Flashcards in Deck 3/4/5 Deck (26)
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1
CNs involved in swallowing
V- trigeminal
VII- facial
IX- glossopharyngeal
X- vagus
XI- accessory
XII- hypoglossal
2
name the 3 salivary glands and where they are located
1. parotid- big one in cheek
2. submandibular- under mandible
3. sublingual- under tongue
3
name the 3 pharyngeal constrictors
1. superior
2. medial
3. inferior
4
physiology of swallowing: oral prep phase
-lip strength
-tongue strength
-mandible/jaw control
-dentition condition
-velar strength
5
physiology of swallowing: oral transit
-tongue motility and coordination
-propel bolus into pharyngeal area to trigger swallow response
6
physiology of swallowing: pharyngeal phase
-VP closure
-posterior tongue retraction
-pharyngeal wall contraction
-laryngeal elevation
-hyoid excursion
-epiglottic inversion
-glottic closure
-CP sphincter opens
7
physiology of swallowing: esophageal phase
-peristalsis of the esophageal musculature
-movement from UES to LES
8
swallow delay: assess with? when is it considered a delay
-assess with liquids only
-once past mandible line, then considered delay
9
trismus
reduced ROM of jaw
10
role of the OT
-ADL
-feeding
11
role of dietician
thorough nutrition assessment and intervention helps improve or maintain health
12
therapeutic vs mechanical diet
-therapeutic: alteration of nutrients to help treat a medical condition
-mechanical: alteration of food/fluid textures to help treat a medical condition
13
examples of mechanical diets
-solid: pureed, mechanical soft-ground, mechanical soft-chopped, regular textured solids
-liquids: thin, nectar, honey thick, pudding
14
enteral nutrition refers to...
nutrition support provided when use of an oral diet is either contraindicated (due to safety) or insufficient to meet a person's nutritional needs
15
enteral infers that the digestive tract is...
functional and can be used for nutrient ingestion and absorption
16
parenteral nutrition is used when...
any part of the digestive tract is not functional or when it is necessary to minimize GI function
17
types of feedings: continuous
(pump) getting nutrition 24 hours a day
18
types of feedings: intermittent
(pump or gravity bag) can clip on/off
19
types of feedings: bolus
(syringe)
20
tube feeding complications
-nausea
-vomiting
-diarrhea
-constipation
-tube occlusion
-aspiration
21
tube feeding complications: nausea
improper placement, excessive rate or volume, anxiety
22
tube feeding complications: vomiting
excessive volume, improper formula, contamination, anxiety
23
tube feeding complications: diarrhea
cold formula, excessive rate, high osmolarity, anxiety
24
tube feeding complications: constipation
low fiber formula, inadequate fluid
25
tube feeding complications: tube occlusion
formula viscosity, failure to flush tube
26
