Final Cards Flashcards
Initial assessment: if answer yes to unilaterl patient is patient has patient is ... quality prior to PO unable t maintain inability to manage known history of
facial weakness lethargic trach intubated gurgly O2 stats oral secretions dysphagia
No to ALL questions:
proceed to
yes to any
….
REMEMBER TO DOCUMENT EVEN IF THE PT fails initial assessment that you are unable to
swallow challenge
perform swallow challenges
STOP
notify
keep patient
obtain consult for ?
physician
NPO
bedside swallow eval
Swallow challenge: give 3 oz water no difficulty: obtain ... continue to monitor for document
MD order for diet
dysphagia and apsiration
clinical info system
Health disparity: disparities in health that are a result of ? that create barriers to
Health inequity: differences in health status among distinct segments of the population including differences that occur by ?
non?
systemic, avoidable, and unjust social and economic policies and practices that create barriers to opportunity
gender, race, ethnicity, education, income, disability, or living in various geographic localities
clinical factors
Health equity is when all members of society enjoy a ? to be as healthy as possible. Public health policies and programs centered around specific needs of comm. can promote
fair and just opportunity
health equity
COVID 19 has brought inequity to light
inequity has resulted in increased risk of
illness and death in racial and ethnic minoritiy groups
Thickening liquids can result in reduced ?
thickening has not been found to change the ?
bioavailability of mediciations in thickened liquids not ?
consider ingredients in thickener:
older
… hum
stable versus?
cost:
thickening products do not require
patientsmust pay ?
.. preference
intake of PO liquid which can equal dehydration
bioavailability of water
fully understood
brands of thickener - corn starch based
xanthan gum (clear thickeners-gel and powder)
thickness versus thickening over time
prescription to obtain
full cost
preferences
what about formula/breast milk consider infant thcikener product options ? ... and .. variability in the ? in infant formula and breast milk impact of flow from ?
GI tract
limited
single grain cereal (does not work well with breast milk)
gelmix and purathick
viscosity and ingredients
artificial nipple with increased viscosity
IDDSI framework:
hw many levels ?
drinks measured from
food measured from
provides common terminology to describe ? tests are intended to confirm the ?
testing should be done on ? under intended ?
8
0-4
3-7
food textures and thickness
flow or textual characteristics / time of testing
food drinks/ serving conditions
Old term: nectar thick
new term ?
old term: honey thick
new term
mildly thick (level 2)
moderately thick (level 3)
Why is conducting flow test important:
can check how viscosities ? between what patient is receiving on meal trays and what is being administered in radiology
could be factor utilized to obtain ?
can teach aptients and family how to ? to check the ?
match
permission/funding for specilized barium product that is designed for VFFS exams
conduct test/ viscosity of liquids at home