chapt 1 book

Question 1

What are the phases of swallowing

Answer 1

Oral Prep, oral, Pharyngeal, esophageal

Question 2

What is the definition of dysphasia

Answer 2

All behavioral, sensory and preliminary motor acts in preparation for the swallow: This includes: Cognition of upcomming eating situation, Visual recognition of food, all physiologic responces to smell and presense of food (forexample: salavation)

Question 3

T/F:

SLPs play a large role in seophegeal phase of dysphagia

Answer 3

Falso!

Its usually a medical or surgical treatment **pxs with esophageal dysphagia may exhibit pharyngeal dsyphagia

Question 4

Feeding Techniques Vs. Swallowing Tx (Main/Basic Goal)

Answer 4

Feeding : Procedures to improve oral stages of swallow (food manipulation/transport)

Swallowing: Improving the triggering of swallow and pharyngeal stage

Question 5

Feeding: what does it improve?

Answer 5

Feeding Improves the oral prep and oral stage.
Feeding includes: Placement of food in mouth, Manipulation of food in oral cavity prior to swallow (includes mastication and and oral stage), collecting bolus, and tongue propelling bolus posteriorally

Question 6

Swallow Tx improves

Answer 6

Pharyngeal swallow (Reducing delay of trigger and Transit time) Swallow Tx includes all stages of swallowing

Question 7

HOw many and list the symptoms of dysphagia

Answer 7

Inability to:
Recognise food
Place food in the mouth
Control food/saliva
Coughing before, duing, and after swallowing
reoccuring pneumonia
weight loss
gurgly voice/increase secretions
complaints of swallow

Question 8

how long should a beside screening take?

Answer 8

10-15 mins

Question 9

what are the goals of a screening?

Answer 9

screen for aspiration or inefficient swallow—-> Identify the signs/symptoms of dysphagia

Question 10

What are the goals of dxing?

Answer 10

Look for physiologic data, try to find out why the symptoms are occuring, and locate where the problem is occuring

Question 11

A bedside is not always nessisary

Answer 11

It usually is…. sometimes its just to see if the client is even able to perform a BSS

Question 12

What the the symptoms observed during Dx assessment - define each

Answer 12

Aspiration - bolus going past Vfs into airway
Penetration - Bolus going past epiglottis but not past the VFs
Residue - Left over food in mouth/larynx
Backflow - bolus from esophagus into pharynx or nasal cavity

Question 13

What is the SLps Dx goal?

Answer 13

1. Identify the symptoms

2. Identify underlying abnormalities in A+P

Question 14

WHat are sme complications of dysphagia?

Answer 14

Pneumonia
Malnutrition
Dehydration

Question 15

Who do we work with in dysphagia?

Answer 15

Physicians
Nursing Staff
Dietitian
OT
PT
Radiologist
Pharmacist
*Sometimes 2 opinions are needed to dx dysphagia

Question 16

T/F: # 1 concern in nutrition

Answer 16

FALSO!! Its SAFETY!!

Question 17

T/F: We NEED to know the standard amount of aspiration that is tolerated

Answer 17

Faslo: There is no consensus to how much is tolerated (there is a general guideline though, and we need to know this)

Question 18

During a bedside, it does not mater how much is given to swallow

Answer 18

Falso! A small amount is recommended

Question 19

How much is generally given at the beginning of radiographic Dx?

Answer 19

Start with 1 ml and work way up to larger amounts

Question 20

How much aspiration is generally required before going on an NPO diet?

Answer 20

Aspiration is greater than 10% per bolus despite optimal interventions

Question 21

T/F:

Aprox 40% of Px aspirate without coughing

Answer 21

Falso! 50% are silent aspirators

Question 22

How many and what are the purposes of Radiologic Testing?

Answer 22

4:

1. Identify aspiration
2. Define etiology of aspiration
3. examine effects of Tx in real time
4. determine the best method of Intake

Question 23

T/F: Pxs w/ pharyngeal dysphagia are not usually aware of the situation

Answer 23

Falso! They are usually able to descrive with typically high lvls of localization and accuracy
esophageal dx may be inaccurate