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
Acute Respiratory Failure Caused by Aspiration Pneumonia My patient is a 47-year-old female who was admitted into the University of Kentucky hospital on September 9th, due to acute respiratory failure with hypoxemia. She was in respiratory distress and had an altered mental status. Her chief complaint was shortness of breath. Her medical history showed a history of strokes with left hemiparesis/aphasia, seizures, hypertension, chronic systolic and diastolic dysfunction, mechanical aortic valve
blockage of the bowel or perforation of the bowel may occur. Diarrhea from the feeding formula is fairly common. Aspiration pneumonia is also common and if the person requires restraints to keep from pulling the tube out, the same complications listed above can occur. There is no good evidence that demonstrates that gastrostomy tubes, or tubes into the small intestine, prevent aspiration pneumonia in a person who has difficulty swallowing. In fact, there is good evidence in persons with advanced Alzheimer’s
(Hughes, 2011) When a stroke occurs each of these stages could be affected as a result of neurological and muscular changes. Swallowing problems can increase risk or morbidity and mortality, as well as risk of aspiration pneumonia where food or fluids pass into the airway. Some ways to treat dysphagia would be swallowing therapy and changing of diet. Most post-operative patients will be placed on a strict puree diet to assess feeding. Gradually they will rise back up
The fluoroscopy and the upper gastrointestinal endoscopy are different, but remarkable diagnostic methods used for the people suffering from dysphagia. Dysphagia is a medical term that means difficulty swallowing due to abnormal contractions of the esophageal muscles. It is important to find a quick evaluation that will lead to a better diagnosis and recovery with lesser complications. This research paper will discuss the appropriate diagnostic method by comparing between the fluoroscopic unit, and
Allison Kwan Research Article Worksheet Title of Article: Parker, Claire, Power, Maxine, Hamdy, Shaheen, Bowen, Audrey, Tyrrell, Pippa, & Thompson, David G. Awareness of dysphagia by patients following stroke predicts swallowing performance. Dyshagia, 19, 28-34. APA format: last name, first name author (year). Title of article in lower case (if journal article). Title of journal italicized, Volume Number (Issue Number), page numbers. The purpose of this study was to detect dysphagia awareness
and criteria. If patients aren’t taken care of right away with a diet, nutrition, and hydration have the potential to cause them serious complications. Aspiration is a common problem for patients after a stroke, and it occurs when a patient swallowing food or liquids enters their airway and lungs. After a stroke, a patient could have silent aspiration, which food and liquids enter the airways and lungs without the patients knowing. Reasons, why some stroke patients have difficulty with swallowing are
fluoroscopic studies (VFSS) (Holmes, Gudridge, Gaudiani, & Mehler, 2012). Two of the patients showed signs of mild to moderate dysphagia and one demonstrated severe dysphagia (Holmes, Gudridge, Gaudiani, & Mehler, 2012). Two of the three also showed aspiration and the third showed penetration (Holmes, Gudridge, Gaudiani, & Mehler, 2012). Upon reviewing the findings, a SLP team was brought in to perform therapy via NMES, along with swallowing therapy (Holmes, Gudridge, Gaudiani, & Mehler, 2012). Swallowing
Compliance of patients and families to remain on a modified diet of thickened liquids only can be difficult, especially after leaving facilities. • Patients who are on a thickened liquids diet only may face dehydration which can cause more problems than aspiration of water alone. • Allowing patients to consume water as they wish may increase in their quality of life. • Individuals on a modified thickened liquid diet or feeding tube may aspirate
the test consistencies and not a trained professional. There were so things happening in the room all at once. The SLP was trying to watch the monitor for penetration and aspiration all while trying to help the mother keep the baby’s attention. Then the radiologist says “deep penetration” and two seconds later “silent aspiration”. The nurse wrote this information down on a sheet which specifies exactly when, where, and what consistency was