Meal Time
Best way to ensure safety while someone is eating is to _____________.
What is supervise?
Medical term for difficulty swallowing.
What is dysphagia?
Before crushing medications it is essential to
What is clarify with MD/Pharmacist that medication can be crushed?
The term for when an object/liquid travels through the trachea airway instead of the esophagus.
What is aspiration?
It is okay every once in awhile to stray from the feeding plan/ordered texture/thickness. Everyone deserves a treat every now and then. True or False?
False- it is essential to stick to the ordered feeding plan. It should be individualized to that persons needs. If there are questions about the persons abilities to try different textures, they should be discussed with the speech therapist and reevaluated.
One type of liquid consistency that could be ordered for someone with dysphagia.
What is nectar, honey, or pudding?
These two tubes are very close together in the neck. It's easy to see how things could go down "the wrong pipe".
What are the trachea and esophagus?
Peanut butter is the best medium to put pills in for someone with dysphagia-true or false.
What is false? Peanut butter is actually one of the foods that may cause choking and should be avoided.
3 signs that a person might have dysphagia and should be evaluated further.
What are-Inadequate chewing,Gagging,prompts to swallow, swallows multiple times, Difficulty beginning the swallow, Coughing, Gurgly sound,Not responding to food being offered,not clearing food from spoon, Inability to bite, Too much food in one bite, Dribbles or drops food out of mouth, throat clearing “Watery eyes” when eating, Increased hiccups feeling of food being stuck Hoarse voice or recurrent sore throat Food left in mouth after swallowing Excessive drooling Recurrent pneumonia Nasal regurgitation. Bringing food up (rumination) or vomiting.Poor oral condition—both teeth and gums
Therapists responsible for diagnosing dysphagia and determining the treatment course.
What are Speech Therapists?
3 types of food known to cause choking
What is Peanut butter; Hot dogs and sausage; Popcorn; Candy (any size and consistency); Chunks of cheese and meat;Nuts; Hard fruit and vegetables; Marshmallows; Chips—potato, corn, or tortilla; Grapes; Bread?
If a person has poorly fitting______ or missing ______ it can affect their ability to swallow and may put them at risk for dysphagia.
What are Dentures/teeth?
Two types of medications that have dysphagia as a possible side effect.
For an Additional $100 tell why.
What are Anticholinergic
Antipsychotic
Meds that cause Xerostemia
Depress the CNS
Cause esophageal damage?
Name three medical risk factors/disorders for dysphagia
Cerebral palsy; GERD; Head trauma; Alzheimer’s Huntington’s; Parkinson’s; Stroke; Bone spurs Seizures; Birth defects like cleft palate Obstructive lesions in throat or esophagus Narrowing of the esophagus after infection or irritation Esophageal webs Zenker’s diverticulum Eosinophillic esophagitis
One of the common complications that can occur with dysphagia if someone would choke or aspirate.
What is Aspiration Pneumonia?
Name 2 consistencies of food alterations.
What are pureed-chopped-mechanical soft-fork mashable-advanced?
The three stages of swallowing.
What are oral, pharangeal, esophageal?
Someone with altered liquid consistencies is taking liquid medications this should be done.
What is check to see if they can be thickened and to then thicken prior to administering?
A person with a narrowing of the esophagus may require this procedure.
What is esophageal dilation?
The "Gold Standard" in diagnosing dysphagia, where the person swallows fluoroscopic textures and liquid consistencies while being monitored by x-ray.
What is Modified Barium Swallow
3 types of adaptive equipment that might me used for someone with dysphagia.
What are modified cups such as nosey, kennedy, weighted, doidy, etc.Utensils-weighted, curved, bend-it, built up handles Plates-scoop guards, weighted, etc., Positioning devices
The two types of dysphagia
What are oropharyngeal and esophageal?
Types of medications that cannot be crushed.
What are enteric coated, extended released-slow released, time released.
Two consequences of dysphagia other than aspiration.
What is Malnutrition, Dehydration, Airway Non-oral nutritional intake (g-tube)?
If a person is no longer to take food my mouth it may be necessary evaluate for placement of this alternate method of nutrition.
What is a feeding tube?