Screening and Assessment Ch. 2

Question 1

What is a screening?

Answer 1

Observing or having individual do an activity and you set certain thresholds and the person either passes or fails. No interpretation of results. Pass/Fail only. Minimally invasive.

Question 2

What is the goal of screening?

Answer 2

Identifies individuals who require a comprehensive assessment
Identifies individuals who may need a referral for other professionals/medical services
Referral for nutrition/hydration support
Likelihood an individual has dysphagia versus aspiration
In pediatrics, if a Pediatric Feeding Disorder exists
Oral feedings safe?

Question 3

What is sensitivity?

Answer 3

Measures the test’s ability to identify an individual with dysphagia as positive. Proportion of individuals with dysphagia who have a positive test result. Indicate there are fewer false negative results and therefore fewer cases of the disease are missed.

Question 4

What is specificity?

Answer 4

Proportion of individuals who do not have dysphagia who have a negative test result. How well does the screening tool identify an individual who really doesn’t have the disease as being negative?

Question 5

What two questions should you ask about a screening tool?

Answer 5

How is the screening given?

What is the criteria for passing or failing?

Question 6

What does the 3 oz water test screen for?

Answer 6

Screens for aspiration, not dysphagia

Question 7

What is a CSE or bedside evaluation generally?

Answer 7

Completing an assessment of the swallowing mechanism. Making sure that individual is on a safe diet.

Question 8

Who performs CSE?

Answer 8

Only SLPs

Question 9

What is the best method to determine if oral phase dysphagia is present?

Answer 9

CSE!

Question 10

What are groups High Risk Dysphagia groups?

Answer 10

Pulmonary system challenges: COPD, emphysema, repeated intubation/extubation or extended intubation
Otolaryngology: head and neck cancer patients, anatomic differences
Neurologic impairments and cognitive dysfunction: RCVA, brainstem stroke, tumor, delerium, dementia TBI
Cardiac procedures: vagal nerve with LRN
Generalized weakness, concerning x-ray after you have started them on food.

Question 11

What groups are the highest risk for silent aspiration?

Answer 11

RCVA, brainstem strokes