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10 Cards in this Set
- Front
- Back
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Dysphagia Team
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-Managing Physician
-SLP -OT -Dietician -Gastroenterologist -Radiologist -Nursing (RD, LPN, CNA) -Patient/Family |
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NPO
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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 |
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PO Food
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by mouth
Puree (easiest to manage) > Soft mechanical (minimal chewing) > Regular |
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PO Liquids
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by mouth
Thick liquids > Thin liquids Honey thick > nectar thick > thin liquids |
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Caregiver Education
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-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 |
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Oral Phase Tx
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-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 |
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Pharyngeal Phase Tx
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-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) |
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Supraglottic swallow
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The patient holds their breath, swallows, then coughs
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General Suggestions
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-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 |
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Pediatric Treatment Issues
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-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. |
