Dysphagia

diminished opening of the upper esophageal sphincter (UES) thus resulting to increased hypopharyngeal pressure during swallowing. Retention of food elements and secretions within the false diverticulum leads to regurgitation, aspiration, halitosis and dysphagia. Patients may also complain of sensation of food sticking in the throat, unexplained weight loss, and borborygmi in the neck. Symptoms may last from months to years and the most common life-threatening complication is aspiration. Other…

Associated problem one Due to Beryl not being very mobile, having a poor diet and being incontinent she is at risk of developing pressure ulcers. A pressure ulcer is the localised injury to the skin or underlying tissue usually over a bony prominence as a result of pressure (Delves-Yates, Everett & Wright, 2015). All patients regardless of age are potentially at risk of pressure ulcers (Myers, 2014). There are around 410,000 people who develop pressure ulcers a year which costs the NHS £1.8-£2.6…

Some of these problems are: dysphagia, cognitive problems, depression due to low levels of dopamine, rapid eye movement sleep behavior disorder, having difficulty in urinating, constipation, fatigue, pain, and sexual dysfunction just to name a few (Mayo Clinic Staff, 2015). Most of these…

Mrs Carter is suffering from left sided hemiplegic, this is, a unilateral paralysis of the left arm, leg, face and tongue; It may affect other functions such as hearing, general sensation and circulation. Nerves cross in the brainstem, so damage of the right side of the brain causes left sided paralysis. Similarly, whereas damage to the left side causes right sided paralysis. The Mild speech impairment which Mrs Carter is suffering from is caused by damage to the language centre of the brain…

bronchial tubes as a result from inhaling foreign matter. Aspiration pneumonia most likely a result from inhaling food, vomitus, or liquid. This may lead to a bacterial infection. Risk factors include sedation, coma, intoxication, poor gag reflex, dysphagia, and age, particularly in older adults. Visual signals of aspiration pneumonia include chest pain, cyanosis, crackling in the lungs, decreased oxygen, tachycardia, cough with sputum and decreased awareness. Diagnostic exams and test include…

New York Neurogenic, Aspire P.C. Throughout my time at New York Neurogenic, I was able to work with children to adults, ranging from the ages of 3 to 87. Similarly, I had gained experience with various disorders in this setting, which included: dysphagia, expressive/ receptive language, articulation/ phonology, voice, cognitive disorders, cerebrovascular accidents (CVA), aphasia, demyelinating diseases, Autism spectrum disorder, and AAC. The externship began with a crossover week in which I…

Swallowing, which is also known as “deglutition” is the process of transporting a bolus (chewed food) from the mouth, down the esophagus, into the stomach. Deglutition consists of three distinct phases with various neural involvements. For some individuals, the inferior esophageal sphincter can malfunction resulting in gastroesophageal reflux disease (often shortened to GERD). Commonly known as “heartburn,” GERD can affect deglutition as well as a person’s quality of life. GERD can be…

The standard protocol might be used to make sure that all nurses are implementing oral care and following the same steps during implementation, however, there are no specific tools provided in the guideline on how to put the recommendation into practice. Therefore, this project will apply the modified Beck Oral Assessment Scale and oral care policy as a useful tool to ensure a higher quality of oral hygiene is implemented(appendix1&2). However, this scale does not assess the ability to swallow…

another airway compromise in an already apneic person. Even with patients who are conscious, they often have other medical conditions that inhibit their ability to control their own airway. Such as with patients who cannot sit up or who suffer dysphagia are prime victims for the same vomitus in their airway. These patients are often found in nursing home, hospital, or home health care…

Chapter 2 History taking To obtain information about the patient, Physician asks specific questions either to the patient or from the people who know the person and can provide suitable information. This is labeled as Medical Case History abbreviated as hx or Hx. The information obtained this way, along with physical examination, enables the health professionals to form a diagnosis and treatment plan. If a diagnosis cannot be made, a provisional diagnosis may be formulated, and differential…