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Wednesday, May 27, 2020

“The best practice for swallowing is swallowing” – Dysphagia in Children and Adults

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Swallowing Evaluation and Rehabilitation

Check my other post:
Dysphagia - Feeding & Swallowing Disorders in Infants & Children
Dysphagia and Swallowing Therapy and Treatment, Diet and Liquid Consistency

 
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I refreshed my knowledge about Dysphagia by viewing ASHA webinars:
“Elements of a Comprehensive Clinical Dysphagia Evaluation presented” by Joseph Murray, PhD, CCC-SLP
“Impact of Impaired Antomy and Physiology on Treatment of Dysphagia in Adults” presented by Nancy B. Swigeret, MA CCC-SLP, BCS-S
“Dysphagia Intervention: Planning and Implementation” presented by Nancy B. Swigeret, MA CCC-SLP, BCS-S
“Theoretical Basis of Exercise and Treatment of Dysphagia” Nancy B. Swigeret, MA CCC-SLP, BCS-S
 
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What is normal swallowing?
Normal swallowing consists of a set of physiologic behaviors which result in food, liquid or other substances moving from the mouth to the pharynx and esophagus while protecting and closing the airway to the stomach. Swallowing is an important part of eating and drinking.
What is swallowing dysfunction?
When the process fails and the bolus is aspirated, this is called swallowing dysfunction or dysphagia. Dysphagic patients may have difficulty with any one or more of the anatomic or physiologic components of the oral, pharyngeal or esophageal stages of the swallow.

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What is a role of swallowing evaluation?
Evaluation of the patient with dysphagia should identify the anatomic or physiologic abnormalities characterizing the patient's swallow and include introduction and assessment of the efficacy of treatment strategies.

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What is the primary goal in the management of swallowing disorders?
The primary goal in the management of swallowing disorders is to ensure safe swallowing. For determination of the appropriate rehabilitative approaches, clinicians should consider the assessment of all symptoms and problems causing dysphagia.


What are tree types of management?
The management of swallowing disorders:
  • medical management
  • surgical approaches
  • rehabilitative approaches.

What are the types of treatment?
Treatment may involve:

  • compensatory management, such as postural changes or enhancing sensory input
  • rehabilitative management, such as active muscle exercise with or without the introduction of food.

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