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
