Exam 3 Dysphagia || Acknowledged Answers 100%.
Can dysphagia treatment be done? correct answers Yes
Compensatory Strategies
Utilized to compensate for difficulty performing some task
Rehabilitative Techniques
Designed to change physiology
During the evaluation what happens? correct answers Patient information:
-History:
medical and swallow-related
-Physical status
-Cognition
-Communication
-Dental Hygiene
-Cause of dysphagia
(Mechanical v. Neuro)
-Family/caregiver level of support
-Patient motivation, compliance
-Activity level
-Living/Treatment Setting
-Other factors: SLP, Nursing, insurance
-Patient/family expectations
,What are the results of the swallow evaluation? correct answers Swallow-specific findings
(Anatomic/Physiological)
Oral phase?
Pharyngeal phase?
Esophageal phase?
Treatment stimulability
Compensatory strategies
Factors limiting treatment success
(prognostic indicators)
After the evaluation how do we decide the patient doesn't need treatment? correct answers No
swallow impairment
"Wait and see" cases
Spontaneous recovery
No problem now -
but will likely develop later
Tx in the hands of another specialist:
(Pharmacological/Surgical tx)
Follow-up
Advocating
There is swallow impairment, but patient/caregiver doesn't want tx
, After the evaluation how do we decide the patient does need treatment? correct answers There is
a swallow impairment
You expect there will be a swallow impairment.
Patient/caregiver is interested in therapy.
PO vs. non-oral nutrition
What are some questions you will ask yourself when deciding on compensatory,
rehabilitative/restorative, or combined modality? correct answers Do you think this person's
physiology is amenable to change?
Person has physical and cognitive machinery to support rehab?
Does person need immediate change via compensation?
Concerns about fatigue, compliance, safety?
Do you have a super motivated patient?
Are you trying to prevent an inevitable process?
Do you think this patient would be a good rehab candidate with a little "help"?
Can we make evidence-based decisions?
When are compensatory strategies picked by a clinician? correct answers Utilized to compensate
for difficulty performing a task
Like a Crutch
Can dysphagia treatment be done? correct answers Yes
Compensatory Strategies
Utilized to compensate for difficulty performing some task
Rehabilitative Techniques
Designed to change physiology
During the evaluation what happens? correct answers Patient information:
-History:
medical and swallow-related
-Physical status
-Cognition
-Communication
-Dental Hygiene
-Cause of dysphagia
(Mechanical v. Neuro)
-Family/caregiver level of support
-Patient motivation, compliance
-Activity level
-Living/Treatment Setting
-Other factors: SLP, Nursing, insurance
-Patient/family expectations
,What are the results of the swallow evaluation? correct answers Swallow-specific findings
(Anatomic/Physiological)
Oral phase?
Pharyngeal phase?
Esophageal phase?
Treatment stimulability
Compensatory strategies
Factors limiting treatment success
(prognostic indicators)
After the evaluation how do we decide the patient doesn't need treatment? correct answers No
swallow impairment
"Wait and see" cases
Spontaneous recovery
No problem now -
but will likely develop later
Tx in the hands of another specialist:
(Pharmacological/Surgical tx)
Follow-up
Advocating
There is swallow impairment, but patient/caregiver doesn't want tx
, After the evaluation how do we decide the patient does need treatment? correct answers There is
a swallow impairment
You expect there will be a swallow impairment.
Patient/caregiver is interested in therapy.
PO vs. non-oral nutrition
What are some questions you will ask yourself when deciding on compensatory,
rehabilitative/restorative, or combined modality? correct answers Do you think this person's
physiology is amenable to change?
Person has physical and cognitive machinery to support rehab?
Does person need immediate change via compensation?
Concerns about fatigue, compliance, safety?
Do you have a super motivated patient?
Are you trying to prevent an inevitable process?
Do you think this patient would be a good rehab candidate with a little "help"?
Can we make evidence-based decisions?
When are compensatory strategies picked by a clinician? correct answers Utilized to compensate
for difficulty performing a task
Like a Crutch
