Evaluation of Dysphagia Flashcards
An abnormality in the transfer of food from mouth to stomach
Dysphagia
Dysphagia results to interruption in:
- eating pleasure
- maintenance of nutrition and hydration
What are the indicators of swallowing dysfunction? (8)
- difficulty bringing food to mouth
- inability to shape food to bolus
- coughing or throat clearing before, during, after swallowing
- gurgling voice
- changes in breathing pattern
- delayed or absent swallow response
- poor cough
- reflux of food after meal
T/F
Dysphagia is a disease not a symptom of an underlying condition
False
Origin of dysphagia caused by the conditions in nervous system
Neurogenic
Origin of dysphagia caused by problems with teeth or oral muscles
Mechanical
Origin of dysphagia caused by fear of swallowing
Psychiatric
Origin of dysphagia caused by circumstances related to illness d/t medical examination or tx
iatrogenic
It is the foundation for evaluation tx of swallowing disorder
Anatomy and Physiology
What are the 4 phases of swallowing
- Oral Preparatory Phase
- Oral Phase
- Pharyngeal Phase
- Esophageal Phase
Phase where stimulation of salivary glands, chewing and formation of bolus occurs
Oral Preparatory Phase
Phase where tongue begins posterior movement of bolus
Oral Phase
transit time during Oral phase
1 to 1.5 seconds
phase where swallow reflex occurs
Pharyngeal phase
What happens during Swallow Reflex
- velar elevation/retraction
- hyoid anterior and superior movement
- laryngeal closure
- Cricopharyngeal sphincter opening
- tongue base opening
transit time during pharyngeal phase
1 second or less
During pharyngeal phase it divides at the ___ and flows down to the ____ sinuses
vallecula; piriform
phase where the food flows from upper esophageal sphincter to the lower esophageal sphincter to the stomach
Esophageal phase
transit time during esophageal phase
8 to 20 seconds
term used when something you swallow goes down the wrong way; enters the airway/lungs
Aspiration
it is a flap of cartilage that covers the trachea when swallowing to prevent food or liquids from entering the lungs
Epiglottis
when acute symptoms of aspirations occurs check for:
changes in color of pt
prolonged coughing
gurgling voice
During the preparatory examination:
in medical chart review check the:
- diagnosis
- prescribed medications
- current hydration and nutrition status
- other pertinent medical hx
During the preparatory examination:
in Cognitive Perceptual Status, you check the:
(AOAAG) alertness orientation ability to follow instructions attention span general behavior
