Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
% Patients in acute care and in % in long term care |
30% and 66% |
|
Mechanical vs Neurological Dysphagia |
-structural damages to the oral muscles -lack of innervation to muscles |
|
Signs of aspiration |
-respiratory difficulty -auscultation (listen with stethoscope) -moist rales (rattling sounds in breath) |
|
Risks associated with dysphagia |
-malnutrition -dehydration -choking -aspiration pneumonia -bacterial accumulation in mouth -> lungs |
|
4 Phases of swallowing |
-Oral prepartatory: chewing and tasting, voluntary -Oral: bolus is pressed back and down, voluntary -Pharyngeal phase: involuntary and reflexive, larynx lifts and tilts, epiglottis inverts and seals trachea, larynx closes -Esophageal phase: UES opens, peristalsis through LES to stomach, involuntary |
|
Diagnosing dysphagia (4 ways) |
-clinical assessment of signs and symptoms -Screening with TOR-BSST -Bedside swallowing assessment (more thorough) -videofluoroscopic swallow study w/ barium |
|
3 Types of Dysphagia |
Mild: delayed bolus control and transport Moderate: poor oral transport, pharyngeal stasis, mild aspiration Severe: substantial aspiration occurs, pt fails to transfer or swallow |
|
Foods to avoid |
-stringy like celery or mangoe -thin liquids like water or ice cream -mixed consistency foods -dry crumbly foods -seeds or nuts -gum and candies (too much saliva) |
|
5 feeding reccomendations |
-sit upright at 60-90* angle, remain for 30 mins after eating -tucking and turning head. -use smaller frequent meals -non-distracting environment -no straws |
|
Monitoring in Dysphagia |
-body wt -ins: energy, protein, fluid -outs: urine volume, stool frequency and consistency -hydration: serum sodium, mucous membranes like eyes and lips -readiness to advance, ability -aspiration |