¬ Elliot will demonstrate adequate use of the falsetto technique to elevate the larynx and eliminate the signs and symptoms of aspiration due to the pharyngeal residue of honey thick liquids with moderate verbal cues during 80% of therapeutic trials.
This goal is important to focus on because, according to the results of the MBS, aspiration occurred with thins, nectar, and honey thick liquids. This was due to the residual material forming in the pyriform sinuses, which shows that he currently has poor laryngeal elevation and closure. In order to reduce the pooling in his pyriform sinuses, Elliot needs a technique to help him improve his laryngeal elevation, and Tjaden (2008) states that the falsetto swallowing exercise does benefit individuals with Parkinson’s disease (PD) who have limited laryngeal elevation. …show more content…
This is due to some issues with the tongue’s movement and control. The liquid should enter your throat all together instead of at separate times. Also, there was some residue left on the tongue, which further shows how the tongue’s movement was limited. There was a swallow delay, and some residue was left in your throat. This was caused by some issues with your throat not elevating enough to clear your throat. When we swallow, our Adam’s apple should raise in order to help assist us in swallowing. However, in your swallow, the throat was not raising enough, which allowed for some liquids to remain in your throat. The liquid, as thins, nectar, and honey thick consistencies, actually entered into your trachea, or airway to your lungs. If this is not properly addressed, it can lead to aspiration pneumonia, which is really dangerous and should be avoided. Also, due to you have a tracheostomy, silent aspiration is more likely to occur, which means that we should take cautionary measures to ensure that it does not happen (Morgan,