nov. 15,
1782; d. Feb. 3, 1854. Deacon Knight d. Sept. 29, 1867. Children :
— 30. Loami^ b. Oct. 14, 1803; d. Jan. 5, 1868; rem. to Lexington,
Mass., in 1821 ; m. May 1, 1829, Mary, dau. of Stephen Robbins, Jr.,
who d. May 12, 1875. He was interested in the militia, and rose to
the rank of major. CHILDREN. 1. Mary«, b. April 2, 1830; d. April 6,
1830. 2. Francis H.", b. May 11, 1831 ; m. 1, Aug. 15, 1855, Loenza,
dau. of Joseph and Olive (Knight) Hills (q. v.), who d. Oct. 25, 1859;
m. 2, Nov. 15, 1860, Lizzie H., dau. of Horace and M. E. Collamore,
of Woburn, Mass. He was a student at Hancock academy nearly
every year from 1839 to 1844; afterwards he attended school in
Lexington, and in 1847 obtained a situation as clerk with Jewctt &
Prescott, dealers in silk goods and shawls. No. 2 Milk street, Boston.
In March, 1851, he became book-keeper for Bates & Goldthwait,
carpet dealers, 45 Washington street, Boston. In 1861 he became a
partner in the firm, and retained his interest in it until 1880,
although failing health compelled him to retire from active business
in 1875. He lived in Lexington, Mass., until 1862, when he rem. to
Reading, Mass., and in Nov. 1877, to Santa Barbara, CaL, where he
now res. In 1882 he went into the furniture business, being senior
member of the firm of Knight & Blood. Children: (1), Clarence E.", b.
July 21, 1858. (2), Lizzie Loenza", b. Oct. 6, 1861. (3), Mary C.', b.
June 24, 1864. (4), Nellie W.', b. Oct. 23, 1867. (5), Annie E.', b. May
28, 1869. 3. Mary R.'-, b. Nov. 17, 1833 ; d. July 13, 1883 ; m. Nov.
25, 1852, Joshua Hobart. Child : Mary L.", b. July 9, 1855 ; a teacher
in Boston. 4. Franklin", b. Sept. 29, 1835. 5. Melinda'S b. July 19,
1838; m. Nov. 22, 1866, Jolin D. Smith; res. in Charlestown, Mass. 6.
Helen A/\ b. May 1, 1841; m. Sept. 25. 1861, Franklin E. Melvin; res.
Littleton. 7. Annie M.'', b. March 8, 1844; res. with her brother in
California.
 704 genealogy: knight. 31. Hel•sina^b. Feb. 19, 1806; m.
John Gray. (q. v.) 33. Aaron^ b. July 11, 1808; m. Nov. 27, 1835,
Melinda Patten, of Candia; rem. to Limerick, Me., where he res.
several years; but a short time before his death he returned to H. ;
d. at his father's home, Feb. 22, 1848. His wife was b. March 21,
1808, and d. March 18, 1878. CHILDREN. 1. Dr. Granvilles, b. July 5,
1836; m. Sept. 16, 1862, Addie H. Fa^, of Weathersfleld, Vt. He was
for several years a practising physician in Springfield, Vt., but has
recently been succeeded by Doctor Haig (q. v.), of H., intending to
commence a city practice. 2. Aarons, b. April 28, 1838 ; d. July 20,
1842. 3. Abbies, b. Aug. 2, 1840; m. Oct. 13, 1859, Justus Dart; res.
Weathersfield, Vt. ; he is state superintendent of education and state
senator. Children : (1), William H.', b. Sept. 12, 1860; was graduated
from St. Johnsbury academy in June, 1883, and entered Dartmouth
college the same year. (2), Francis P.'', b. Aug. 22, 1865; was
graduated from St. Johnsbury academy in June, 1884. (3), Mary A.%
b. June 17, 1872. 4. Aaron P.^, b. Sept. 17, 1843 ; was killed in the
battle of Opequan creek, near Winchester, Va., Sept. 19, 1864. 5.
John A.6, b. in Biddeford, Me., Sept. 10, 1846; d. Sept. 29, 1846. 6.
Charles H.«, b. in H., Feb. 2, 1848; d. in Weathersfleld, Vt., Sept. 13,
1853. 33. Eebecca^ b. May 19, 1810; d. Jan. 12, 1854; m. May 25,
1832, Dea, Francis Patten, of Candia; a prominent and influential
citizen, filling various town offices, and deacon of the Congregational
church for thirty-six years. CHILDREN. 1. Keziah P.", b. March 4,
1833 ; m. Sept. 6, 1854, John Colby, of Candia ; present res., Lowell,
Mass. Children: (1), Mary P.", b. April 9, 1857. (2), Ella F.', b. April
20, 1859; d. Jan. 6, 1869. (3), Thomas Jenness", b. Feb. 23, 1865;
d. Sept. 10, 1865. (4), Emma Bell', b. June 24, 1868. (5), Grace P.%
b. Jan. 4, 1873. 2. Abbies, b. June 20, 1835; m. Dec. 16, 1860,
Moses F. Emerson, of Candia. Children: (1), Arthur Waldo", b. March
10, 1861; d. Aug. 20, 1861. (2), Francis P.', b. June 10, 1862; is
attending lectures at the College of Physicians and Surgeons, New
York city. (3), Abraham F.'', b. June 19, 1804; is assistant cashier of
the First National bank, Manchester. (4), Nellie M.'^, b. Aug. 19,
1866. (5), Annie S.", b. Aug. 18, 1867. (6), William P. P.", b. Sept.
29, 1870. (7), Nat. Waldo", b. Nov. 16, 1878. 3. William P.g, b. Aug.
30, 1837 ; fitted for college at Pembroke and Atkinson, was
graduated at Dartmouth, and taught the academy in Ches 
 GENEALOGY : KNIGHT. 705 ter; was captain of Co. I, lltli N.
II. vols. Ai'tor the close of tlie war he studied law with Hon. David
Cross, of Manchester, and practises his profession in that city. He has
been a member of the legislature sevei'al years, and has also served
several years as city solicitor. 4. A. Frank's t). July 12, 1841; m. Ella
Batchelder, of Dover; settled on tlie homestead. 5. Sarah E.'% b.
April 4, 1844 ; m. Charles A. Sykes, who was b. in Lowell, Mass. ; a
graduate of a business college ; has been overseer and
superintendent of cotton mills for many years ; res. in Manchester,
Slaterville, E. I., North Adams, Mass., and Ware, Mass., their present
res. Children: (1), Arthur W.", b. in North Adams; lived three
mouths. (2), Albert Patten", b. Dec. 29, 1882. 34. Melinda^, b. Dec.
13, 1812; d. at the Profile house, April •22, 1863; ra. March 29,
1835, John Robbins, of Lexington, Mass. He was engaged in the fur
business in Lexington ; rem. to Augusta, Me., then back to
Lexington. Subsequently he kept the Washington house, in Nashua,
and the Flume house, Franconia Notch. 25. Isaac Stearns^ b. Jan. 5,
1816; d. July 20, 1878 ; m. Martha M. Blood, of Dunstable, Mass.;
was a hotel keeper in Tyngsboro', Mass., about two years, then
purchased a farm in Groton, Mass.; was burned out, rebuilt, and
subsequently returned to Tyngsboro', and engaged in farming ; d. of
lung disease contracted in the army ; was a member of the 6th
Mass. vols. His widow res. in Tyngsboro'. CHILDREN. 1. Stearns M.%
b. Oct. 26, 1841; d. March 7, 1846. 2. Rebecca M.«, b. May 8, 1843 ;
m. Nov. 9, 1864, George H. Vinall, of Lowell, Mass.; res. Peterboro';
is foreman of Briggs' Piano Stool factory. Children: (1), George W.",
b. Oct. 7, 1869. (2), Frank H.", b. Aug. 28, 1871. (3), Jennie M.', b.
Aug. 24, 1877. 3. Hersina J.«, b. Nov. 2, 1844; m. Feb. 4, 1865,
Charles A. Vinall, of Lowell, Mass., brother of George H. Vinall (q. v.);
a carpenter; res. South Framingham, Mass. Children: (1), Charles
Edward", b. Nov. 25, 1865; m. and res. in South Framingham, Mass.
(2), Bertha Jane", b. Oct. 30, 1867; d. July 30, 1871. (3 and 4),
Frank Declaration" and Fred Independence", b. July 4, 1869. (5),
John Warren", b. Oct. 4, 1871. (6), William Richard", b. Sept. 17,
1875. (7), Mary Almeda", b. June 13, 1878. (8), Mabel Hersina^ b.
Nov. 8, 1880; d. April 3,' 1888. (9), Albertou Knight", b. Feb. 26,
1884; d. March 23, 1888. 4. Mary L.^, b. Aug. 29, 1846 ; d. Oct. 3,
1848. 5. Minnie M.«, b. July 20, 1848 ; d. Nov. 27, 1864. 6. Richard
H.', b. March 22, 1850; d. June 20, 1876; m. Emma J. Bovn 
 706 genealogy: knight. ton, of Lowell. He served nine
mouths in the 59th regt. Mass. vols. ; was an engineer and was
burned to death at the U. S. cavalry post in Wyoming Territory. 7.
Lucinda M.e, d. Nov. 25, 1864. 8. Maitland S.^, b. Xov. 24, 1851. 9.
John A.6, b. April 22, 1853 ; d. Nov. 24, 1864. 10. Mary A.«, b. Xov.
26, 1854; m. Aug. 26, 1880, Granville Queen, of Tyngsboro", Mass. ;
a farmer. Children: (1), Grace M.', b. Dec. 12, 1881. (2), Chester H.",
b. July 16, 1883. 11. Frank J.«, b. Sept. 29, 1856; m. June 6, 1883,
Minnie Fletcher, of Townsend Harbor, Mass., where they res. He is a
blacksmith. 12. Keziah'% b. Aug. 15, 1857; d. Sept. 25, 1857. 13.
Zeba C.«, b. April 3, 1859; d. Dec. 13, 1872. 14. Lizzie F.e, b. June 5,
1861; m. 1, May 15, 1883, Albert B. Perham, of Tyngsboro", Mass.,
who d. ; m. 2, June 10, 1885, John M. Collins, of Peterboro". (q. v.)
15. Alice J.«, b. Feb. 15, 1864; d. Nov. 16, 1864. 26. Lucmda^ b.
Sept. 5, 1817 ; m. May 23, 1839, Richard Taft, of Tyngsboro', Mass.,
who was b. in Vermont, March 14, 1812; d. in Littleton, Feb. 14,
1881. His early life was spent on a farm in Alstead. At the age of 18
he went to North Chelmsford, Mass., where he was employed in a
hotel. He was a hotel keeper in Tyngsboro', Mass., Lowell, and
Xashua, until 1849, when he rem. to the Flume house, in Franconia
Notch, " and was the first successor of the keepers of small
mountain houses, which had been scarcely more than shelters in the
wilderness. No man in New Hampshire was more widely known and
respected. His life was closely associated with the history of the
Franconia mountains for thirty-two years. When the traveling
community — then a very small part of the population — first began
to visit the Franconia Notch, Mr. Taft was their host. Under his
direction the Profile house grew, fi'om year to year, attracting more
and moi-e visitors, always leading the other White-mountain houses,
and compelling them to improvements, which led to the present vast
hotel accommodations, the springing up of neighboring villages, the
extension of railroads, and the abundant wealth which has been
poured into northern New Hampshire. Mr. Taft was a man of
exceedingly quiet demeanor, but of great ability, foresight, and
cautious energy. New Hampshire owes to him a debt which it will
never be able to repay, for the results accomplished by his
examj^le, advice, and jjersonal labor in the mountain coimtry Two
years previous to his death he
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ne months in the 59th regt. - .ill • n^iue(?r aim v, :i.« biu-

netl to deat; .' ' r ill "VA'yomiug Territory. :i.«, rt. Nov. 2o, IStw 12.
••.md8.«, b. Nov. 24, is ; A.«, 1>. Aynl22, 1853; Vov. 26, 1864; .
\fj»,fis. ; f» far? 12,1883. CJ:. ■ Frank J.^, b. s. TowusendiKeziah*.
b. Au: . Zeb.a C.'\ b. Aj.. Lizzie F.c, b. Tyngsboro". •f fcterb^^n) .
(^.i- v.> ■ J.«. b. Feb. IS. 18e.i: r •^ti4. iuft. 2U, 1880, Granville
Queen, -.-t < 'hildren ; (1), Grace M.% b. Dec a, 1883. ^t, 1883,
Minnie Fletcher^ of ... 18S3, Albert B. Iferham, oi :; ■ 10. 1885.
John M. Collins, I 2G, ... . Tyngsborv ill T.ittletOD, i^.. Alstead. At the
T^'iiere he wa? ^"'■ ■hvo', Mnss,, riume house, m t'^e keepers of
srn; t'l.nn shelters in thv. m. iitore widely known ano with tli3 history
of the When the traveling co: population — first began to \ their
host. Under bis dii^ec! to year, attracting more and Wbite-mountain
bouses, an. wbich led to the preseiii!P of neighboring viii .... ...: : -.:,
, . , .vl-hard Taft, a Vermont, Marcb 14, 1812 ; d. ' 'ife was spent on
a farm in : North Chelmsford, Mas.s., .as a hotel keeper in
Tyngs1849, when he rem. to the . i'l was the first successor of 3,
which had been scarcely move New Hampshire was vas closely
associated thirty-two year.= • all part of the •h, Mr. Taft was -rew,
from year J ^^,.^ji. leading the other g them to improvements, -
iiimodations, the springing .ision of railroads, and the ;t wealth
which has Ui-!*^n poured into northern New Harap■>[r. Taft was a
man of exceedingly quiet demeanor, but of great ability, foresight,
and cautious energy. New Hampshire owes V. him a debt which it
will never be able to repay, for the results ..-orr>,ii^hed by his
example, advice, and personal IpVsor in the lit'.:. ni.ain country. ....
Two years previou.s to his death he ■-.-I
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