Dysphagia 5
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What is pureed food used for? | decreased motor control, chewing difficulties, apraxia | |
What is soft food used for? | Poor oral motor control, easily formed bolus, cohesive | |
What is ground food used for? | Assess ability to chew, to form cohesive bolus, move food in mouth | |
What is thick liquid used for? | Move slowly from front to back, delay swallow to control liquid until swallow responses are triggered | |
What are some issues associated with thin liquid? | Most difficult to control, requires normal swallow | |
How does the therapist palpate swallow? | Index finger at hyoid notch, middle at top of larynx, ring along mid larynx, evaluate strength and smoothness of swallow and oral transit time (1 sec) | |
What should the therapist do after the patient swallows? | Sweep to check for remaining food, patient says "Ah" to listen for voice quality (strong, clear, gurgly), if gurgly - delayed swallow response, collection in larynx, patient should take a second dry swallow, then check again | |
What are the indicators of swallowing dysfunction? | Coughing or throat clearing before, during, or after a swallow, gurgly voice quality, changes in breathing pattern, delayed or absent swallow response, poor cough, reflux of food after meals, aspiration pneumonia | |
What are the types of aspiration? | Before, during, or after swallow | |
What might cause aspiration before swallow. | Reduced oral control, absent swallow response |
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