Treatments Flashcards
Apriation precautions
feed when alert, upright for meals and a time after, monitor for s/s of aspiration, check lung sounds, oral care guidelines, individualized swallowing care plan
Reflux percuations
diet and habit alterations, education
Individuals at risk for poor oral care
dependent for oral care, NPO, poor dental health, history of poor oral care
Feeding techniques
Rate of presentation, pattern of presentation,m bolus placement, promoting self feeding (with OT), supervision
Strategies
Lingual finger sweep, dry swallow, breath-swallow coordination, 3 second bolus hold
Supraglottic swallow
protect airway during swallow, clear residuals before breathing again
suprglottic swallow
also increases vocal fold closure and assists in closing posterior glottis
Shaker technique
- Rehabilitative approach
- strenghten muscles of UES opening
- lessens bolus resistence
Mendelsohn
-Rehabilitative
opens UES by extending length of larynx elevation
Masako
Rehabilitative
- increases pressure and contact time of base of tongue and posterior pharyngeal wall
Mcneil Swallow protocol
uses advancing food textures with forceful swallow