dysphagia Flashcards
1
Q
what are the phases of a normal swallow?
A
- oral prepatory phase
- oral transit phase - food moves ot back of mouth
- pharyngeal phase - food enters upper throat
- esophageal phase
2
Q
what are the 2 types of dysphagia?
A
- orophyngeal dysphagia - high dysphagia. cant move food to back of mouth
- esophagel dysphagia - food stops in esophagus. common in neck cancer
3
Q
consequences of dysphagia:
A
- malnutrition
- poor PO intake
- weight loss
- frailty
- death
4
Q
5 red flags for dysphagia
A
- coughing during meals
- drooling
- spitting
- gurgly voice
- avoid certain foods
5
Q
swallow screen vs. swallow assessment
A
swallow screen:
- brief review of signs/symptoms
- done informally
- cant give info about location of dysphagia or severity
swallow assessment:
- look at medical history
- medications
- signs/symptoms
- confirms presence, location, severity
6
Q
5 factors to consider for dysphagia asssessment:
A
- anthropometrics
- hydration
- clinical (SGA)
- dietary
- meds
7
Q
how do diagnose dysphagia:
A
- bedside swallow assessment
- video fluoroscopy swallow
- FEES
8
Q
treatment for dysphagia
A
- universal mealtime practices
- awake
- proper position
- slow pace
- check swallow - individualized practices
- food texture mod
- chin tuck
- double swallow
- no straw
- liquid wash
- meds review
9
Q
what do you use to test consistency from levels 0-3
A
syringe
10
Q
what level of thickness would ensure be?
A
level 2 - mildly thick
11
Q
what is the test for level 4 / pureed food?
A
- fork drip test - sits in a mound above form. small amount of flow through fork
- spoon tilt test - little food left on spoon
- fork pressure test -
12
Q
yogurt is considered
A
level 4 - extremely thick
13
Q
smoothies and thickened fluids are
A
level 3
