Chapter 27 Flashcards
During a swallowing evaluation the tongue is noted to be retracted. What would typically be the reason for tongue retraction?
Abnormal tone or loss of range of motion as a result of soft tissue shortening
To protect the airway during the swallow, an individual must have the following with the exception of __.
a.
intact palatal reflex
b.
elevation of the larynx
c.
productive cough
d.
full dentition
d.
full dentition
The hypoglossal nerve (XII) is active during what stages of the swallow?
Oral preparatory and oral stages
During which phase of the swallow involves closure of the glottic and supraglottic structures to cover the airway and provide protection from aspiration?
Pharyngeal
Mattias is a 65-year-old man who experienced a right cerebrovascular accident resulting in left hemiplegia and dysphagia. During the occupational therapy assessment, Mattias had difficulties with chewing and swallowing of textured foods. He had frequent episodes of coughing and pocketing of food in the left cheek. He complains that he chokes on certain foods, including water. During the assessment Mattias’s vocal quality was consistently clear, and no raspiness or gurgly quality was noted before, during, or after eating. These clinical signs indicate problems with which stages of the swallow?
Oral preparatory and oral stages
A wet or gurgly vocal quality after an individual swallows is indicative of what?
Material collecting in the larynx
Mattias is concerned about his frequent drooling and difficulties controlling the food bolus within his mouth. His daughter’s wedding is in 4 weeks, and he does not want to embarrass himself or his family by drooling or choking on food or liquids. Which strategies would be most appropriate?
Mattias should frequently pat his mouth during the meal and alternate between cold and hot foods.
An individual who has moderate to severe oral stage dysphagia and who has a reduced ability to protect the airway would benefit from beginning oral feedings with which food consistency?
Puréed (Level 1)
Videofluoroscopy is an example of what type of swallowing assessment?
Instrumental assessment
What is the cause of aspiration that occurs after the swallow has taken place?
Pooled material in the pyriform sinuses overflows into the trachea
________ refers to the process of setting up, arranging, and bringing food (fluids) from the plate or cup to the mouth.
feeding
Eating, or ________, refers to the ability to manipulate and swallow foods and liquids.
deglutition
_________ is difficulty with swallowing or the inability to swallow.
dysphagia
Factors to be considered during the ____________ phase of swallowing include the variety of foods offered, presentation of food, seating during meals, and mealtime habits and routines.
anticipatory
The ____________ phase of swallowing begins when the tongue moves the bolus toward the back of the mouth.
oral
