Dysphagia: Adult Case Study with
complete questions and correct
answers
What are some case history questions you could ask an adult client with dysphagia? - Correct Answer:
Describe your swallowing difficulties.
Where is the trouble occurring (throat, chest, etc)?
Does the problem occur with certain foods or liquids?
When did this problem start?
Is it worse at certain times of the day?
Have you recently lost weight?
Does your swallowing difficulty get worse throughout a meal?
Medical History - pay attention to past strokes or surgeries, history of dysphagia or GERD, or right lower
lobe pneumonia (aspiration pneumonia)
What are some formal assessments you could use to assess adult patients with dysphagia? - Correct
Answer: MBSS or FEES
- most will use MBSS after results from informal bedside swallow evaluation indicate aspiration may be
occurring. SLP will administer trials of thin, nectar, pudding, and solid (honey also if necessary). Results
can be viewed from screen in AP or lateral view. AP view used sometimes to see if food is transmitted
equally down the right and left side (if mass is present, food would not travel equally).
complete questions and correct
answers
What are some case history questions you could ask an adult client with dysphagia? - Correct Answer:
Describe your swallowing difficulties.
Where is the trouble occurring (throat, chest, etc)?
Does the problem occur with certain foods or liquids?
When did this problem start?
Is it worse at certain times of the day?
Have you recently lost weight?
Does your swallowing difficulty get worse throughout a meal?
Medical History - pay attention to past strokes or surgeries, history of dysphagia or GERD, or right lower
lobe pneumonia (aspiration pneumonia)
What are some formal assessments you could use to assess adult patients with dysphagia? - Correct
Answer: MBSS or FEES
- most will use MBSS after results from informal bedside swallow evaluation indicate aspiration may be
occurring. SLP will administer trials of thin, nectar, pudding, and solid (honey also if necessary). Results
can be viewed from screen in AP or lateral view. AP view used sometimes to see if food is transmitted
equally down the right and left side (if mass is present, food would not travel equally).
