Oral-Pharyngeal Dysphagia Case Study

Since the CF was not confident, she might be in violation of ASH Principle of Ethics II, Rule A (20160 which states: “Individuals who hold the Certificate of Clinical Competence shall engage in only those aspects of the professions that are within the scope of their professional practice and competence, considering their certification status, education, training, and experience.” When treating patients with dysphagia there are basic competencies that are essential when assessing, diagnosing, and creating a treatment plan, such as: signs and symptoms of dysphagia, procedures and instrumental techniques used to assist in diagnosis and management, analyzing and integrating clinical and instrumental information, and to counsel patients and their families. Treating patients with dysphagia are within our scope of practice. One must feel comfortable and have the appropriate training and experience when treating patients in the most efficient manner. In addition, ASHA Principle of Ethics II, Rule D (2016) specifies: “Individuals shall enhance and refine their professional competence and expertise through engagement in lifelong learning applicable to their professional activities and skills.” Even though clinicians have to go through an intense master’s program and externship hours, SLPs must always stay up to date by furthering their education, attending

Watching my friends’ face quiver in disgust after recounting my experience of a videofluoroscopicy and my excitement from viewing the barium travel through the oropharyngeal and pharyngeal phases of swallowing, I realized I wanted to study the extraordinary field of Communication Sciences and Disorders. During my undergraduate career at East Carolina University, my anatomy and physiology class further fostered my enthusiasm for the field when discovering how intricate and complex it is for the human body to perform a simple task such as breathing and swallowing. I was able to utilize my thirst for knowledge of the human anatomy working in Dr. Perry’s Speech Imaging and Visualization Laboratory and enhance my writing skills by reviewing peer reviewed journal articles. Ultimately working and observing lab assistants create 3D anatomical models of the laryngeal mechanism, velopharyngeal mechanism, swallowing mechanism, skull and cranium,

In order to evaluate if mouth care and its frequency are Gold Standard interventions to prevent VAP

As dementia progresses, swallowing difficulties (called dysphagia) become more common, although they can vary from person to person. If a person is having difficulty with swallowing, a referral to a speech and language therapist can help. Difficulties can include holding food in the mouth, continuous chewing, and leaving foods that are harder to chew (eg hard vegetables) on the plate. Swallowing difficulties can also lead to weight loss, malnutrition and

Likewise, the same survey was used to conduct meal rounds to assess food quality and patient acceptance during three different meal periods for three different diets in the 11AB Surgical Ward. The evaluation included three diets: a puree diet, 2.5-gram sodium diet and a VHA regular diet. It seemed that most of the patients understood why they required each one of the diets. However, most of them wanted their food with more flavor and more salt. The eating and feeding concern at CLC is the ability of the patients to get any foods they want from outside restaurants or family members. It is

Physical therapy is a long process but it is very helpful. This therapeutic mechanism has made very noticeable changes in many patients life. One particular study conducted by Neurologijos Seminarai, found after physical therapy it significantly helped improved gait over multiple sessions, he stated “After the cycle of physical therapy sessions, balance and gait of patients with Par kin son’s dis ease statistically significantly improved (p< 0.005). (Web, Yael Manor) Proving Swallowing therapy does have a

The primary rule of any treatment regimen is to first do no harm which is the first paradigm learned in any healthcare training program. This necessarily covers a large grouping of consequences among which are physical, emotional and financial harm. It is imperative that treatments continuously be discovered which will better allow professionals to determine what is happening with the patient, but improving these treatments so that they are less invasive and more comfortable is also a significant goal. Reducing the financial burden of treatments is a peripheral goal, but if it is attainable it will lessen the stress that patients feel also.

Another possible solution might be educating the patient in a different way to make sure she fully understands what is occurring. For example, the speech therapist may actually show the patient her modified barium swallow study to see the aspiration. This presentation of information in a different modality or a second opinion from another therapist may help the client fully understand what is occurring and the potential

An individual experiences drastic decrease in appetite in the advance stages of dementia. Furthermore, their activity level decreases as well; therefore, they do not require large quantity of calorie intake (Byrd, 2004). However, they require good nutrition to maintain their life. It is unfortunate that in advance stages of dementia, it becomes very challenging for health care providers (HCPs) to maintain adequate intake for elderly population. As the disease progresses, swallowing impairments cause frequent aspiration pneumonia. What really matters is that HCPs take all other measures to maintain nutrition and hydration before jumping to the conclusion that the person needs ANH. Of course, the speech language pathologist gets involved throughout the procedure (Byrd, 2004). It is important to note that AHN is considered a medical intervention in the field of medicine. However, society as a whole does not believe that ANH is a medical intervention (Byrd, 2004). Therefore, some people believe that not providing ANH is comparable to neglect and inhuman regardless of the nature of disease process. On the other hand, “others see withholding AHN as a more humane or compassionate choice because the focus of care is placed on the person, not merely [food] intake or body weight” (Byrd, 2004). A study mentioned in Byrd (2004) highlights that the families of these patients prefers “noninvasive nutritional interventions

Dysphagia is a swallowing disorder that is described as an abnormality in transferring a solid or liquid bolus from the oral cavity to the stomach (Bernard, Loeslie, & Rabatin, 2015). With a diagnosis of dysphagia, a patient will likely aspirate foods and/or liquids of different consistencies. Aspiration is “the entry of food or liquid into the airway below the true vocal folds” (Logemann, 1998, p. 5). Specifically, thin liquid dysphagia occurs when a patient aspirates while consuming any liquids that are not thickened, such as water. Patients with thin-liquid dysphagia are often prescribed a modified thickened liquid-only diet, meaning they consume liquids that are thickened to a greater consistency of nectar, honey, or pudding (Carlaw et al., 2007). An increased viscosity reduces the flow rate of a bolus, makes it more cohesive, and is easier for many people to control intraorally, thus preventing spillage into the airway (Murray, Miller, Doeltgen, & Scholten, 2013). Dysphagia can also contribute to the occurrence of aspiration pneumonia. Aspiration pneumonia occurs “when organisms infiltrate the lower respiratory tract during an episode of aspiration and the

Help your loved one with exercises to strength the weak muscles that are behind their dysphagia.

Due to her dysphagia, Anne is more prone to medication errors (Wright and Kelly 2012 J. Therefore the nurse needs to observe her ability to swallow, each time before administering the drug (Kelly and Wright, 2010). As Anne can swallow the thickened fluids and yogurts, the nurse can add the tablets into them, but needs to inform Anne about the presence of medication in it (Kelly and Wright, 2010)). However, in future, if there any deterioration is noticed in Anne’s dysphagia, the nurse needs to inform to the doctor, and then he can prescribe an alternative form of that medication (Wright and Kelly 2012). Moreover, Anne was not allowed to either chew or crush the tablets; due to its quick release can increase the likelihood of the side effects

Aspiration pneumonia is one of the serious risk complications of stroke patients, about 40% of these patients have dysphagia (Cohen et al,2016). This affects the quality of life and prolongs hospital stay. A variety of options are recommended to minimize the risk of aspiration pneumonia, such as pharmacological therapies, compensatory strategy/positioning changes, tube feeding, oral hygiene and dietary interventions (Kaneoka et al, 2015).There are many issues faced by nursing in caring for dysphagia patient includes maintenance of oral care(Horne et al,2014). In this assignment, oral hygiene would take into consideration as one of the effective elements that utilized in hospitals. However, there was limited data published regarding oral care

However, eight patients dropped out of the study after randomization. The EORF group began to transition to oral feeding once they began to feel hungry, regardless of biochemical markers. On the other hand, those in the CORF group commenced oral refeeding once abdominal pain had resolved and biochemical markers were within normal ranges. Both groups started with a clear liquid diet and gradually progressed to a low-fat solid diet and then to a regular diet. Patients were eligible for discharge from the hospital once they could tolerate a solid diet for at least 24 hours and clinical symptoms had resolved. The severity of AP and nutritional status were assessed at admission and throughout the study at regular intervals. Protein and energy needs were calculated based on individual needs. Vital signs, food and fluid intake, urinary output, and GI symptoms were monitored daily. Biochemical markers were evaluated both before and after oral refeeding was initiated or when disease recurrence was suspected. The primary outcome measure of this study was the length of hospital stay and the secondary outcome measures were duration of fasting after onset of abdominal pain and subjective tolerance of

Tracheostomys may be required for long term control of excessive bronchial secretions, particularly in those with reduced consciousness or to maintain an