Dysphagia

Question 1

Dysphagia prevalence in nursing homes?

Answer 1

68% (15% of elders)

Question 2

aspiration pneumonia

Answer 2

food going into lungs can have bacteria, causes this

Question 3

consequences of dysphagia?

Answer 3

malnurtition, dehydration, aspiration, aspiration pneumonia

Question 4

oropharyngeal dysphagia

Answer 4

dysphagia arising from a structural or functional abnormality in the oropharynx
-oral preparatory, oral propulsive, pharyngeal

Question 5

Esophageal Dysphagia

Answer 5

dysphagia that occurs as a result of structural or functional abnormalities in the esophagus

Question 6

Screening and Dx

Answer 6

bedside swallowing assessment, modified barium swallowing assessment

Question 7

Bedside swallow screening tool - factors?

Answer 7

signs of poor swallowing, chewing, delay, can fluid stay in mouth, gurgly sounds

Question 8

Point of thickened fluids?

Answer 8

slow down the swallowing process, increased time for reflex to kick in

Question 9

CDO policy statements

Answer 9

necessary skills to screen, asses s, treat and manage dysphagia as a nutrition related concern

Question 10

Post Stroke - best practice guidelines

Answer 10

1. remain NPO until assessed
2. screen for nutrition risk
3. asses and reassess for hydration, nutrition including energy, protein, fluids diet alterations
4. explain nature of dysphagia to patient, family, care providers

Question 11

Treatment for Dysphagia- Goals

Answer 11

adequate nutrition support, healthy nutrition status, provide safe food choices, prevent complications, maintain QOL, monitor and adjust as needed

Question 12

Facilitating a swallow

Answer 12

alert, sitting upright, head upright chin slightly down, avoid talking, small bites, alternate foods with fluids