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Bedside Exam
Procedure for exam
Question | Answer |
---|---|
Review medical record/chart | get medical history, date symptoms began, chest x-ray report, documentation of weight loss, medications |
Interview patient | alertness, cooperative, combative, does patient acknowledge presence of swallow diff, lef or right sided neglect, impulsivity, any other behavioral characteristics |
Lip function | reduced lip sensation, strength, range of motion, drooling, biting lip, buccal cavity residue |
Cheeck function | reduced cheeck sensation, strength and range of motion, pocketing food in buccal cavity, biting cheeck |
Tongue function | reduced sensation, strength, ROM, inability to manipulate and form bolus, food residue on hard palate, residue in buccal cavity |
Soft palate function | reduced sensation, strength, ROM, decreased gag reflex, hypernasal speech, nasal reflux, premature spillage of food over back of tongue triggering premature pharyngeal swallow |
Laryngeal function | decreased lifting of larynx, hoarse, wet, gurgly voice quality, coughing |
Mandible function | rotary chew |
Order of food presented for patient to swallow | pudding, honey thick, nectar, thin liquids, mech soft, regular food |