Intervention Flashcards
What are body posture adjustments?
side lying and upright
What does side lying do for swallowing?
reduces effects of gravity either during the swallow or on post swallow residue
Which side goes down in side lying and why?
stronger side down to use gravity to propel bolus toward stronger side and may increase opening of UES
Why do you use upright positioning?
may help those with reflux
Which of the body posture adjustments aren’t as common?
side lying
What are the various head posture adjustments?
head extension, flexion/chin tuck, rotation/turn
Why would you use head extension/raising chin?
helps move bolus into pharynx
Why would you use chin tuck?
may facilitate airway protection as it improves laryngeal vestibule closure and reduces distance between hyoid and larynx
Why would you use head rotation?
turn toward weaker side (if there is vocal fold involvement) want the adducting one to overcompensate for the one that is paralyzed
Which are the kinds of thickness?
pudding thick, honey thick, nectar thick, slightly thick, thin
What is IDDSI level 4?
pudding
What is IDDSI level 3?
honey (moderately) thick
What is IDDSI level 2?
nectar (mildly thick)
What are the IDDSI levels based on?
flow rates through a syringe
What is IDDSI level 3 FOOD?
liquidised
What is IDDSI level 4 FOOD?
pureed
What is IDDSI level 5?
minced and moist
What is another way to say minced and moist?
mechanically altered
What is IDDSI level 0?
thin liquid
What is IDDSI level 6?
soft and bite-sized (one step below regular, has to be able to be easily smooshed with a fork)
Who would need an IDDSI 4?
those with oral prep and mastication issues, someone with Myasthenia Gravis, motor-planning difficulty, difficulty chewing and coordinating, someone who doesn’t initiate a chew
What is IDDSI level 7 FOOD?
regular food
Who would need an IDDSI 6?
someone with dental problems/dentures, blindness, anyone who has difficulty cutting their food (they can just scoop and go), tremors, fatigue,
What does IDDSI stand for?
International Dysphagia Diet Standardization Initiative
What is the other measuring tool for diets?
National Dysphagia Diet
During cervical ausculation of swallowing, clinician primary listens for:
The presence and timing of 3 bursts of sound
An infant w low caloric consumption affecting weight gain and growth would have a diagnosis of:
failure to thrive
Which finding would be most predictive of pharyngeal dysphagia after a patient has suffered a stroke:
breathy phonation
Which of the following patient characteristics is least likely to predict development of aspiration pneumonia?
wet voice after swallowing
Which phase of swallowing is characterized by cupping of the tongue to gather the bolus and move it posteriorly?
oral phase
The free water protocol is recommended because:
aspirating water is less harmful than aspirating other liquids, drinking only thickened liquids reduces QoL,
Which position is most likely to facilitate a safe swallow for someone with neuromuscular weakness or incoordination?
sitting outright
Which postural technique would you use for a patient with poor tongue base strength for bolus propulsion?
chin down
A bottle few infant requires thickened formula but requires 50 minutes but requires 50 minutes to finish a feeding. The SLP should:
test a faster-flowing nipple
The 3-ounce water challenge is a screening for swallowing that assesses what:
ability to consume 3 oz of water without interruption, coughing and choking, wet vocal quality (but not the trigger cause you can’t see it at the bed side)
