SPTH3002 Lecture Notes - Lecture 7: Physical Examination, Anomie Belle, Capsaicin
30 Jul 2018
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Choking: is food getting lodged in the throat and they can"t breathe. Aspirating: fluid entering into the lungs with the respiratory current - would lead to patient coughing as reflex. Determine the presence or absence of a feeding/swallowing difficulty. Collect information on the current medical diagnosis, patient"s medical history, history of the feeding/swallowing disorder, client or carer"s understanding and awareness of the feeding/swallowing disorder. Can"t find out the client"s history unless they tell us. Describe a client"s feeding/swallowing abilities, including severity and level of impairment. Determine the client"s nutritional and respiratory status, including ability to protect the airway. Want to know if client is at risk of choking, aspirating, etc. Best consistencies of food or liquid to consume. If have patient with profound dysphagia, and no oral intake available, would consider involving a dietitian with case load. Determine the need for further diagnostic studies - do they need a modified barium swallow,
