Swallowing stages

Question 1

Pre-Oral phase

Answer 1

moves food/liquid to the mouth

Question 2

Oral Preparatory phase

Answer 2

oral structures form bolus by tasting, chewing, manipulation, and containment

Question 3

Oral phase

Answer 3

1 second - begins when bolus is in the mouth, ends when bolus enters the pharynx

Question 4

Pharyngeal phase

Answer 4

1 second - begins when bolus enters the pharynx, ends when bolus enters the esophagus

Question 5

Esophageal phase

Answer 5

8-20 seconds - begins when bolus enters the esophagus, ends when bolus enters the stomach

Question 6

Pre-Oral interventions

Answer 6

ROM to bring utensil to the mouth
Strength to hold utensils
Energy conservation
Motivation to eat

Question 7

Oral Preparatory interventions

Answer 7

Support for cheek or jaw for efficient breakdown of food
Strength/ROM of oral structures
Postural stability to optimize eating

Question 8

Oral interventions

Answer 8

Cold/sour bolus for slow oral transit times - encourages swallowing
Positional changes - chin tuck

Question 9

Pharyngeal interventions

Answer 9

further training/specialization required

Question 10

Esophageal interventions

Answer 10

Team decisions for safety/comfort of client