Exam 2 Part 5 Flashcards
When are some situations that we cannot assess/treat dysphagia?
May have severe impairments, someone who is out of a recent coma
What are the parts of the clinical bedside swallow evaluation (6)?
Review medical chart, screen patient, oral mechanism exam, observe patient drinking/eating different consistencies, determine risk of aspiration, documentation in medical chart
Why is reviewing the medical chart important?
Could see if there is an etiology of dysphagia, history of previous swallowing disorder, diet, family history, medication
What are the 2 types of instrumental evaluations for dysphagia?
FEES, modified barium swallow study
Why do we use barium during a modified barium swallow study?
Radio-opaque; able to see it through the x-ray
Thin endoscope that goes through the nose and down the throat and sits above the epiglottis,
FEES
What are the benefits of FEES?
Able to see the actual anatomy of swallowing
What are the disadvantages of FEES?
Cannot see actual swallow through FEES
What type of colored dye do we use during FEES?
Blue or green
What phases of swallow do you not see using FEES?
Esophageal, oral
Dysphagia treatment including a chin tuck, turning their head to weaker side in order to have food go down the stronger side
Postural technique
Techniques that help optimize a patient’s ability to use their current abilities
Compensatory technique
What is an example of an external postural technique?
Layout of food for the patient; moving the tray/plate over
Designed to improve the function of the swallowing mechanism; coming up with techniques that will target the problem area
Facilitation treatment techniques
What are some examples of facilitation treatment techniques?
If someone has a paralyzed vocal fold, having the patient to do vocal fold adduction. Holding your breath and swallow, tongue bite swallow, making high pitch noises to raise larynx, oral motor exercises
