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Dysphagia Intro
| Question | Answer |
|---|---|
| What is dysphagia | difficulty eating or swallowing |
| dysphagia includes | oral prep, swallowing, coughing or choking when eating, food sticking in throat or chest |
| dysphagia begins at the | oral prep and ends at digestion |
| True or False: Dysphagia is a slow onset medical condition | false. it can be slow or quick |
| What are 4 important considerations | adequate nutrition and hydration, patient safety, patient and family concerns and priorities, cultural differences |
| True or false: An SLP can override a patient's desire | false |
| Where do we see dysphagia? | birth, end of life and all stages inbetween |
| Deglutition | the act of swallowing |
| Bolus | food, liquid or other material place in the mouth for ingestion |
| ingestion | all processes, functions and acts associated with bolus introduction, preparation, transfer, and transport |
| Four phases of the swallow | oral preparatory, oral, pharyngeal, esophageal |
| What phase involves anticipation of eating, food brought to the mouth, food is chewed and mixed with saliva, liquid is sipped or sucked | oral prepatory phase |
| What phase involves the food being collected and sealed between the tongue and the roof of the mouth, the tongue propelling the bolus back, actual swallow begins | oral phase |
| What phase of the swallow includes: soft palate elevating, tongue base retracting, larynx elevates and moves anteriorly, epiglottis inverts, breathing stops, pharyngeal muscles contract | pharyngeal phase |
| In what phase of the swallow does peristalsis move the food through the esophagus, the lower esophageal sphincter opens to let food into stomach | Esophageal phase |
| Aspiration | the entry of food or liquid into the airway below the true vocal cords |
| Penetration | the entry of food or liquid into the larynx at some point above the true vocal folds |
| Residue | Food or liquid that is left behind in the mouth or pharynx after the swallow |
| backflow (reflux) | food or liquid flowing backward, either from the esophagus into the pharynx or from the phayrnx into the nasal cavity |
| muscle origin | named first, corresponds to the point of attachment of a muscle that remains relatively fixed during contraction |
| muscle insertion | names second - corresponds to the more mobile point of attachment |
| oral cavity | lips (labial), teeth (dental), cheeks (buccal muscle), hard palate (maxilla), soft palate ( velum), uvual, mandible faucial arches (anterior and posterior) |
| Sulcus | space of cavity formed between structures |
Created by:
dreynolds
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