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
medical name for muscle pain
Myalgia
causes or study of causes of a disease
Etiology
DYSPHAGIA
what does CVA stand for
cerebral vascular accident (often strokes)
DYSPHAGIA
what does TIA stand for?
transient ischemic attacks
DYSPHAGIA
What does TBI stand for?
traumatic brain injury
what is a transient ischemic attack
like a stroke caused by brief blockage to brain, but not as bad; “ministroke”
6 causes of dysphagia
TTT CPS
CVA
TIA
TBI
Tumors in oral/pharyngeal cavity
Progressive neurological diseases
Surgery
Two most common tests for testing for dysphagia
MBSS
FEES
What is the disadvantage of using FEES for dysphagia?
Can’t see oral phases
four types of intervention for dysphagia patients
1) posture - tilting head, etc
2) exercises
3) changing to food easier/safter to swallow
4) change feeding utensils
Patients who need a feeding tube because they can’t eat using normal methods are abbreviated as this
NPO (nothing by mouth)
NPO patients can use these types of feeding tubes
NG
G
J
PEG
