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
