Intro & Definitions of Dysaphagia Flashcards
What is Scott’s definition of dysphagia?
Difficulty in swallowing from the time food/liquids enter the oral cavity to the time it enters the stomach.
What is odynophagia? ON QUIZ/EXAM
Pain with swallowing
What is phagophobia? ON QUIZ/EXAM
fear of swallowing
What is Xerostomia? ON QUIZ/EXAM
Dry mouth
What is edentulous? ON QUIZ/EXAM
lacking dentition (no teeth or dentures)
What is cachexia? ON QUIZ/EXAM
Significant loss of appetite in someone who is not actively trying to lose weight
What is aerophagia? ON QUIZ/EXAM
swallowing excessive amounts of air
On average, how many times a day do we swallow?
2000
how many pairs of muscles do we use to swallow?
31
What percentage of individuals with dysphagia are not entirely aware of the extent of the problem?
70%
What percentage of elderly persons find some difficulty in swallowing?
45%
What percentage of individuals in residential or nursing homes find some difficulty in swallowing?
65%
What are the research areas for dysphagia?
normal physiology
disordered physiology
evaluation and treatment
What is the difference between feeding vs. swallowing disorders?
Feeding: placement of food in the mouth. OT deal with this
Swallowing: Begins once food enters the mouth. Usually SLPs deal with this
- In peds, there is a gray area, some OTs include the oral phases as part of “feeding”
What is the difference between screening vs. evaluation? ON QUIZ/EXAM
Screening: identifies signs and symptoms of dysphagia. The outcome should be whether to proceed to an evaluation or not. “problem or not?”
Evaluation: Defines anatomy and physiology. The outcome includes formal recommendations
What is involved in a swallow screening?
3-Ounce Water Test
Many facilities have nursing perform the screening
Individuals are required to drink 3 ounces of water without interruption (“I want you to drink this entire cup of water without stopping until it’s all gone.”)
Those who stop, cough, choke, or show a wet-hoarse voice quality during the test or for one minute afterward are considered to have failed.
98% of those who passed the 3-ounce water test did not aspirate during FEES.
However, 70.6% of those who failed were able to tolerate a diet of some kind based on the FEES and more than half were able to tolerate thin liquids based on the FEES results.
If someone fails, should proceed to further testing.
what are some s/s of dysphagia?
Leakage of food/secretions out of mouth
Pocketing of food (neglect)
Coughing at meals
Throat clearing***(can easily be missed)
Wet voice quality during meals
Report of food “sticking”
Watery eyes while eating
What are complications of dysphagia? ON QUIZ/EXAM
Weight loss
Poor nutrition
Chest infection
Pneumonia
Choking
Heimlich Maneuver
Death
What is the term for Pain with swallowing
Odynophagia
What is the term for fear of swallowing
Phagophobia
What is the term for Dry mouth
Xerostomia
What if the term for lacking dentition (no teeth or dentures)
Edentulous
What is the term for Significant loss of appetite in someone who is not actively trying to lose weight
Cachexia
What is the term for swallowing excessive amounts of air
Aerophagia
