Chapter 8 Flashcards
1: Is swallow safety the top priority of the dysphagia management team, along with maintaining nutrition and quality of life of the patient?
Yes, it is
2: Can proper nutrition be achieved by a combination of oral and non-oral diet?
Yes, it can
3: As a fluid becomes more viscous, is it more easily deformed?
No, it becomes more difficult to deform
4: Are most foods or fluids that are eaten non-newtonian?
Yes, they are
5: Is one of the purposes of the International Dysphagia Diet Standardization Initiative to restrict the levels of consistencies for testing when doing fluoroscopic swallow studies?
-No, IDDSI’s purpose is to allow consistent testing and documentation for comparisons across time, patients, and studies
6: Do thickened fluids retain their consistency with time?
-No, it depends on the type of the thickener used
7: True or false: extremely thick (level 4) liquids are suggested for those with poor tongue control, but will increase the risk of post swallow residue.
True
- Should SLPs provide guidelines on modified food and drink preparation to other health care professionals only?
Nope, the patient and their family should be given guidelines as well
- True or false: food texture is not related to chemical senses of taste or odor.
True
- Do all foods and drinks behave similarly in persons with different types and severity levels of dysphagia?
No, foods and drinks may behave differently
- True or false: Even when limits are set for an elderly patient’s oral diet to ensure swallow safety, they should not be so restrictive as to discourage oral intake.
True, we do not want to restrict oral intake
- After the initial diagnosis and recommendation for safer feeding, does the clinician not need to see the patient again?
No, regular follow-ups are necessary
- Is a gastrostomy a permanent fixture once it is in place?
No, gastronomy can be removed and is more of a long-term alternative to other intubation or a temporary feeding method while the patient recovers
- Are nasogastric feeding tubes usually used in patients who will be on long-term nonoral diets?
No, nasogastrics are uncomfortable and for use less than 3 months, gastro tubes are a better long-term option
- Is choice of a nonoral diet via feeding tube made based on the findings of the instrumental swallow examination?
No, other factors like living situation, physical disability and dentition should be considered as well.
- T/F: Once a feeding tube is in place in the elderly, it is best to discontinue swallow exercises as they only make the patient more frustrated because he/she cannot eat orally.
False, even with elderly patients, swallowing treatment plans should still encourage oral feeding
- Should patients with degenerative neuromuscular diseases be placed on a feeding tube after they can no longer eat anything by mouth and show signs of malnutrition?
No, they should be placed on feeding tubes when they have the desire to maintain nutrition and before they can no longer eat orally
- Will getting the prescribed amount of calories allow a patient to recover from malnutrition?
Yes, it will
- Does malnutrition in hospital patients have comorbidities unrelated to the underlying diagnosis?
Yes, it does
- Is a pH test of tube aspirate is recommended for all types of tube-feeding?
No, the ph test of tube aspirate is only recommended for NG tubes
- Should elderly patients be allowed to eat a liberal diet in order to maintain their social status and outside living activities as long as safety of swallowing is preserved in the diet?
Yeah!
- Which professional is mainly responsible for monitoring the nutritional status of the patient?
Registered dietician
- Proper nutrition can have which 2 benefits?
It can provide increased strength
It can build immune status
- Standardization of foods through analysis of their properties will help in which 3 ways?
- Improving test to test reliability
- Allowing a comparison of FEES and MBS results more carefully
- Calculating nutrition requirements
