Dysphagia Flash Cards

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Title: Dysphagia
Description: Beth Rupenski
Number of Cards: 10
Save Count: 1
Author: erupenski
Created: 2012-01-29
Tags: capstone flashcards
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    • Question
    • Answer
    • Side 3
    • What is dysphagia?
    • The inability to execute a safe swallow in any of the phases of the swallow; oral preparatory, oral pharyngeal, and esophageal phase.
    • What are the causes of dysphagia?
    • Stroke, TBI, tumors, neurological diseases, surgical or radiation treatments, CP, genetic factors, side effects of prescription drugs.
    • What is the oral preparatory phase?
    • This phase starts by the food being placed in the mouth.
      1. Can the patient strip the utensil?
      2. IS there spillage from the mouth or drooling?
      3. how does the patient masticate the food, do they masticate the food in a normal rotary fashion?
      4. Transfer to the next phase...timely?
    • What is the oral phase?
    • 1. Beginning with the transfer of anterior to posterior movement of the bolus.
      2. Phase ends as the bolus passes the anterior faucial arches.
    • What is the Pharyngeal phase?
    • 1. VP closure as the food triggers/passed by the pillars.
      2. Relaxation and reflexife patterns of the cricopharyngeal,pharyngeal constrictors occur to move the bolus down toward the esophagus.
      3. laryngeal closure and elevation seals the airway.
    • Disorders of the oral preparatory phase
    • 1. Reduced range of ateral and vertical tongue movements results in mastication problems.
      2.Poor alignment of the mandible and maxilla lead to poor range of motion and inadequate mastication.
    • Disorders of the oral phase of the swallow
    • 1. Weak, poor, reduced range of tongue movement, lip closure.
      2. residue in the oral cavity
      3. premature swallow resulting in aspiration/penetration before the swallow is initiated.
    • Disorders of the pharyngeal phase
    • 1. Difficulty with propelling the bolus through the pharynx
      2. Delayed or absent swallow reflex
      3. food residue at the level of the vellaculae, pharyngeal walls, nasal penetration.
      4. Aspiration
    • What is the esophageal phase of the swallow?
    • 1. involuntary phase of the swallow
      2. begins as the food enters the esophagus and moves into the stomach
      3. REstoored breathing and depressed larynx and soft palate occur
    • Disorders of the esophageal phase
    • 1. Weak cricopharyngeal muscle
      2. difficulty passing the bolus through the cricopharyngus muscle
      3. backflow of food into the esophagus
      4.formation of diverticulum, or tumor obstruction.