L1 Professional Perspectives

Question 1

Swallowing is a _________ activity

Answer 1

physiological

Question 2

In the 1970s and 1980s there was an exponential increase in the field of swallowing by which 2 SLPs?

Answer 2

• George Larson

- Jeri Logemann

Question 3

Describe George Larson’s contribution to the field of swallowing

Answer 3

1) The Clinical Examination

2) Management (i.e. compensatory maneuvres)

Question 4

Describe the compensatory maneuvres that Larson developed

Answer 4

• postures
• strategies during eating
• education
• texture modification

Question 5

Describe Jeri Logemann’s contribution to the field of swallowing

Answer 5

• Developed ‘Cookie Swallow Test’
• Landmark publication in 1983
• Specialized training emphasized

Question 6

Describe the Cookie Swallow Test

Answer 6

• A modified barium swallow study

- looks at how people can swallow different textures

Question 7

There has been a dramatic ________ over time in demand for feeding & swallowing service delivery

Answer 7

increase

Question 8

Swallowing makes up _____% of adult intervention

Answer 8

41%

Question 9

Swallowing makes up _____% of pediatric intervention

Answer 9

13%

Question 10

Based on the CASLPO Practice Standards what 3 things must be included in swallowing service delivery by an SLP

Answer 10

a) determination of patent’s readiness for assessment
b) clinical (non-instrumental) assessment
c) management

Question 11

What are the three types of service delivery models?

Answer 11

• multi-disciplinary
• holistic
• patient specific

Question 12

Who are the core team members for VFS and FEES?

Answer 12

• SLP
• Radiologist (VFS)/ ENT (FEES)
• Dietitian
• Referring Physician

Question 13

The _____ co-administers the the endoscopy and the ______ co-administers VFS with the SLP?

Answer 13

ENT

radiologist

Question 14

The CASLPO Practice Standards of SLP Service include what 6 steps

Answer 14

• Screening
• Clinical Ax
• Instrumental
• Management
• Treatment
• Discharge

Question 15

What are the 4 patient settings where swallowing service is included

Answer 15

• acute
• rehab
• chronic
• outpatient

Question 16

What is the main goal in acute settings?

Answer 16

stabilize medical problem

Question 17

What is the main goal in a rehab setting?

Answer 17

stabilize function

Question 18

What is the main goal in a chronic setting

Answer 18

stabilize quality of life

Question 19

What is the main goal in an outpatient setting

Answer 19

probe underlying cause

Question 20

What are the courses of dysphagia symptoms over time?

Answer 20

acute
chronic
acute-on-chronic
degenerative
remitting-relapsing
stabilizing
fluctuating

Question 21

What laws in Ontario do we need to consider for practicing in the field of swallowing

Answer 21

• Regulated health professions act

- Health Care Consent Act