Midterm II Flashcards

Question

Thermal Tactile Stimulation is good for:

Answer 1

delayed trigger in swallow \*cold laryngeal mirror brushes anterior faucial pillars

Answer 2

premature spillage \*by having gravity move bolus to the front \*widens the vallecular space allowing for more food/liquid to be held safely until a swallow is triggered

Answer 3

instruct patient to consciously try to reduce pumping action and initiate a hard deliberate post tongue movement \*can use sEMG for biofeedback and see electrical activity spike when there is improvement

Answer 4

Present cold and sour boluses: may heighten sensory input and result in less delay \*stroking of faucial pillars with cold laryngeal mirror: less delayed swallows following afterwards

Answer 5

Effortful swallow \*chin tuck (widens vallecular space) Masako Maneuver: holding tip of tongue gently between front teeth while swallowing

Answer 6

``` do effortful swallow Masako Maneuver may strengthen superior constrictor sEMG Feedback (demonstrate the strength necessary to swallow) Head turn to weak side ```

Answer 7

chin tuck effortful swallow repeat dry swallow head turn posture thermal gustatory - thermal tactile stim during meals supraglottic and super supraglottic swallow

Answer 8

botox injections or surgical myotomy head turn may help pull UES exercises to increase laryngeal elevation: Shaker Exercise \*lay supine and lift head & look at toes

Answer 9

the technique of making unconscious or involuntary bodily processes perceptible to the senses in order to manipulate them by concsious mental control

Answer 10

all of the above as well as: digestive system disorders incontinence high blood pressure cardiac arrhythmia Raynaud's Disease Epilepsy Paralysis, etc

Answer 11

Stuttering Voice Dysarthria Aphasia Dysphagia

Answer 12

it is a measure of electrical activity given off by the muscle \*interpret it as a measure of effort and strength \*when muscles contract they give off a burst of bio-electrical energy that can be recorded by skin sensors

Answer 13

real time visual representation of swallow, allowing for conversion of involuntary function into a conscious deliberate process \*concrete objective treatment

Answer 14

what the pharynx is doing when to proceed with PO intake when to re-evaluate with diagnostic examination when patient is aspirating

Answer 15

Flaccidity or hypofunction Spasticity or hyperfunction Muscle dyscoordination or Apraxia

Answer 16

check if patient has unstable cardiac conditions - check with MD transient dysphonia discourage biting/grinding of teeth use care in removing electrodes

Answer 17

surgical opening in the anterior neck into the trachea

Answer 18

bypass an obstruction in airway long term easy access to the airway for mechanical ventilation and/or pulmonary toilet

Answer 19

A - Neck Plate B - Tracheostomy Tube C - Fully inflated cuff D - Pilot line E - Pilot Balloon

Answer 20

clean out excess liquids

Answer 21

when you want to block the tube

Answer 22

create perfect sealed pressure - no air leakage

Answer 23

may decrease laryngeal elevation if cuff is inflated - can compress esophagus may result - in decrease in sensitivity of cough reflex

Answer 24

the right to decide for oneself about one's own life

Answer 25

actions done for the benefit of others, actions that produce good

Answer 26

I will use treatment to help the sick according to my ability and judgment, but I will never use it to injure or wrong them

Answer 27

capacity of the patient or client to understand the information and make an informed decision, a voluntary choice without coercion

Answer 28

how does patient feel about preserving the ability to eat over the ability to speak want to try to master swallowing techniques that still leave him/her at risk for aspiration does patient who is advised from eating or drinking understand the possible consequences of aspiration

Answer 29

the law presumes that all adults are competent to decide for themselves what will be done with their person and property \*competence to stand trial \*competence to manage property \*competence for medical decision making

Answer 30

ability to understand whether or not to accept or reject treatment

Answer 31

others decide for them states vary with regard to both the standards of surrogate decision making and the standard of proof \*main principles: what would the patient want what is best for patient

Answer 32

a document that enables people to express their wishes about their health care in a form that will tell others how to care for them and to make decisions for them if and when the time comes that they are unable

Answer 33

The Living Will - what you want Power of Attorney - who will make decisions for you

Answer 34

increased life span ability to recover possiblity of returning to useful functioning improved quality of life improved physiological and psychological state increased resistance to infection improved healing of skin and wounds

Answer 35

cannot be absorbed from gut; does not abate failure to thrive physical pain cannot help because underlying condition is hopeless causes discomfort and prolongs dying spiritual and emotional pain and suffering indignity emotional and financial burden