Dysphagia Final Info

Question 1

Mild oropharyngeal dysphagia

Answer 1

not normal

no aspiration

can be remediated/compesnated for

pt can still eat but just needs to make adjustments

liitle–>no residue

Question 2

Moderate oropharyngeal dysphagia

Answer 2

in between

Question 3

Severe oropharyngeal dysphagia

Answer 3

aspirates multiple consistences

needs tube feeding

sig residue

severely reduced bolus clearance

Question 4

Risk for developing PNA

Answer 4

Langmore study

1) dependent for feed
2) dependent for oral care
3) # decayed teeth
4) tube feeding
5) smoker
6) multiple medical diagnosis
7) multiple medications

Question 5

Oral Prep Problem

Answer 5

Prep of the bolus and containment in mouth

Question 6

onset of swallow problem

Answer 6

timing and initiation

Question 7

bolus clearance problem

Answer 7

poor BOT retraction 
residue on tongue 
reduced contraction of pharyngeal constrictors 
reduce on pharyngeal wall 
residue in pyriforms

Question 8

Oral phase problem

Answer 8

a–>p bolus transport
oral resiude after swallow?
back of tongue control

Question 9

initiation of swallow

Answer 9

pharyngeal delay time

longer than 3 seconds then its an oral pharyngeal delay of swallow

Question 10

Pharyngeal phase problem

Answer 10

delayed evelation of hyoid/larynx

delayed pharyngeal swallow reflex

Question 11

cough prior to swallow?

Answer 11

incomplete airway protection

pen/asp before swallow?

Question 12

cough after swallow?

Answer 12

pen/asp

Question 13

multiple swallows

Answer 13

presence of oral or pharyngeal residue

Question 14

after swallow

Answer 14

note vocal quality/coughing