chapt 1 book Flashcards
What are the phases of swallowing
Oral Prep, oral, Pharyngeal, esophageal
What is the definition of dysphasia
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)
T/F:
SLPs play a large role in seophegeal phase of dysphagia
Falso!
Its usually a medical or surgical treatment **pxs with esophageal dysphagia may exhibit pharyngeal dsyphagia
Feeding Techniques Vs. Swallowing Tx (Main/Basic Goal)
Feeding : Procedures to improve oral stages of swallow (food manipulation/transport)
Swallowing: Improving the triggering of swallow and pharyngeal stage
Feeding: what does it improve?
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
Swallow Tx improves
Pharyngeal swallow (Reducing delay of trigger and Transit time) Swallow Tx includes all stages of swallowing
HOw many and list the symptoms of dysphagia
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
how long should a beside screening take?
10-15 mins
what are the goals of a screening?
screen for aspiration or inefficient swallow—-> Identify the signs/symptoms of dysphagia
What are the goals of dxing?
Look for physiologic data, try to find out why the symptoms are occuring, and locate where the problem is occuring
A bedside is not always nessisary
It usually is…. sometimes its just to see if the client is even able to perform a BSS
What the the symptoms observed during Dx assessment - define each
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
What is the SLps Dx goal?
- Identify the symptoms
2. Identify underlying abnormalities in A+P
WHat are sme complications of dysphagia?
Pneumonia
Malnutrition
Dehydration
Who do we work with in dysphagia?
Physicians Nursing Staff Dietitian OT PT Radiologist Pharmacist *Sometimes 2 opinions are needed to dx dysphagia
T/F: # 1 concern in nutrition
FALSO!! Its SAFETY!!
T/F: We NEED to know the standard amount of aspiration that is tolerated
Faslo: There is no consensus to how much is tolerated (there is a general guideline though, and we need to know this)
During a bedside, it does not mater how much is given to swallow
Falso! A small amount is recommended
How much is generally given at the beginning of radiographic Dx?
Start with 1 ml and work way up to larger amounts
How much aspiration is generally required before going on an NPO diet?
Aspiration is greater than 10% per bolus despite optimal interventions
T/F:
Aprox 40% of Px aspirate without coughing
Falso! 50% are silent aspirators
How many and what are the purposes of Radiologic Testing?
4:
- Identify aspiration
- Define etiology of aspiration
- examine effects of Tx in real time
- determine the best method of Intake
T/F: Pxs w/ pharyngeal dysphagia are not usually aware of the situation
Falso! They are usually able to descrive with typically high lvls of localization and accuracy
esophageal dx may be inaccurate
