Exam (elaborations)
CD 663 (HEATHER_CORNISH24) FINAL EXAM QUESTIONS AND ANSWERS
- Course
- Institution
CD 663 (HEATHER_CORNISH24) FINAL EXAM QUESTIONS AND ANSWERS
[Show more]
Content preview
CD 663 (HEATHER_CORNISH24) FINALEXAM QUESTIONS AND ANSWERS
What questions should you ask post-eval? - Answer-- PO vs NPO? (if yes, what diet is
most appropriate?)
- Is the pt a candidate for tx? (can be PO or NPO pts)
- What type of tx is most appropriate?
Considerations for determining who is a candidate for treatment - Answer-- medical
dx/prognosis
- pt choice/ethical issue/QOL
- ability to follow directions
- reaction to compensatory strategies
- severity of problem
- respiratory function
- caregiver support
- patient motivation
VFSS (bedside): s/s of dysphagia in oral stage - Answer-- food falls out of mouth
- bolus spreads through oral cavity
- residue/food on tongue or falls into sulcus
- residue on hard palate
- no lingual movement when food in mouth
- generalized difficulties in moving bolus in AP
- premature spillage
- slow oral transit times
physiologic explanation of food falling out of mouth - Answer-o poor closure of lips due
to muscular weakness
o sensation is gone
o not aware food is inside
physiologic explanation of bolus spreading through oral cavity - Answer-o Reduced
tongue coordination to form bolus
o Reduced oral sensation
o Reduced buccal tension
physiologic explanation of residue/food falling into sulcus - Answer-o Inability to
lateralize bolus with tongue (tongue weakness)
physiologic explanation of residue on hard palate - Answer-weakness of tongue
physiologic explanation of no lingual movement when food in mouth - Answer-o
Sensation issue
,o Verbal apraxia (noted random movement)
o Dementia (not recognize food in mouth
physiologic explanation of generalized difficulties in moving bolus in AP - Answer-o
Tongue cannot move back properly
o Coordination and weakness of tongue musculature
physiologic explanation of premature spillage - Answer-- weakness of BOT (did not rise
up enough)
physiologic explanation of slow oral transit time - Answer-o Tongue cannot move back
properly
o Coordination and weakness of tongue musculature
VFSS (bedside): s/s of dysphagia in trigger/pharyngeal stage - Answer-- delayed
triggering of pharyngeal swallow
- nasal regurgitation
- residue in valleculae
- residue on one/both sides of pharynx
- reduced displacement of larynx
- residue in pyriform sinuses bilaterally
- penetration and/or aspiration
physiologic explanation of delayed triggering of pharyngeal swallow - Answer-o CN IX X
impaired sensation
physiologic explanation of nasal regurgitation - Answer-o CN X poor closure of VP port
o Weakness with velar coordination
physiologic explanation of premature spillage/residue in valleculae - Answer-o Poor
tongue base contraction to PPW
o Weakness of base/back of tongue
physiologic explanation of residue on one/both sides of pharynx - Answer-o Paralysis on
one/both side of pharynx
physiologic explanation of reduced displacement of larynx - Answer-o Poor
upward/forward movement
o Weak suprahyoid muscles
physiologic explanation of residue in pyriform sinuses - Answer-o Poor laryngeal
coordination/elevation
o Weak muscle contraction on pharyngeal constrictors/muscles
physiologic explanation of penetration and/or aspiration - Answer-o No airway protection
o Can be poor vf closure
, o Delayed trigger
o Reduced laryngeal elevation
Overall goal of management? - Answer-safe (non aspirative) oral intake/feeding while
maintaining adequate nutrition and hydration
goals of management for pts who are NPO - Answer-- re-establishing oral feeding
*total oral feeding may not be possible
* focus is NOT on getting pt on "regular" diet
* tx techniques to ensure safe swallow
Goals of management for all pts with dysphagia - Answer-- resume prior level of diet
- tolerate a least restrictive diet
- ensure safe swallow
- optimize QOL
Who carries out management - Answer-- pts
- caregiver/family
- nursing/staff
- SLP
Types of approaches to management - Answer-- medical (
- behavioral
types of medical management - Answer-- surgical
- nonsurgical (e.g. medication)
Types of behavioral management - Answer-- compensatory strategies
- therapeutic/rehabilitative techniques
Explain medical management - Answer-- techniques to improve disorders caused by
anatomic/physiologic abnormalities
- procedures to control for prolonged, unremitting aspiration
- surgical procedures to provide nutrition and hydration via nonoral means
What are the 2 types of external non-oral feeding - Answer-- PEG tube (percutaneous
endoscopic gastrostomy)
- (temporary) solution for dysphagic-related or nondysphagic-related causes)
purpose of laryngeal/airway-related procedures - Answer-- improving glottal closure
- protecting the airway
Name some laryngeal/airway-related procedures - Answer-- vocal cord injection
- laryngeal closure
- tracheotomy (prevent aspiration)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now