Self-Feeding, Swallowing, and Communication Ch 12

Question 1

Self Feeding

Answer 1

Three parts
(1) Scooping the food
(2) Managing the food on the utensil
(3) Bringing the food to the mouth

Question 2

Physical Impairments

Answer 2

weakness, decreased ROM,
and incoordination to more severe deficits, including
contractures, tremors, spasticity, hemiplegia, and
tetraplegia
▪ Posture and Positioning
- Vision
- Cognitive
- Social

Question 3

Swallowing

Answer 3

• 4 phases
• Oral Preparatory Phase
• Oral Transit Phase
• Pharyngeal Phase
• Esophageal Phase

Question 4

Oral Preparatory Phase

Answer 4

▪Prepares food to be swallowed
▪Sensory recognition for taste, touch, and temperature
- As food (Bolus) enters the mouth several processes begin to prepare its breakdown

Question 5

Oral Transit Phase

Answer 5

▪ Bolus is passed from the back of the mouth into the throat
- the soft palate closes to form a
barrier between the mouth and the nasal cavity

Question 6

Pharyngeal Phase

Answer 6

-Epiglottic inversion forms a barrier, acting as the primary defense against penetration into the airway

Question 7

Esophageal Phase

Answer 7

-Bolus travels down the esophagus and into the stomach

Question 8

dysphagia

Answer 8

impairments in feeding and swallowing functions

Question 9

penetration

Answer 9

Materials that bypass the airway protection during swallowing into the laryngeal region but do not make it past the vocal folds into the trachea

Question 10

Liquids

Answer 10

Thin liquids → Nectar Thick Liquids → Honey Thick Liquids → Pudding Thick Liquids.

Question 11

Solids

Answer 11

• Regular solids-All foods without texture restriction
  -Mechanical soft solids-Ground, moist, semi-soft texture
  -Puree solids-Altered to be pudding-like consistency

Question 12

General Precautions

Answer 12

• stay hydrated, so any saliva left
  does not turn into thick mucus
  -If the tube does become dislodged, it must quickly be
  replaced, as the hole can close within 30 minutes
  -If actively receiving TPN nutrition, the head of the bed must not be lowered past 30 degrees due to risk of aspiration.
• oral hygiene
• positioning at 90 degrees
• sit up 30-60 min after

Question 13

What are the components of these types of
communication?

Answer 13

▪ Verbal
▪ Written
▪ Nonverbal/paralinguistic
▪ Receptive
▪ Expressive
▪ Pragmatic
- Communication