NUTR 4040 Final: Clinical Nutrition Exam Review
29 Nov 2017
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Document Summary
Dysphagia: difficulty chewing and/or swallowing, resulting in anatomic, physiologic or neurological impairment. Neurological dysphagia: caused by lack or poor, innervation to muscles in chewing and/or swallowing (stroke pt. ) can also be induced by certain medications. Mechanical dysphagia: cause by structural damage to muscles in oral cavity. Swallowing: oral prep phase voluntary (bolus is moved around month, sensory respecters & taste simulation. ) Oral phase voluntary (about to swallow) pharyngeal phase involuntary (swallowing) esophageal phase (ues allows bolus to enter esophageal towards stomach) Severe: substantial aspiration occurs, or pt. fails to transfer test material. The tor-bsst screening tool to access which pt. need more intensive swallowing assessment. A bedside swallowing test involves trained professional examining month. Video fluoroscopic swallow study real-time video of a person swallowing a radio-opque substance. (gold standard) Goal is to provide enough energy to pt. Stringy, tough, mixed consistency, sticky, hard candies and gum.
