Exam 2–Unit 7 Flashcards
Define Swallowing
Manipulation and transportation of food from mouth to stomach.
What areas of the OTPF are associated with Feeding, Eating, & Swallowing?
- Client factors
- Context & environment
- Performance skills
- Performance patterns
Define Deglutition
The Process of Swallowing
What are the Phases of Swallowing?
Pre-oral phase
Oral prep phase
Oral phase
Pharyngeal phase
Esophageal phase
Define the Pharyngeal phase of swallowing
*Soft palate elevation.
*Involuntary swallowing response.
Larynx & epiglottis movement.
Define the Esophageal phase of swallowing
*Involuntary actions
*Upper esophageal sphincter closes.
Types of Dysphagia
Pseudobulbar
Dulbar Palsy/Dysphagia
Types of Dysphagia
Pseudobulbar
Dulbar Palsy/Dysphagia
Mechanical Dysphagia
Define Pseudobulbar eating disorder
UMN Lesion
Presentation:
Aspiration
Bradykinesia (slow speech)
Decreased laryngeal elevation
Delayed swallow reflex
Rigid jaw
Poor posture
Define Bulbar Palsy/Dysphagia eating disorder
LMN Lesion
Presentation:
Drooling
Difficulty chewing & swallowing
Fever
Food sticking to throat/throat clearing
Nasal regurgitation
Signs of aspiration
Wet voice
Weight loss
Define Mechanical Dysphagia
Head & neck cancer
Presentation: Muscle weakness
Interventions for Dysphagia
Exercises to strengthen tongue
Diet/texture mods
Oral care
Positioning
Self-feeding
Indirect vs Direct
Remedial vs. Compensatory
Dementia specific feeding/eating/swallowing interventions
Encourage all senses
Natural environment
Simple/calming
Levels of feeding ability for Dysphagia
Level 1: No chewing
Level 2: Moist food; some chewing
Level 3: Soft solid foods
Level 4: All foods
Modified Swallowing Techniques for Dysphagia
Chin tuck
Effortful swallow
Mendelsohn maneuver
Neck rotation
Supraglottic swallow
Oral Hygiene implications for Dysphagia
Bacteria in oral cavity
Increases chances for developing pneumonia
