CD 663 Exam 1 (heather_cornish24) Questions & Answers
19 views 1 purchase
Module
CD 663
Institution
CD 663
What is swallowing/deglutition - ANSWER-All processes, functons and acts associated
with introducton of food/material to be swallowed, including preparing, transferring, and
transporting to stomach
What is a bolus - ANSWER-food, liquid, or material placed in mouth for ingestion
What is dysphagi...
cd 663 exam 1 heathercornish24 questions amp answers
cd 663 exam 1 heathercornish24 questions
how many slps working in hospitals and residential health care settings repor
Written for
CD 663
CD 663
Seller
Follow
professoraxel
Reviews received
Content preview
CD 663 Exam 1 (heather_cornish24)
Questions & Answers
What is swallowing/deglutition - ANSWER-All processes, functons and acts associated
with introducton of food/material to be swallowed, including preparing, transferring, and
transporting to stomach
What is a bolus - ANSWER-food, liquid, or material placed in mouth for ingestion
What is dysphagia - ANSWER-- the result of a physiologic change in the muscles
needed for swallowing
- a swallowing disorder that may involve signs and symptoms of mouth, pharynx, larynx,
and/or esophagus
Example of dysphagia - ANSWER-- delay in the propulsion of a bolus as it transits from
the mouth to the stomach
- misdirection of the bolus
What is a feeding disorder - ANSWER-- impairment in the process of food transport
outside the alimentary pathway (difficulty manipulating food prior to swallow)
- disordered placement of food in mouth
Feeding disorder in adults/children - ANSWER-weakness or incoordination in
hads/arms
Feeding disorder in infants/children - ANSWER-failing to develop or demonstrate
developmentally appropriate eating/drinking behaviors
How many SLPs report regulary service to dysphagic patients (ASHA technical report) -
ANSWER-47%
How many SLPs working in hospitals and residential health care settings report regualry
service to dysphagic patients - ANSWER-91%
Is dysphagia a disease - ANSWER-no, it is a disorder caused by disease or medical
diagnosis
What adult populations are affected by dysphagia - ANSWER-- stroke
- head injury,
- progressive neurological diseases (ALS, Parkinsons)
- Alzheimers
- head and neck cancers
- tracheostomy
,- vocal fold dysfunction (paralysis/paresis)
How is age related to dysphagia - ANSWER-individuals 85 and older were 18 times
more likely to have a diagnosis of dysphagia compared to those under age 25
What CHILD populations are affected by dysphagia - ANSWER-- prematurity/low birth
weight
- cerebral palsy
- craniofacial anomolies
- failure to thrive/pediatric undernutrition
- developmental disability
How many children with CP have swallowing disorder at some point - ANSWER-85-
90%
Why do we care about dysphagia - ANSWER-- health risk (aspiration, malnutrition,
dehydration)
- quality of life (normal adults = 580 swallows per day, social)
Dysphagia: priorities and concerns of SLPs - ANSWER-- adequate nutrition and
hydration
- safety of patient during oral feeding (adults)
- enteral or tube feeding
Is oral feeding an appropriate goal of all clients - ANSWER-no
Who should be NPO - ANSWER-patients aspirating 10% or more of bolus despite all
possible adjustments
SLP role in swallowing and feeding disorders - ANSWER-- clinical swallowing and
feeding assessment (oral mech exam, bedside exam of swallow/feeding)
- perform instrumental assessments as appropriate (videoflouroscopy/MBS/VFS/VFSS
and endoscopy/FEES)
- identify normal and abnormal swallowing anatomy and physiology
- identify signs of possible/potential disorders in oral and pharyngeal stages of
swallowing
- make decisions about management
- develop treatment plan
- provide treatment, document progress, and determine appropriate dismissal criteria
- teach/counsel patients and family
- educate other professionals
- serve as part of a team
- advocate for services for individuals
- advance the knowledge based through research activities (EBP)
Who is a part of the dysphagia team - ANSWER-- SLP
,- parents/caregivers/family
- physicians/medical specialists (neurologist, pulmonologist, ENT, radiologist,
pediatrician, gastroenterologist, maxillofacial prosthodontist)
- nursing
- OT/PT or respiratory therapist
- nutritionist/dentition
- social work and psychology
Level of care may differ depending on - ANSWER-the setting where the patient is seen
(the role of each professional may be different)
The access to some medical specialties may not be available across - ANSWER-
different settings
Name the medical care settings - ANSWER-- acute
- subacute (short-term care and long term care)
- home health
Acute care setting often refers to - ANSWER-the hospital
What is the prevalence of swallowing-related disorders in the acute care setting -
ANSWER-13% (often in neurology and neurosurgery unites)
Due to short stay (2-4 days), swallowing issue must be addressed - ANSWER-rapidly
Frequently there is not sufficient time or pt cooperation because - ANSWER-of
mental/physical status
If pt is able to tolerate testing, future care may be facilitated with the results of -
ANSWER-swallowing testing using from instrumental assessments
In the subacute setting patients may require - ANSWER-additional medical monitoring
Patients ma stay in the subacute unit for - ANSWER-5 to 28 days
Subacute Setting: If patients are not ready for strenuous rehabilitation program -
ANSWER-- do 1-2 hours of therapy per day
- action plan from hospital is implemented
Subacute Setting: When pts have the physical stamina for a full day of tasks oriented
toward restoring lost function: - ANSWER-- they receive PT, OT, SLP as needed and
are medically managed by specially trained physicians
- min 3 hours per day/discipline, up to 6 days a week
After admission to subacute care setting, patients may be discharged to - ANSWER--
home
, - an outpatient rehab facility
- or a skilled nursing facility
Is outpatient rehab setting a common setting for dysphagia therapy - ANSWER-no
In outpatient rehab setting patient may be living at home and - ANSWER-visit the clinic
for therapy
Outpatient rehab team develops individual plans to - ANSWER-- maximize safety
- improve communication skills
- assist with self-care independence
How often do pts in outpatient rehab setting receive therapy - ANSWER-2-3 days a
week
are there nursing services in outpatient rehab setting - ANSWER-no
- and own transportation is required
Long term care often refers to - ANSWER-a skilled nursing facility
What patients go to long-term care? - ANSWER-- pts who have not responded to
attempts are rehab
- pts who are not candidates for rehab
- pts who are too ill to be home
- pts who have chronic medical conditions that require monitoring in structured
environment
The prevalence of swallowing disorders in long term care setting has been reported to
be - ANSWER-as high as 60% or higher
Some facilities provide - ANSWER-- subacute care, inpatient rehab and long-term care
Evaluation in Long term care setting may rely on a combination of - ANSWER-- medical
history
- detailed observations of each meal
SLPs in long term care setting work closely with - ANSWER-- the physician
- nursing
- dietician
- other rehab disciplines
In long term care setting initiating an advance directive is usually required to -
ANSWER-state the ways to sustain nutrition
T/F: some pts may elect to not be red by a feeding tube despite the risk of aspiration
and life threatening pneumonia - ANSWER-T
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 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 professoraxel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £13.10. You're not tied to anything after your purchase.
