Pediatric Feeding
What is the role of an SLP with pediatric feeding?
Nutrition, PO intake, oral motor development
What are 3 etiologies of dysphagia?
Neurodegenerative diseases, CVA, meds, trauma, dementia, neoplasms
What four language modalities are affected with aphasia?
Reading comprehension, auditory comprehension, verbal expression, written expression
What are 3 functions of the right cerebral hemisphere?
Reasoning, logic, math, creativity, prosody, problem solving, visuospatial skills, facial expression, body language
What are 3 etiologies of motor speech disorders?
CVA, infections, TBI, tumors, degenerative diseases
What are the 3 types of dementia?
Cortical, subcortical, mixed
alternative and augmentative communication
What's a feeding factor that could affect intake?
GI conditions, upper respiratory issues, dysphagia, malnutrition, neurological impairment
Name 3 anatomical structures for swallowing
teeth, cheeks, tongue, palate, soft palate, epiglottis, vocal folds, esophagus
Where is the damage and what is one symptom of Broca's aphasia?
Broca's area - frontal lobe - difficulty with word finding
Not knowing that you don't know and are unaware of your deficits is called?
Anosognosia
What are the two types of apraxia?
Oral apraxia, verbal apraxia
What is one etiology of dementia?
Alzheimers, Parkinsons, Huntingtons, Down Syndrome, HIV/AIDS
What are the two types of AAC?
High tech and low tech
What's one feeding impairment of the oral stage?
What stage of swallow allows for the vocal folds to adduct and epiglottis invert?
Pharyngeal stage
Where is the damage and what is one symptom of Wernicke's aphasia?
Wernicke's area - temporal - difficulty with auditory comprehension
Lack of attention to the left side of the environment is called:
Left neglect
What are the two types of dysarthria?
Flaccid and spastic
What are the 3 stages of dementia?
Early, middle, late
What are two uses for an AAC?
Express wants/needs, info transfer, social connection
What's one feeding deficit for the pharyngeal phase?
Audible swallows, multiple swallows, throat clearing/coughing, chronic congestion
What stage of swallowing does peristalsis propel the bolus into the stomach?
What is one etiology of aphasia?
CVA, TBI, Degenerative diseases, tumor
What are the 4 levels of attention?
Sustained, selective, alternating, divided
What is one treatment for dysarthria?
Respiratory retraining, overarticulation, AAC
What are 3 aspects of a dementia assessment?
Case history, interview, oral mech, hearing screening, standardized assessment/screen
What are 3 etiologies of someone who may use an AAC?
Name 3 aspects of an assessment for pediatric feeding?
Case hx, interview, oral mech, hearing screening, instrumental assessment, standardized assessment
What are 3 aspects of dysphagia eval?
Case history, interview, bedside swallow, oral mech, hearing screening, FEES/MBS
What are 3 aspects of assessment for aphasia?
Case history, interview, receptive/expressive language assessment, oral mech, hearing screening
What are 3 aspects of assessment for RHD?
Case history, interview, oral mech, hearing screening, standardized assessment
What is one treatment for apraxia?
Melodic intonation, PROMPT, DTTC, AAC
Name one compensatory treatment for dementia and one restorative treatment for dementia.
Compensatory = memory book, checklists, electronic reminders, calendars
Restorative = Spaced retrieval training, Reminiscence therapy
What's one consideration when trialing an AAC?
Representation, Organization, Selection
Name 2 treatment methods for pediatric feeding.
Enhance oral reflexes, lactation support, cue based feeding, positioning, alternative means of nutrition recommendation
What are 3 signs or symptoms of dysphagia?
throat clearing, coughing, wet vocal quality, multiple swallows, oxygen desaturation
What is the difference between compensatory and restorative therapy?
Restorative = restore lost function
Compensatory = compensate for lost function
True or False: Counseling is important with RHD clients.
True
Name 3 aspects of assessment for motor speech disorders.
True or False: Dementia can be managed medically.
True
Name 3 aspects of an AAC assessment.
Case history, interview, receptive/expressive language assessment, AAC trial, oral mech, hearing screening