Clinical feeding eval 1/8/19

Question 1

Oral mechanism exam

Answer 1

Low focal muscle tone
Reduced straight and coordination of lips, tongue, and jaw
Reduced palatal movement
Reduced sensory discrimination

Question 2

Airway/respiratory exam

Answer 2

Reduced vocal intensity
Weak approximation of coal cords during phonation

Question 3

Oral phase of feeding assessment

Answer 3

Impaired lip closure with interlabial escape of bolus

Impaired bolus formation wirth escape to lateral sulci and floor of the mouth

Impaired bolus preparation with slow, prolonged mastication with complete recollection

Question 4

Pharyngeal phase of feeding assessment

Answer 4

Weak volitional swallow
Decreased hypopharyngeal excursion noted with palpation
Multiple swallows per bite