Dysphagia 7

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Cards

When is the compensatory strategy of tilting the client's chin down when swallowing indicated? Delayed triggering of pharyngeal swallow, reduced laryngeal closure, reduced tongue base retraction (widens vallecular space)  
When is the compensatory strategy of turning the client's head to the left or right indicated? When there is paralysis on one side of the pharynx, turn head to the weak or affected side when swallowing  
When is the compensatory strategy of tilting the client's head to the left of right indicated? When there is lingual or pharyngeal weakness on one side, residue may collect on weaker side of oral cavity, tilt towards stronger side  
What are some other compensatory strategies for dysphagia? reduce the size of the bolus (1/2 to 1/3 tsp size), swallow twice per bite or sip, alternate solids with liquids, tongue or finger sweeps  
Describe the rehabilitation technique of thermal-tactile stimulation. Stimulates triggering of pharyngeal swallow, Cold laryngeal mirror is moved along anterior faucial arches, very effective  
Describe the rehabilitation technique of the sour lemon bolus. Improve triggering pharyngeal swallow, increase tongue base retraction, sour lemon slushy utilizes thermal-tactile stimulation as well  
Describe the rehabilitation technique of oral-motor exercises. For jaw strengthening and ROM, tongue, lip exercises  
Describe the rehabilitation technique of the Mendolsohn Maneuver. Manually lifting the larynx to improve swallowing, when there is decreased laryngeal elevation and cricopharyngeal opening, practice 2-5 times per day  
*Describe the rehabilitation technique of the 6 step supraglottic swallow technique. Hold breath throughout entire process, small bite of food, swallow, cough, swallow, resume breathing, requires cognition, and motivation  

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