Vocal Health Flashcards
contributing factors involved with the onset, maintenance, and rehabilitation of voice disorder include: patient's their family ? their ? the daily ? their? their expectations about ?
personality family dynamics medical history daily environmental influences to which they are exposed occupational demands quality of their voice
Phonotrauma: the behaviors that
contribute to laryngeal injury
inflammation or other forms of damage
Basic Issues related to Vocal Health
-intrinsic factors are
eg
extrinsic factors are ?
exposure of the vocal folds to ?
factors that patient has less control over
-anatomical response of female vocal folds during menstruation
factors to which patient may be exposed
-cigarette smoke, albeit primary or secondary
Case history process: opportunity to ?
engage in a dialogue with the patient to reach an understanding of the total life influences on the patient’s voice
Recovery Process:
voice recovery time can vary dramatically from ?
these factors include: each individual's ability to ? the patient's? the patient's previous ? the current the patient's level of the choice of ? and the patient's ?
some of these factors cannot be ? therefore there can never be guaranteed?
person to person due to numerous factors involved with recovery process
heal and or respond to medications
- state of mind
- previous level of vocal use
- demands of the patient’s vocal use
- compliance with life-style and therapy demands
- therapy/ buy-in to the therapeutic process as well as other factors
controlled/ recovery outcome
Non Prescriptive Drug Use:
the patient should avoid use of
common symptoms of drug use, particularly marijuana and alcohol are the following:
- impairment in
- acting
- smell on
- poor
non-prescribed drugs
thinking
innappropriately
breath and or clothes
auditory judgments
Alcohol Intake:
alcohol use, even in the smallest doses can cause a decrease in ?
which undermines?
all of which are designed to ?
awareness/ vocal discipline and techniques/ optimize and protect the voice
Cigarette Smoking: It's largest effect is on the lungs creating an increased possibility of: - - - -
upper respiratory infection
acute bronchitis
pneumonia
chronic lung diseases such as chronic obstructive pulmonary disease or emphysema
Cigarette Smoking:
irritation comes from ? decreased ?
which can cause:
inflammation of
-
-
decreased action of the cilia in the respiratory tract / mucous production
- upper and lower resp. tracts
- coughing
- hoarseness of voice
effects of secondary smoke:
what about exposure to secondary smoke?
the damage from secondary smoke carries about
40 percent of the effect of primary smoking
Marijuana - most commonly
chewing tobacco: clinicians should advise patients to stop chewing tobacco as it is associated with ?
abused substance in the US
increased risk of developing oral cancer
Coughing and throat clearing:
continual coughing and throat clearing can have ? due to the ? and ? causing ? and damage to?
deletirious effects on vocal fold health / high expiratory pressures/ shearing forces/ tissue irritation and damage to vocal folds over time
Caffeine intake:
caffeine is a ? meaning that it contributes to the elimination of ?
diuretic/ water through the body potentially contributing to dehydration
dehydration is addressed therapeutically by:
reducing
increasing ?
an average cup of hot cocoa has ? of caffeine and a 3.5 oz chocolate bar is?
mountain dew has ? of caffeine for a 12 oz serving
intake of diuretic substances (such as caffeine)
water intake
10 mg of caffeine/ 12 mg of caffeine
54 mg of caffeine
Sleep deprivation:
most people require an average of ? but this can vary from as little as ? to as many as ?
optimal voice may not be achieved when
8 to 9 hours per night / 6 to 10
person is tired
Vocal Load and Vocal Fatigue:
individuals who engage in prolonged periods of voice use are at increased susceptibility to ?
most commonly occurs because of ?
condition of vocal fatigue
occupational demands
-professional voice user
Vocal load and vocal fatigue: symptoms of vocal fatigue include: ? - -periods of
odynophobia: soreness or pain in the throat following prolonged voice usage
dysphonia
voice loss
Vocal Load and Vocal fatigue: vocal attrition ( the? ) is also a condition associated with the use of ?
wearing away of the voice / increased loudness for extended periods of time
The bogart bacall syndrome: is a particular condition characterized by ?
-
-
vocal fatigue
fundamental freq. or pitch of their voice
- singers
- actors
- radio or TV personalities
talking too loudly:
use of voice amplification may help an individual ?
avoid vocal fatigue
poor nutrition:
nutritional deficiencies can affect an individual’s ability to ?
resist disease and withstand stress
Obesity:
to maintain health, weight should be kept within ?
more than 20% over desirable body weight may be enough to constitute?
20% of ideal weight
health hazard both physically and mentally
Dehydration:
strategies to increase hydration include:
recommending an individual ?
adding a ? so the humidity stays at ?
increased water intake is recommended because there is a growing body of evidence that indicates that vocal fold swelling and the size of the vocal fold lesions such as vocal fold nodules are ?
consume more water
-humidifier / 30% or more
reduced with increased hydration
Use of herbals:
the manufacturing of herbal supplements is largely?
potential risk of ? is increased because the ingredients are not?
during the case history interview include questions regarding the use of ?
some alternative treatments can cause significant ?
unregulated
hepatotoxicity (chemically induced liver damage) / standardized like prescriptive drugs
alternative medicines or treatments
-side effects or drug interactions
