Dysphagia Flashcards
deficit with swallowing at any stage of the process
Dysphagia
Biggest risk in dysphagia is
aspiration
At its worst, aspiration can cause __ or __
pneumonia; respiratory failure
___ can be audible or silent
aspiration
when material goes to VF
Penetration
when material goes beyond VF and is not coughed out
Aspiration
Four examples of deficits in the oral prep stage
-Decreased awareness of food
-Difficulty holding food in mouth
-Pocketing food in cheeks
-Premature spillage of food into airway
three examples of oral transport phase deficits
-Anterior spillage (thinks it’s farther back than it is)
-Premature spillage into airway
-Difficulty moving bolus towards pharynx
Five examples of pharyngeal phase deficits
-DELAYED - Delayed swallow response
-COORDINATION - Impaired coordination of oral and pharyngeal structures
-SP - Weak elevation of velum (food goes to nasal cavity)
-VF - Inadequate closure of VF
-LARYNX - Reduced hyolaryngeal elevation
Two examples of esophageal phase deficits
-UES doesn’t open so eventually goes to airway instead
-Slow/absent esophageal peristalsis
What is uniquely difficult about esophageal phase deficits?
Treatment is limited because esophagus doesn’t respond to behavioral training
what are seven symptoms of dysphagia?
WELP CWT (clearly we tried)
- Coughing
- Throat clearing
- WET vocal quality during or right after eating/drinking
- Extra EFFORT or time to chew or swallow
- LEAKING food/liquid from mouth or getting stuck there
- Recurring PBEUMONIA /chest congestion after eating
- Weight loss/dehydration front not being able to eat enough
Other than life-threatening aspiration, what are four secondary risks associated with dysphagia?
-Poor nutrition
-Dehydration
-Pneumonia or chronic lung disease
-Less enjoyment of eating/drinking → can be embarrassing
acute inflammation caused by material entering lungs through airway
Aspiration pneumonia
three symptoms of aspiration pneumonia
Spiked temp, myalgia, productive cough
