DYSPHAGIA
Logopedie & audiologie
2022 - 2023
,DYSPHAGIA
1. GENERAL FRAMEWORDK + INTRODUCTION
1.1. FRAMES OF REFERENCE: ICF
1
, Important to get the whole picture
o Observable an non-observable parts
Health - Stroke
condition
Body, - Vocal fods
functions and - Sucking, biting, chewing
structures - Manipulation of food in mouth
- Consciousness, attention
- Taste and smell function
Activity - Eating
- Drinking
- Meal preparing
Participation - Family at the dinner table
- Going to a restaurant, weddingcake
Environmental - Availability of aids, food, adjustments
factors
Personal - Patients preferences in food and drinks
factors - Cultural or religious food choices
1.2. evidence based practice
we are going to look at the patient desires with a m ore critical view on
1.3. GOALSETTING
smart goals: shared decision making
Scientific
/experimenta
l evidence
Clinical Patient
experience desires
2
, o Specific
o Measurable
o Achievable
o Realistic
Smarter: process together with your patient
o Shared
o Monitored
o Accessible
o Relevant
o Transparent
o Evolving
o Relationshipcentered
1.4. DEFINITION & classification
Pgahein: to ingest
Dys: disorder, difficulty
A symptom of underlying disease
1.4.1. DEFINITION: WHAT IS DYSPHAGIA
Disordered movement of the bolus from mouth to stomach due to abnormalities in the structures critical
to swallowing or in their movements
Impairment of emotional, cognitive, sensory, and/or motor acts involved with transferring a substance
from the mouth to stomach, resulting in failure to maintain hydratation and nutrition, and posing a risk of
choking and aspiration.
o A better definition because it says something about structures+ transport+ safety
1.4.2. CLASSIFICATION BY AGE
Peadiatric – adults – presbyphagia (wordt in andere OPO’s verder toegelicht)
Feeding disorder swallowing disorders in infants or children, not used with adults
1.4.3. LASSIFICATION BY STAGE
Different stages of swallowing
Classification by
stage/phase
Oropharyngeal Esophageal
dysphagia dysphagia
1.4.3.1 PREPARATORY PHASE
3
Logopedie & audiologie
2022 - 2023
,DYSPHAGIA
1. GENERAL FRAMEWORDK + INTRODUCTION
1.1. FRAMES OF REFERENCE: ICF
1
, Important to get the whole picture
o Observable an non-observable parts
Health - Stroke
condition
Body, - Vocal fods
functions and - Sucking, biting, chewing
structures - Manipulation of food in mouth
- Consciousness, attention
- Taste and smell function
Activity - Eating
- Drinking
- Meal preparing
Participation - Family at the dinner table
- Going to a restaurant, weddingcake
Environmental - Availability of aids, food, adjustments
factors
Personal - Patients preferences in food and drinks
factors - Cultural or religious food choices
1.2. evidence based practice
we are going to look at the patient desires with a m ore critical view on
1.3. GOALSETTING
smart goals: shared decision making
Scientific
/experimenta
l evidence
Clinical Patient
experience desires
2
, o Specific
o Measurable
o Achievable
o Realistic
Smarter: process together with your patient
o Shared
o Monitored
o Accessible
o Relevant
o Transparent
o Evolving
o Relationshipcentered
1.4. DEFINITION & classification
Pgahein: to ingest
Dys: disorder, difficulty
A symptom of underlying disease
1.4.1. DEFINITION: WHAT IS DYSPHAGIA
Disordered movement of the bolus from mouth to stomach due to abnormalities in the structures critical
to swallowing or in their movements
Impairment of emotional, cognitive, sensory, and/or motor acts involved with transferring a substance
from the mouth to stomach, resulting in failure to maintain hydratation and nutrition, and posing a risk of
choking and aspiration.
o A better definition because it says something about structures+ transport+ safety
1.4.2. CLASSIFICATION BY AGE
Peadiatric – adults – presbyphagia (wordt in andere OPO’s verder toegelicht)
Feeding disorder swallowing disorders in infants or children, not used with adults
1.4.3. LASSIFICATION BY STAGE
Different stages of swallowing
Classification by
stage/phase
Oropharyngeal Esophageal
dysphagia dysphagia
1.4.3.1 PREPARATORY PHASE
3
