whats wrong suga'?
this is the first stage of assessing a dysphagia patient
what is review of medical history
What does CBE stand for
Clinical bedside exam
Why do we do instumental assessments?
to get more information on the pharyngeal stage
What are the 5 stages of the swallow
anticipitory
pre oral
oral
pharyngeal esophageal
what is dysphagia?
difficult in swallowing or inability to swallow
who is part of the dysphagia team who can inform you of a patients medical status?
Family members
How do you observe pharyngeal mechanisms?
listen for cough or gurgle
feel for layngeal movement
What is a modified barium swallow?
fluroscopic imaging that can be recorded and played back.
Barium is mixed with food and the swallow is recorded to see where the food ends up?
this stge involves seeing and smelling food or drink in preparation to eat it
anticipitory
what is a cause of dysphagia i children?
prematurity
cerebral palsy
list three relevant pieces of info for this stage
previous swalling issues
preexisting illness or trauma
medications taken
feeding, behavioral, and medical info
What is checked during the oral-motor exam
labial seal
cheek/ jaw strength
tongue strength
What is an endoscopy
when does the velopharyngeal port close?
pharyngeal
what is a cause of dysphagia in adults?
CVA
TBI
neuromuscular disease
Cancer
Explain why you need to know medications given in the hospital during current medical status review
Some medications cause drowsiness which will affect CBE
What is the first step in the CBE?
assessing level of alertness
what views are MBS recordings taken from?
anterior coronal and sagital
at one point doe sthe swallow become involuntary
beginiing of pharyngeal, passing the facial pillars
what is the snake like movement called and stage(s) of the swallow is it found in?
peristalsis
pharyngeal, esophageal
orally
nasogartic tube
gastric tube
describe a safe swallow (pharyngeal stage)
larynx moves up and forward
epiglottis covers the larynx
velum seals
pharyngeal constrictor muscles propel bolus through the pharynx to the esophagus
what professionals from the dysphagia team are involved in the MBS?
SLP, radiologist
what is the start of the esophageal stage?
begins when larynx moves back and down and breathing resumes
"swallowing requires ____ and _____ skills"
cognitive and moror