CBSE and Screenings

True

Detailed description of subjective complaint or problem Acquisition of relevant health and medical history Clinical “bedside” observations (aka non instrumental) Physical examination of structures AND instrumental assessment

<p>Amount given How it was presented Respirations and vocal quality at baseline and intermittently during assessment</p> Signup and view all the answers

<p>They are able to identify those likely with dysphagia</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>Severe suspected dysphagia with poor tolerance of oral secretions or intraoral fluids (poor secretion management) pt. non-compliance poor level of alertness coughing/choking on certain consistencies of food/liquid with limited improvement from compensatory strategy use</p> Signup and view all the answers

<p>Diet recommendations Things to monitor/aspiration precautions Proposed compensatory strategies If further testing is required Time frame for follow If further referrals are recommended</p> Signup and view all the answers

<p>Economic status Cultural issues Education and employment Support system</p> Signup and view all the answers

<p>They are able to screen those likely to not have dysphagia</p> Signup and view all the answers

<p>It helps guide clinicians to find out client’s/caregiver’s major concerns and their impact on quality of life.</p> Signup and view all the answers

<p>Past medical history (PMH) Current medical status and medications, pertinent diagnostic examinations: chest x-rays, head CTs, MRIs, etc Speech-language history, cognitive history, developmental history, psychosocial history, diet/nutritional history, general health, family history, voice changes Previous swallow evaluations? when? Pre-existing neurologic conditions Weight loss (esp. in recent 6 mos.)<br /> Medications/recent changes in meds</p> Signup and view all the answers

<p>Cervical Auscultation</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>Attention, concentration, mental status, ability to cooperate/participate - makes the difference whether a pt can safely consume a diet or not May not be aware of PO in the oral cavity, are impulsive when self-feeding, or talk with PO in oral cavity; may not be able to follow directions to use compensatory strategies; may not comprehend benefits/risks of eating which impacts therapy/education</p> Signup and view all the answers

<p>ataxia, paralysis/paresis, use of non-dominant UE, eye/hand to mouth coordination • Sensation of food/liquid spill (ant./post.) Amount on spoon Amount gulped Missing food on one part of plate, tray (visual neglect, field cut, inattention) *<strong>work closely with OT for feeding techniques</strong></p> Signup and view all the answers

<p>OT, Dietician, Nurse, Medical specialists</p> Signup and view all the answers

<p>Sit the patient upright at 80-90° (or as high as tolerated &gt;30°). Ask the patient to drink the entire 3 ounces (90cc) of water from a cup or with a straw, in sequential swallows, and slowly and steadily but without stopping. (Note: Cup or straw can be held by clinician or patient.) Assess patient for interrupted drinking and coughing or choking during or immediately after completion of drinking</p> Signup and view all the answers

<p>Observation of the patient and their environment Oral sensorimotor examination/oral peripheral exam/cranial nerve assessment MSD Screening (DDK, sustained /a/, volitional cough) Clinical hands-on swallowing examination Observation of eating</p> Signup and view all the answers

<p>Often the team leader</p> Signup and view all the answers

<p>To determine the likelihood of dysphagia, the need for further swallowing assessment, and the need for nutrition or hydrational support</p> Signup and view all the answers

<p>To screen patients for dysphagia</p> Signup and view all the answers

<p>Advanced age, diabetes mellitus, hypertension, atrial fibrillation, neurodegenerative disorders, cognition, and sarcopenia</p> Signup and view all the answers

<p>A reliable, validated screening tool for adults and children</p> Signup and view all the answers

<p>It is correlated to aspiration on VFSS</p> Signup and view all the answers

<p>To obtain information on swallowing from the patient's perspective, guide clinicians to identify major concerns and their impact on quality of life, and understand the patient's wishes and preferences.</p> Signup and view all the answers

<p>The maximum score attainable is 20 points, which indicates normal swallowing ability without overt aspiration risk.</p> Signup and view all the answers

<p>The exclusion criterion is head bed restrictions of 30° or more.</p> Signup and view all the answers

<p>The two parts of the GUSS are the Indirect swallowing test and the Direct swallowing test, which consists of 3 subtests.</p> Signup and view all the answers

<p>The maximum points (5 points) must be attained to continue to the next subtest.</p> Signup and view all the answers

<p>The purpose of the Yale Swallowing protocol is to assess swallowing function in patients and identify those at risk of aspiration.</p> Signup and view all the answers

<p>The four levels of severity are: severe dysphagia and high aspiration risk (0-9 points), moderate dysphagia and moderate risk of aspiration (10-14 points), mild dysphagia with mild aspiration (15-19 points), and normal swallowing ability (20 points).</p> Signup and view all the answers

<p>The EAT-10 is a self-administered questionnaire used to assess dysphagia and quality of life in patients.</p> Signup and view all the answers

<p>The MDADI is a self-administered questionnaire used to assess dysphagia and quality of life in patients with head and neck cancer.</p> Signup and view all the answers

<p>The primary outcome of a failed Yale Swallowing protocol is to keep the patient nil per os (NPO) and discuss with the medical team the need for an objective/instrumental swallowing evaluation.</p> Signup and view all the answers

<p>To obtain a comprehensive, detailed history from various healthcare professionals and caregivers.</p> Signup and view all the answers

<p>To identify pre-existing conditions that may exacerbate or alleviate swallowing problems.</p> Signup and view all the answers

<p>To provide information about the severity and etiology of swallowing problems.</p> Signup and view all the answers

<p>To identify potential risks for aspiration and nutritional deficiencies due to impaired cognitive function.</p> Signup and view all the answers

<p>To provide general medical information about the patient, including vital signs and lab values.</p> Signup and view all the answers

<p>Fluid management, as excessive fluids can exacerbate the condition.</p> Signup and view all the answers

<p>To identify the presence or absence of a swallowing impairment and develop a personalized treatment plan.</p> Signup and view all the answers

<p>To provide valuable information about the patient's swallowing function and daily living habits.</p> Signup and view all the answers

<p>To evaluate the patient's ability to safely and effectively feed themselves.</p> Signup and view all the answers

<p>To evaluate the impact of medications on swallowing function and identify potential risks for adverse reactions.</p> Signup and view all the answers

<p>to “listen” to the sounds of the swallow and assess swallow sounds and airway sounds</p> Signup and view all the answers

<p>ataxia, paralysis/paresis, use of non-dominant UE, eye/hand to mouth coordination, sensation of food/liquid spill, amount on spoon, amount gulped, missing food on one part of plate/tray</p> Signup and view all the answers

<p>they provide detailed information about biomechanics and pathology, which is integrated with clinical observation and history to develop a comprehensive and efficacious management approach</p> Signup and view all the answers

<p>to get the truest measure of their swallowing function</p> Signup and view all the answers

<p>the clinical assessment of swallowing contributes to the ultimate diagnosis of the patient, but it is not sufficient to define swallowing pathophysiology, which requires instrumental exams</p> Signup and view all the answers

<p>to develop a comprehensive and efficacious management approach</p> Signup and view all the answers

<p>To rate a patient's own experience of 10 different possible swallowing problems.</p> Signup and view all the answers

<p>To measure the impact of dysphagia on quality of life (QOL) and assess the patient's perspectives.</p> Signup and view all the answers

<p>The scoring range is 0 (worst) to 100 (best), and a higher score indicates better quality of life.</p> Signup and view all the answers

<p>To detect early dysphagia in patients with Parkinson's disease and other diagnoses.</p> Signup and view all the answers

<p>To generate a hypothesis about swallowing function and screen for the presence or absence of swallowing impairment.</p> Signup and view all the answers

<p>To obtain essential information for healthcare professionals to develop effective treatment plans.</p> Signup and view all the answers

<p>They are complementary tools that can be used to assess treatment effectiveness and patient satisfaction, and improve quality of life and care for individuals with dysphagia.</p> Signup and view all the answers

<p>It is indicative of oropharyngeal dysphagia.</p> Signup and view all the answers

<p>To track progress and outcomes in dysphagia therapy.</p> Signup and view all the answers

<p>To assess treatment effectiveness, patient satisfaction, and improve quality of life and care for individuals with dysphagia using tools like the SWAL-QOL and SWAL-CARE.</p> Signup and view all the answers

<p>Optimal position is upright at 90 degree angle; Kyphotic or leaning to one side can affect swallowing.</p> Signup and view all the answers

<p>To identify distractions, lighting, and other factors that may affect swallowing.</p> Signup and view all the answers

<p>To identify labored, rapid, or shallow breathing and obtain baseline oxygen levels.</p> Signup and view all the answers

<p>To assist with dietary needs and recommendations, including thickening of fluids and modification of food consistencies.</p> Signup and view all the answers

<p>To identify potential cognitive impairments that may impact swallowing, such as neglect or inattention.</p> Signup and view all the answers

<p>To assess a patient's ability to swallow safely and effectively, including oral motor skills and coordination.</p> Signup and view all the answers

<p>To assess laryngeal elevation and coordination during swallowing.</p> Signup and view all the answers

<p>To monitor oxygen saturation and heart rate during swallowing.</p> Signup and view all the answers

<p>To identify potential difficulties with specific textures or consistencies and make recommendations for dietary modifications.</p> Signup and view all the answers

<p>To assess the level of support and assistance provided by the caregiver and identify potential risks or barriers to safe swallowing.</p> Signup and view all the answers