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10 Cards in this Set

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  • Back
Dysphagia Team
-Managing Physician

-SLP

-OT

-Dietician

-Gastroenterologist

-Radiologist

-Nursing (RD, LPN, CNA)

-Patient/Family
NPO
Nothing by mouth (if aspirating)

NG tube (nasogastric tube) - temporary, they have in for no more than a week

Percutaneous endoscopic tube (PEG tube) - more long term
PO Food
by mouth

Puree (easiest to manage) > Soft mechanical (minimal chewing) > Regular
PO Liquids
by mouth

Thick liquids > Thin liquids
Honey thick > nectar thick > thin liquids
Caregiver Education
-Family education and counseling (explain safety)

-Nursing staff education

-Provide both verbal and written information

-If possible, post diet restrictions in hosopital or long term care facility in room

-Have caregivers help monitor swallowing processes
Oral Phase Tx
-Oral Motor Exercises

-Body Positioning

-Head positioning - chin tuck (elongates the esophagus), turning head to the weaker side.

-Amount/presentation of food/liquid

-Alternate food with liquid swallow

-Use multiple swallows per bolus

-Check mouth for pocketing after eating
Pharyngeal Phase Tx
-Oral motor exercises

-Thermal (cold) or Taste (sour) stimulation

-Body positioning

-Head positioning

-Multiple swallows per bolus

-Supraglottic swallow

-Electrical stimulation (e-stim) (Vital Stim)
Supraglottic swallow
The patient holds their breath, swallows, then coughs
General Suggestions
-Allow ample time to eat a meal

-Sometimes multiple small meals are more effective than 3 large meals

-Use liquid forms of meds if possible crush and serve with a puree

-Make sure dentures, glasses, hearing aids are in place if possible

-Use GERD precautions

-Consult with the OT for special feeding equipment
Pediatric Treatment Issues
-Family/caregiver educaiton and counseling

-Feeding environment adaptation

-Oral sensorimotor management

-Position and posture management

-Adaptive utensils and cups

-Increase tolerance of consistencies, textures, tastes.