COMD 4500- EXAM 2 || With com plete solutions.
nonenteral feeding correct answers -bypasses digestive tract
-nutrients delivered via bloodstream
-large vessel allows dilution
peg feeding stands for correct answers percutaneous endoscopic gastrostomy AKA g tube
what is peg feeding correct answers -dr views stomach via scope, tube inserted
-allows long term feeding
nasogastric tube correct answers -tube via nose pharynx esophagus delivering nutrients to stomach
-short term
-increased reflux risk
-nonoral feeding option correct answers -nothing by mouth
-minimally responsive
-recent oral/pharyngeal surgery
dietary modification correct answers -strategies may not help with aspiration
-thin liquids may be hard to control
-solids may be too heavy
active therapy approaches for dysphagia correct answers -attempt to improve physiology
-oral agility strength that range of motion
behavioral treatments for dysphagia correct answers -can be immediately implemented
-useful for temporary dysphagia
-no attempt to change physiology
-postural adjustments
mechanical dysphagia affects on the esophageal phase correct answers -physical constriction or blockage
what is the risk of doing a video fluroscopic swallow study correct answers radiation exposure to both the patient and SLP
SLP intervention correct answers -what is prognosis
-design rational treatment plan
-EBP
-document progress over time
dementia correct answers -acquired brain disease -progressive decline in cognitive function
-interferes with daily activities
-reduces and individuals independence.
dementia causes a progressive decline in cognitive function. this includes: correct answers -
attention -learning and memory
-executive function
-language
how is dementia different from delirium correct answers delirium is temporary and reversible
how many people in the US have dementia correct answers 5.7 million
what percent of the people in the US that have demetia have alzheimers correct answers 60-
70%
what is the next most common cause of dementia correct answers vascular disease
what causes the incidence to increase correct answers age
common dementia etiologies correct answers -alzheimers
-lewy body disease
-vascular/multi infarct dementia
-frontotemporal dementia
How is mild cognitive impairment different from dementia? correct answers -less severe
-doesnt interfere with independence
attention with dementia correct answers -easily distracted
-slower info processing
learning and memory with dementia correct answers -difficulty remembering events
-short term/working memory problems (forgetting what was heard or seen, forgetting names of friends/family)
executive functioning/reasoning with dementia correct answers -difficulty planning
-poor judgement
-lack of inhibition
-difficulty with flexibility and problem solving
communication with dementia correct answers -use of fewer words
-perseveration, asking same question repeatedly
-word finding difficulty, circumlocution
-difficulty staying on topic
-cannot follow multi-step directions
behavior with dementia correct answers -anger, anxiety, depression
-developing new suspicions
-wandering, getting lost
-sleep issues
-mood swings
role of the SLP in dementia correct answers -no medical diagnoses!
-screening
-diagnosis of cognitive communication and swallowing disorders
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