Exam 2 Part 2 Flashcards
Poor posterior seal between soft palate and base of the tongue can cause this
Premature spillage
How can a weak tongue tip affect the oral stage?
Discoordinated and impaired posterior movement of the bolus to the back of the mouth
Food that is not cleared and swallowed
Residue or stasis
How can a weak tongue affect the oral stage?
Bolus can’t move efficiently to the next stage
What are some pharyngeal stage disorders?
Delayed swallow response, weak muscles to raise larynx, quiet aspiration, weak soft palate, weak closure of the vocal folds
How can a weak soft palate affect the pharyngeal stage?
Too weak to close the velopharyngeal port to prevent material from entering the nasal passages
How can weak muscles that lift the larynx affect the pharyngeal stage?
Epiglottis may not cover airway causing food/liquid the penetrate into the larynx
How can a weak esophageal valve affect the pharyngeal stage?
May be too weak to open preventing liquid/food from entering the esophagus
If true and false vocal folds have a weak closure, how can it affect the pharyngeal stage?
Aspiration
Material enters the larynx pass below the vocal folds
Aspiration
What are some esophageal phase disorders?
Upper esophageal sphincter is weak, slow/absent peristalsis, lower esophageal valve is weak
How could a weak upper/lower esophageal sphincter affect the esophageal stage?
May not let bolus pass through
How do SLPs assess dysphagia?
Evidence based practice
When might we intervene for dysphagia?
At risk for aspirating based on medical diagnosis, difficulties of swallowing is observed, patient is not taking in adequate nourishment
Evaluation that includes reviewing the medical chart, screening patient, oral mechanism exam, observe patient while drinking different consistencies of liquid/food, determine risk of aspiration and need for instruments to evaluate swallowing, documentation of all assessments
Clinical bedside swallow evaluation
