UNT SPHS 2015 - 6A Dysphagia F13(1) (14 pages)

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6A Dysphagia F13(1)



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6A Dysphagia F13(1)

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Pages:
14
School:
University of North Texas
Course:
Sphs 2015 - Nat Comm Dis
Unformatted text preview:

Voice Disorders Review A voice disorder is a problem related to Voice disorders are broken into three categories Vocal fold paralysis is a type of voice disorder What is another type Vocal nodules are a type of voice disorder How are they different from polyps How are nodules and polyps treated Carcinoma is a type of voice disorder What are treatment options What is involved in a voice assessment Dysphagia Impaired Swallowing Dysphagia Impairment in the ability to swallow Affects 16 22 of those over 55 Causes include Stroke traumatic brain injury progressive neurological diseases surgery to structures involved in swallowing head and neck cancer dementia Plante Beeson 2008 Dysphagia in Preemies 32 weeks gestation suck swallow and breathe Many SLPs work in NICUs Infants on ventilators Baby s first bottle http youtu be zOd7 KFNhyE Normal Swallow Phase OneOral Preparatory Phase Preparation of food in mouth for transport to stomach Tongue moves food into a bolus Normal Swallow Phase TwoOral Transport Phase Transport of the bolus from the oral cavity into the pharynx Difficulty with this phase may prevent moving food out of oral cavity to be swallowed Normal Swallow Phase Three Pharyngeal Phase Movement of the bolus through the pharynx into the esophagus If the food does not clear the throat during this phase the individual risks aspiration of food into the airway Normal Swallow Phase FourEsophageal Phase Transportation of the bolus to the stomach by the esophagus Peristaltic contractions Common Signs of Dysphagia Choking or coughing when swallowing food or liquid Difficulty initiating a swallow Difficulty chewing food Difficulty controlling food in the oral cavity Food sticking in the throat Reflux of food from the esophagus or stomach Aspiration pneumonia is the most common medical complication caused by dysphagia Dysphagia Assessment Bedside Swallowing Evaluation BSE to determine if the person has oral dysphagia or signs of aspiration Modified Barium Swallow MBS xray to assess movement of pharyngeal structures during swallowing http www youtube com watch v hf2kRD85zvc Swallowing Assessment Fiberoptic Endoscopic Examination of Swallow FEES flexible scope used to view the pharyngeal area before and after the swallow http www youtube com watch v DB E2BygPJk Dysphagia Treatment Postural change Swallow maneuvers Consistency change http www youtube com watch v S9XuAtk0520 feature related Swallowing precautions Swallowing Precautions Sit upright while eating and for at least 20 minutes after eating Take small single bites of food one at a time Alternate bites of food with liquid Swallow 3 4 times after each bite Avoid using a straw Check for oral pocketing on the right left side of the mouth Nonoral Feeding Nasogastric tube Percutaneous endoscopic gastrostomy PEG tube http www youtube com watch v vhHUpyDgbLg


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