Deck 3/4/5 Flashcards
CNs involved in swallowing
V- trigeminal VII- facial IX- glossopharyngeal X- vagus XI- accessory XII- hypoglossal
name the 3 salivary glands and where they are located
- parotid- big one in cheek
- submandibular- under mandible
- sublingual- under tongue
name the 3 pharyngeal constrictors
- superior
- medial
- inferior
physiology of swallowing: oral prep phase
- lip strength
- tongue strength
- mandible/jaw control
- dentition condition
- velar strength
physiology of swallowing: oral transit
- tongue motility and coordination
- propel bolus into pharyngeal area to trigger swallow response
physiology of swallowing: pharyngeal phase
- VP closure
- posterior tongue retraction
- pharyngeal wall contraction
- laryngeal elevation
- hyoid excursion
- epiglottic inversion
- glottic closure
- CP sphincter opens
physiology of swallowing: esophageal phase
- peristalsis of the esophageal musculature
- movement from UES to LES
swallow delay: assess with? when is it considered a delay
- assess with liquids only
- once past mandible line, then considered delay
trismus
reduced ROM of jaw
role of the OT
- ADL
- feeding
role of dietician
thorough nutrition assessment and intervention helps improve or maintain health
therapeutic vs mechanical diet
- therapeutic: alteration of nutrients to help treat a medical condition
- mechanical: alteration of food/fluid textures to help treat a medical condition
examples of mechanical diets
- solid: pureed, mechanical soft-ground, mechanical soft-chopped, regular textured solids
- liquids: thin, nectar, honey thick, pudding
enteral nutrition refers to…
nutrition support provided when use of an oral diet is either contraindicated (due to safety) or insufficient to meet a person’s nutritional needs
enteral infers that the digestive tract is…
functional and can be used for nutrient ingestion and absorption
parenteral nutrition is used when…
any part of the digestive tract is not functional or when it is necessary to minimize GI function
types of feedings: continuous
(pump) getting nutrition 24 hours a day
types of feedings: intermittent
(pump or gravity bag) can clip on/off
types of feedings: bolus
(syringe)
tube feeding complications
- nausea
- vomiting
- diarrhea
- constipation
- tube occlusion
- aspiration
tube feeding complications: nausea
improper placement, excessive rate or volume, anxiety
tube feeding complications: vomiting
excessive volume, improper formula, contamination, anxiety
tube feeding complications: diarrhea
cold formula, excessive rate, high osmolarity, anxiety
tube feeding complications: constipation
low fiber formula, inadequate fluid
