SOLUTIONS.
Early identification and nurse's importance correct answers They are the first ones to come in
contact with these patients
Important to identify dysphagia patients
---To maintain nutritional requirements
---To protect airway
---To prevent complications
Nurses and CNAs are the first to recognize potential signs and symptoms (s/s) of dysphagia
Most important contact for the SLP is the nursing staff
nurse's importance for intervention correct answers Implement strategies
Mediate communication: are the ones who will be talking to families more than we are → have
to be able to keep the family in the loop
indicators for dysphagia correct answers -Patients with acute medical conditions
-Due to altered mental status
-UTIs usually affect the older population more → all of a sudden not know what day it is which
could affect the swallow and cause dysphagia
-Due to general deconditioning
-Due to muscular weakness
-Due to poor oral care
-Due to decreased respiratory support
-Breathing not strong enough? Pulmonary risk factors
-Can they not coordinate breathing and the swallow?
-aspiration pneumonia
, aspiration pneumonia and its risk factors correct answers something penetrating the lungs and
staying there long enough to cause pneumonia
Risk factors
-Decreased level of consciousness
-Supine positioning—laying on back
-NG tube → affects the way the VP port closes
-Intubation/ventilator support
-Vomiting—reverse aspiration when the contents are refluxed back up
-High risk injury—TBI, CVA
-DM—diabetes → neuropathy
-Poor oral health
Intubation vs. ventilator correct answers Intubation: tube down the throat to keep an open airway
Ventilation: use of positive pressure to keep the lungs open → breathing is controlled by a
machine
typical radiograph of aspiration pneumonia looks like... correct answers Develops first in the
right lower lobe, then the right upper lobe
This is due to the positioning or angle of the trachea and bronchus
Less frequently in the left lower lobe (only 2 lobes on the left)
Rarely in all 3 lobes of the right lobe
single event aspiration correct answers happened once and probably won't happen again:
Altered level of consciousness
Coma