Dysphagia 6
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| What might cause aspiration during swallow? | Reduced laryngeal closure | |
| What might cause aspiration after swallow? | Pooling of material in piriform sinus or vallecular sinus with overflow into airway, problem with epiglottis or vocal folds | |
| What does videofluoroscopy allow for assessment of? | Tongue movement, transit times, swallowing mechanisms, rules out silent aspiration | |
| What are OT treatment goals for dysphagia? | Facilitate appropriate positioning during eating, improve motor control at each stage of swallowing, normalize tone, facilitate quality mvmt, maintain adequate nutritional intake, prevent aspiration, reestablish oral eating to safest optimum level | |
| What are the requirements for oral feeding? | Alert, trunk balance and head postitioning with assistance, beginning tongue control, manage secretions with minimum drooling, *reflexive cough | |
| When is NPO recommended? | Client aspirates more than 10% of all food consistencies, unable to swallow one bolus within 10 sec | |
| What does TPN stand for? | Total parenteral nutrition |
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