final Flashcards

Question

2-second bolus hold

Answer 1

compensatory technique used to help with premature spillage tell pt to hold the bolus in the front of the mouth for 2 seconds before swallowing pt manually initiates swallow and allows for structures to prep for swallow commonly paired with chin tuck

Answer 2

compensatory technique for pts with reduced sensation/lingual strength or oral pocketing tell pt to use tongue or finger to clear the food from mouth

Answer 3

technique and exercise for pts with weakness and vallecular residue tell pt to imagine swallowing a golf ball or an egg, and "swallow really hard" will see more muscle movement improves base of tongue retraction, tongue propulsion, oral pressure, VF closure, and duration/extend of hyoid movement, causing better PES opening

Answer 4

technique and exercise for pts with reduced or shortened VF closure or airway invasion tell pt to take a deep breath, hold it, swallow, cough, and exhale causes prolonged airway closure, increases anterior laryngeal movement which increases PES opening, and increases BOT retraction

Answer 5

technique and exercise for pts with airway invasion tell pt to take deep breath, bear down, hold breath, swallow, cough, exhale prolonged airway closure increases anterior laryngeal movement, causing better PES opening bearing down increases ventricular fold closure and assists in closing posterior glottis

Answer 6

technique and exercise for preventing airway invasion tell pt to hold breath really hard while swallowing closes larynx harder and more efficiently

Answer 7

technique and exercise for pts with reduced stimulation increases stimulation and promotes clearing of oral cavity increases initiation timing for swallow

Answer 8

technique and exercise for pts with reduced stimulation carbonation and temp create more stimulation for pts feeding the pt the same food will create less stimulation

Answer 9

technique and exercise for pts with no swallow apply cold laryngeal mirrors to faucial arches to try and stimulate a swallow can also use pipette droplets of water

Answer 10

technique and exercise used for CN V weakness or pts with reduced oral tone apply strips above and below lips increases subcutaneous blood flow, facilitates weak muscles, relaxes tense ones

Answer 11

technique and exercise meant to increase labial seal, tension, and sucking movement may be used with pts doing chin tuck by holding cup with straw down at chest

Answer 12

exercise only for pts with reduced laryngeal movement and poor coordination tell pt to swallow and hold the middle part of the swallow might also help to tell them to press their tongue to hard palate dont do without SEMG biofeedback - might look like they're doing it when they are not

Answer 13

exercise only for pts with muscle weakness must have specific target approach must be "load-based," as in high intensity and frequency may be therapeutic to strengthen muscles

Answer 14

exercise only for pts with reduced UES opening flat on a plinth, hold head up and look at toes for 60 sec, rest 60 sec helps strengthen muscles that move the hyoid anteriorly to pull UES open if pts cannot do this motorically, do the CTAR

Answer 15

exercise only for pts with reduced UES opening use device to push chin against, like towel or partially deflated ball less strenuous than Shaker, greater submental activity can also use a neck-slimmer ISO swallowing device - open jaw against it

Answer 16

exercise only for pts with limited pharyngeal clearance and reduced BOT retraction stick out tongue, bite down gently, swallow 10 reps 10x/day provides resistance by making tongue pull back harder to swallow give assistance to pts by holding tongue for them with gauze

Answer 17

exercise program only for lingual weakness "Swallow Strong" device can also use tongue depressors

Answer 18

exercise program only for reduced lingual strength comes with feedback meter to attach to laptop put bulb in pts mouth and have them complete oral strengthening exercises

Answer 19

exercise only for reduced lingual strength same thing as I-PRO, different bulb

Answer 20

exercise program for pts with poor coordination swallowed materials are introduced sequentially to facilitate progressive resistance or speed and coordination of swallowing SLPs must be trained and follow specific rules to advance pts

Answer 21

exercises only for pts with dysphagia cased by weakened respiratory muscles handheld trainer device providing resistance against inspiration/expiration EMT: targets abdominal and upper airway muscles improves cough for airway protection, improved afferent stimulation, velar closure, increased hyoid elevation, increased activation of submental muscles

Answer 22

exercises for pts with reduced hyoid/UES opening increases hyoid excursion which improves UES opening hold jaw open for 10sec, rest 10sec, x5 for 2x/day for 4 weeks can do with or without resistance can also use a neck slimmer

Answer 23

exercise program for pts with severe neurogenic dysphagia pt seen 2x/week for 60 mins with daily home program

Answer 24

still being experimented applies electrical current to cause sensory and motor nerves to activate surface Estim has been debunked intrinsic Estim is still being researched

Answer 25

FEES: biofeedback during therpapy, po trials, strategies, techniques sEMG: sticker electrodes stuck the pt connected to a screen; measures muscle strength and amplitude of movement very helpful for cognitively intact pt to see objective feedback --> motivates pt

Answer 26

time concept, social organization, communication patterns, generation, spirituality, health practices, food preferences

Answer 27

decision-making process between a pt and healthcare provider aimed at making an educated and informed medical/healthcare decision SLPs do not have waivers for dysphagia in acute care, just informed consent

Answer 28

providing clear and adequate information capacity to consent voluntariness agreement

Answer 29

focused on comfort, pain management, decision making, and QOL - but does not need to be for terminal illness

Answer 30

palliative measures but requirement of 6mo or fewer to live relating to a terminal illness

Answer 31

age-related swallowing disorder

Answer 32

loss of skeletal muscle mass, strength, and speed of movement contributes to presbyphagia

Answer 33

oral prep oral transit pharyngeal esophageal

Answer 34

from food approaching mouth to preparation of transit hands as visual cues for sensory recognition labial seal, facial tension, spoon stripping, tongue cupping of liquids, mastication lingual pull of bolus centrally onto tongue for prep for transit

Answer 35

beginning of bolus transit to bolus head passing anterior faucial arches stripping of bolus between tongue and palate takes about 1-1.5 seconds

Answer 36

leading edge of bolus passing anterior faucial arches to passing through UES rim of mandible crosses BOT elevation and closure of velum elevation and excursion of hyoid and larynx 3 levels of laryngeal closure swallowing apnea opening/relaxing of UES sphincter ramping of BOT, retraction, contact with PPW top to bottom contraction of pharyngeal constrictors

Answer 37

TVF close laryngeal vestibule closes - 3 levels: FVF close, arytenoids tilt anteriorly, thickening of epiglottis base epiglottis deflects/inverts

Answer 38

bolus tail passing through UES bolus travels until it passes gastroesophageal juncture primary and secondary peristaltic waves squeeze bolus down

final Flashcards

treatment, therapy, exercises, diets (62 cards)