02 July: Feeding / Eating

Question 1

eating

Answer 1

the ability to keep and manipulate food of fluid in the mouth to swallow it

Question 2

feeding

Answer 2

the process of setting, up arranging, and bringing food

Question 3

oral-motor skills

Answer 3

motor skills of the oral structures including jaw tongue and cheeks

Question 4

bolus

Answer 4

mass of food or liquid

Question 5

mandible

Answer 5

lower jaw

Question 6

tongue

Answer 6

movable, muscular organ that forms the floor of the mouth and plays an important role in the feeding, swallowing, and speech

Question 7

oral cavity

Answer 7

cavity inside the mouth

Question 8

fat pads

Answer 8

massess of fatty tissue found in teh cheeks of young infants

Question 9

hyoid

Answer 9

mboile, U-shaped bone that lies in teh neck just above the larynx and below the mandible

Question 10

larynx

Answer 10

organin the neck that ists between teh pharynx and vocal cords adn is reponsible for protecting the trachea during swallowing

Question 11

epiglottis

Answer 11

flap of tissue that covers the entrance ot hte larynx during swallowing

Question 12

pharynx

Answer 12

part of the gastrointestinal tract that lies between the mouth and nasal cavity and above the esophagus

Question 13

pre-oral phase:

Answer 13

moves food or liquid to the mouth

Question 14

oral preparatory phase:

Answer 14

the oral structures form the bolus by tasting, chewing, manipulation and containment

Question 15

oral phase

Answer 15

begins when the bolus is in the mouth and ends when the bolus enters the pharyn

Question 16

pharyngeal phase:

Answer 16

begins when the bolus enters the pharynx and ends when the bolus enters teh esophagus

Question 17

esophageal phase

Answer 17

begins when the bolus enters the esophagus and ends when the bolus enters the stomach

Question 18

pre-oral phase:

Answer 18

cognitive and physical orientation to eating or feeding occurs
- self feeding takes place in this phase as the food or liquid is bourght to the mouth

Question 19

voluntary level of pre-oral phase

Answer 19

primarily voluntary

Question 20

cranial nerves used in the oral preparatory phase:

Answer 20

VII, V, XII

Question 21

1. lip closure
2. cheek
3. jaw closure
4. jaw opening
5. bolus reception and manipulation
6. change the shape of the tongue during bolus manipulation

Answer 21

steps of oral preparatory

Question 22

other name for oral phase of swallowing:

Answer 22

“bucal” or “oral transit” phase

Question 23

oral phase of swallowing involves:

Answer 23

transport of food
processing of food
- extracting liquid form the nipple

Question 24

muscular things that happen in the oral phase of swallowing:

Answer 24

soft palate is in a lowered position , helping tp prevent the bolus form entering he pahrynx

Question 25

voluntary control of the oral phase of swallowing:

Answer 25

generally under voluntary neural control with airway open

Question 26

two actions of oral phase of swallowing:

Answer 26

tongue holds bolus against hard palate

bolus is propelled posteriorly

Question 27

goal of the oral phase of swallowing:

Answer 27

move bolus into pharynx

Question 28

where does the oral phase ends?

Answer 28

the pharynx

Question 29

the pharyngeal phase begins with

Answer 29

begins with initiatoin fo the swallow and ends with the food going into the esophagus :

Question 30

the pharyngeal phase ends with

Answer 30

the food going into the esophagus

Question 31

cessation of breathing occurs during the

Answer 31

pharyngeal phase

Question 32

the pharyngeal affect breathing by causing

Answer 32

cessation

Question 33

esophageal phase begins:

Answer 33

begins as teh bolus moves through the esophagus

Question 34

the esophageal phase ends when

Answer 34

the bolus moves into the stomach

Question 35

control under the esophageal phase is

Answer 35

under involuntary neural control

Question 36

can breathing occur during the esophgeal phase?

Answer 36

YES

Question 37

ok now do all the stages in order:

Answer 37

preparatory / preoral
oral
pharyngeal
esophageal

Question 38

two parts of the esophageal phase:

Answer 38

sequential contraction of esophgeal muscle

LES relaxes

Question 39

goal of esophageal phase:

Answer 39

propel bolus through esophagus to allow food to pass into stomach

Question 40

list the six cranial nerves involved in swallowing:

Answer 40

V; trigeminal 
VII: facial 
IX glossopharyngeal 
X vagus 
XI spinal accessory 
XII hypoglossal

Question 41

name the sensory nerves for feeding:

Answer 41

V, VII, IX, X, XI

Question 42

name the motor cranial nerves involved in swallowing:

Answer 42

hypoglossal
trigeminal
facial
glossopharyngeal

Question 43

def of dys[hagia:

Answer 43

difficulty in swallowing

Question 44

dysphagia may lead to

Answer 44

aspiration

Question 45

def of aspiration

Answer 45

misdirection of food. liquid or gastric contents into the lungs

Question 46

aspiration can lead to

Answer 46

aspiration pneumonia

Question 47

three possible causes of dysphagia in acute care:

Answer 47

1. acute - symptom of current diagnosis
2. chronic
3. dysphagia due to prolonged hospitalization

Question 48

interventions for anticipatory / pre-oral phase:

Answer 48

1. shoulder ROM
2. strength to grasp
3. EC tech
4. alternatives for eating out
5. present foods in an appetizing way if altered diet is required

Question 49

oral phase interventions:

Answer 49

1. cheek and jaw support to faciliate movement
2. resistive sucking, vibration, blowing exercises, chewing on block for increase strength and ROM
3. postural stability - supporting trunk and pelvis before starting feeding

Question 50

how do you want to present the bolus for dysphagia (oral stage)

Answer 50

use ocld or sour bolus wiht slow oral transit times

Question 51

what temp helps swallow

Answer 51

cold

Question 52

consider these things when working with a client (duh)

Answer 52

performance skills 
performance patterns 
context 
activity demands 
client factors