Answers.
Dysphagia Health Risks correct answers -Undernutrition (food intake decreases & weight loss)
-Malnutrition
-Dehydration (increase risk of skin integrity & delayed healing)
-Aspiration (and aspiration pneumonia)
-Weight loss
-Impaired skin integrity
Dysphagia Etiology correct answers -Neurogenic (neurologic)
-Mechanical
-Psychogenic
Neurogenic Causes of Dysphagia correct answers -Caused by damage to nervous system, which
interferes w/process of chewing and/or swallowing.
-Most common cause of dysphagia
-Examples include CVA, CP, Tumor, Cranial nerve damage, head trauma, degenerative diseases
(PD, ALS, Dementia, MS)
Mechanical Causes of Dysphagia correct answers -Anatomical causes
-Inability to chew and/or swallow because of damage to structures which prevents mechanical
food processing
-Things don't move well
- physical damage/trauma
-Chemical damage - radiation exposure, destruction or scarring
-Cancer - fistula in trachea or esophagus, allergy
, Psychogenic Causes of Dysphagia correct answers -Caused by mental disorders
-These causes exist when there is a swallowing problem that has no underlying physiologic
reason for the issue
-Anorexia secondary to other diseases such as psychosis, neurosis or anxiety
CVA Swallowing Disorders correct answers -Reduced triggering of the pharyngeal swallow
(increased stage transition duration)
-Reduced lingual control
-Reduced laryngeal adduction
-Reduced pharygneal peristalsis
-Reduced UES opening
RHD Swallowing Disorders correct answers -Greater frequency of penetration and aspiration
-Pharyngeal swallow delay
LHD Swallowing Disorders correct answers -Increased oral transit
-Lack of oral motor coordination
-Oral and verbal apraxia
Goals of Treatment correct answers 1. Get the safest swallow
2. The most comfortable swallow
3. Maintain appropriate nutrition/hydration
Interdisciplinary Management correct answers Treatment involves SLP, OT, PT, Nursing & MD
-Each member uses specialized skills to accomplish goals
-Team determines if patient has potential for safe & comfortable oral intake of food and liquids
-If potential for oral intake is poor; the team will develop plan for safest system
-Consider safety, nutrition & quality of life