Swallow Management and Dysphagia Care Quiz
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Questions and Answers

Factors that need to be considered in your feeding assessment:

oral motor skills, sensory issues, muscle tone, posture, and behavior during feeding

Management strategies that could support safe and effective intake for infants, toddlers, and children:

positioning, pacing, modifying food and liquid textures, and compensatory strategies

Assessment of adult speech - How would you conduct this:

observe speech production, assess articulation, fluency, and voice quality, and consider the impact on communication and swallowing

Changes to specific swallow events result in dysphagia across these phases:

<p>weakness, reduced sensation, impaired coordination, and delayed or absent swallow reflex</p> Signup and view all the answers

Swallowing management involves regular assessments and monitoring to track progress and make necessary adjustments to the treatment ______

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

The goal of swallowing management is to improve safety and efficiency during the swallowing process and minimize the risk of ______

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

Speech pathologists can provide effective care for individuals with swallowing difficulties by following evidence-based practice guidelines and collaborating with other healthcare ______

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

Compensation strategies are temporary techniques used to support safe and efficient swallowing in the ______

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

Common compensation strategies include texture modification, thickening fluids, and posture/position ______

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

Swallowing maneuvers and exercises are considered compensatory and require cognitive or consistent external support to ______

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

Postural adjustments, chin tuck, neck flexion, neck extension, and head turn are examples of compensation ______

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

Compensation strategies aim to help individuals with dysphagia safely and effectively swallow food and liquid, compensating for any difficulties or impairments in the swallowing ______

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

Rehabilitation strategies involve changing and improving the underlying physiology to enable permanent change to function, including ______

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

Mendelsohn maneuver and lingual resistance exercise are examples of rehabilitative exercises that can enhance swallow coordination and improve swallowing ______

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

Mendelsohn maneuver offers short- and long-term benefits, reducing residue and lowering aspiration ______

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

Lingual resistance training using the Iowa Oral Performance Instrument has been found to significantly improve tongue strength in post-stroke dysphagic ______

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

Swallow assessments include screening for ______

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

Videofluoroscopic swallow studies (VFSS) assess the oral, pharyngeal, and ______ phases of swallowing

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

Dysphagia can onset acutely, degeneratively, chronically, or ______, with varying signs and symptoms like pain, coughing, or changes in swallow function

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

Reduced airway safety in dysphagia can result in penetration (food or liquid entering the ______) or aspiration (food or liquid passing beyond the vocal folds)

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

The Yale swallow protocol and patient-reported screening tools like the Sydney Swallow Questionnaire are used for ______

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

Dysphagia can be classified based on two major elements: safety (ability to protect the airway during swallowing) and efficiency (ability to swallow ______)

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

Primary outcomes of dysphagia management are safety and efficiency of swallow, measured by reduced or no aspiration and oropharyngeal swallow ______

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

Dysphagia is categorized as aphagia (total inability to swallow) or disordered swallowing (dysphagia), which may be mild, moderate, or ______

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

Fiberoptic endoscopic evaluation of swallowing (FEES) provides dynamic assessment at bedside, sensory assessment, and visualization of residue, and can be used as a ______ tool

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

Dysphagia can occur in any of the swallow stages: oral, pharyngeal, or ______, and may manifest as oropharyngeal dysphagia or odynophagia

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

Swallow assessments include screening for aspiration, clinical risk identification, and determining the need for further instrumental assessment or ______

<p>oral intake</p> Signup and view all the answers

Characteristics of dysphagia in the oral and pharyngeal phases include changes in sensory/motor function, oral residue, and delayed swallow ______

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

Factors contributing to dysphagia risks include dependence on ______, decayed teeth, tube feeding, multiple medical diagnoses, and smoking

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

Swallow safety and efficiency are key factors in determining an appropriate ______

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

Documenting safety and efficiency of swallow involves physiotherapy, intervention, compensation, rehabilitation, management, and ______/training

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

EMST aims to improve swallow safety and efficiency and reduce the risk of ______

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

VFSS considerations involve radiation safety, infection control, diet modification, and swallowing maneuvers and ______

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

Postural adjustments, such as lying down, chin tuck, neck extension, and head turn, are considered compensatory for ______

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

Safe eating position involves seated, upright posture with specific head, neck, and body ______

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

Mealtime management plans should include details on the person's diet, fluids, seating and ______, mealtime equipment, and risk reduction strategies

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

Swallow management involves assessing and treating individuals with ______ difficulties, known as dysphagia, to improve safety and efficiency during the ______ process

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

Speech ______, in collaboration with other healthcare professionals, play a key role in assessing swallowing function, providing diet modifications, and developing personalized treatment plans

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

The goal of swallow management is to ensure individuals can consume food and liquid without the risk of choking or ______, involving strategies like modifying food consistency and providing swallowing exercises

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

Insufficiently chewed food is associated with ______ deaths, while edentulism increases ______ risk; aggressive dental and oral hygiene can help prevent oral residue for people with dysphagia

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

Medication effects, including decreased saliva production and inhibition of reflexes, can ______ dysphagia, emphasizing the need to monitor medications and polypharmacy

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

Multidisciplinary or ______ services are crucial for managing dysphagia, involving service models, regular screening for choking/dysphagia, and assessments of swallowing and general health

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

Training and risk management ______ are essential, including population-wide awareness-raising strategies, education for health professionals and support workers, and implementing risk management and choking-prevention ______

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

Evidence for swallow management can be supported by official studies and research, including ______ such as a comprehensive textbook on swallowing disorders, a study on lingual exercise benefits, and a review of dysphagia management in acute care

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

National Institute on Deafness and Other Communication Disorders (______) provides reliable information on dysphagia, including causes, symptoms, diagnosis, and treatment options

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

A comprehensive assessment and treatment plan should be developed to manage swallowing difficulties, considering individual's ______, access to care, cultural decisions, cost, location, and the training and skills of the speech pathologist

<p>co-morbidities</p> Signup and view all the answers

Treatment options for swallowing difficulties may include surgical, medical, and ______ interventions tailored to the individual's needs, motivations, quality of life, and stage of medical care

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

The type and intensity of treatment should prioritize the safety and well-being of the individual, involving a ______ approach to manage swallowing difficulties effectively

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

Study Notes

Swallow Management and Dysphagia Care

  • Swallow management involves assessing and treating individuals with swallowing difficulties, known as dysphagia, to improve safety and efficiency during the swallowing process.
  • Speech pathologists, in collaboration with other healthcare professionals, play a key role in assessing swallowing function, providing diet modifications, and developing personalized treatment plans.
  • The goal of swallow management is to ensure individuals can consume food and liquid without the risk of choking or aspiration, involving strategies like modifying food consistency and providing swallowing exercises.
  • Insufficiently chewed food is associated with choking deaths, while edentulism increases choking risk; aggressive dental and oral hygiene can help prevent oral residue for people with dysphagia.
  • Medication effects, including decreased saliva production and inhibition of reflexes, can exacerbate dysphagia, emphasizing the need to monitor medications and polypharmacy.
  • Multidisciplinary or interdisciplinary services are crucial for managing dysphagia, involving service models, regular screening for choking/dysphagia, and assessments of swallowing and general health.
  • Training and risk management programs are essential, including population-wide awareness-raising strategies, education for health professionals and support workers, and implementing risk management and choking-prevention programs.
  • Evidence for swallow management can be supported by official studies and research, including references such as a comprehensive textbook on swallowing disorders, a study on lingual exercise benefits, and a review of dysphagia management in acute care.
  • National Institute on Deafness and Other Communication Disorders (NIDCD) provides reliable information on dysphagia, including causes, symptoms, diagnosis, and treatment options.
  • A comprehensive assessment and treatment plan should be developed to manage swallowing difficulties, considering individual's co-morbidities, access to care, cultural decisions, cost, location, and the training and skills of the speech pathologist.
  • Treatment options for swallowing difficulties may include surgical, medical, and behavioral interventions tailored to the individual's needs, motivations, quality of life, and stage of medical care.
  • The type and intensity of treatment should prioritize the safety and well-being of the individual, involving a multidimensional approach to manage swallowing difficulties effectively.

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Description

Test your knowledge of swallow management and dysphagia care with this quiz. Explore the assessment and treatment of swallowing difficulties, the role of speech pathologists, strategies for risk management and prevention, and the importance of multidisciplinary services. Learn about evidence-based practices and treatment options tailored to individual needs.

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