Diet Modification
Which is easier to swallow? Thin liquids or nectar thick liquids?
Thin
What does NPO mean?
Nothing by mouth
(PO=by mouth)
Which stage or swallowing is reflexive/involuntary?
Esophageal phase
Occurs when a pouch of tissue forms
-just above where the pharynx meets the esophagus (cricopharyngeus muscle)
Zenker’s Diverticulum
If someone is on a free water protocol, when can they drink water? Hint: 2 answers
Between meals and during Oral Care
Which two feeding tubes are long term?
G tube/ PEG and J tube/PEJ
Name the 4 stages of swallowing/eating
oral preparation, oral stage, pharyngeal stage, esophageal stage
Structural disorders cause obstruction of bolus passage, rings, webs,
-beginning strictures, and malignant strictures
Esophageal Stenosis
Name IDDSI 4-7
7- regular
6- soft and bite size
5- minced and moist
4-puree
Which feeding method is the easiest and least invasive to put in but has high levels for probability of infections?
IV/simple PPN
Name at least 3 potential consequences of dysphagia
Aspiration, penetration, dehydration, malnutrition-compromised immune system, psychosocial limitations
Slow progressive disease of the basal ganglia
-Key problem is execution of voluntary movements
Parkinson's
What is the Free Water protocol (FWP)?
Patient’s are allowed ice chips or regular water in between meals after oral care, with
supervision, and with strict aspiration precautions
Which feeding method is an injection that is a hydration supplement?
Hypodermal Clysis
Name 3 general ways dysphagia can be treated/managed
Behavioral, Surgical, Medical, Dietary
Reflux–abrupt period of relaxation during non swallow events with normal LES tone
Gastroesophageal Reflux Disease (GERD)
Name liquids 0-4
0-think
1-slightly thick
2- Mildly thick(nectar)
3- Moderately thick(honey)
4-Extremely thick
Which kind of feeding tube can cause irritation and discomfort that can impact swallowing
NG
Name all cranial nerves involved in swallowing
Trigeminal, Accessory/Vagus, Facial, Hypoglossal, Glossopharyngeal