Beruflich Dokumente
Kultur Dokumente
oral cavity
advantages oral/pharyngeal residue
Allied health professionals observations
MDT complex swallowing posterior pharynɡeal wall
(Cook + Kahrilas 1999)
disorder team
SLT
larynɡeal vestibule
dietician
FEES anatomy
swallow
chest physiotherapy
Timing
GERIATOLOGIST
RADIOLOGIST
nurses
safe larynx
establish nutrition/hydration
trachea
Appropriate
primary management goal (acute)
objectivity and consistency
minimise aspiration risk gold standard
Advantages
Aspiration observable
take account of patient wishes video fluoroscopy
patient preferences
approaches, assessments and not portable
cognitive status Cook and Kahrilas 1999
Holistic Considerations... interventions for swallowing disorders assessments Disadvantages
Radiation exposure
nature
swallowing disorder medical status
training/expertise
severity Time and cost
Quality of Life Equipment
Ax oral/laryngeal function
QOL impact
diet modifications
Presentation of a variety of consistencies
need trained carer
choking
aspiration indicators
ease ant-post. propulsion Changing colour
body postures
oral residue Respiration rate
Co-ordination
1 consistency only
awareness interventions
Improve oral/pharyngeal movement blue dye added to food/liquid presented
in bedside swallowing Ax blue dye in secretions
timing aspiration indicator
time/swallow
thermochemical stimulation low-cost
Advantages
sip capacity
direct swallow rehab Quick
impulsivity management?
Hamdy et al 2003
No equipment needed
Shaker Exercise
healthy adults (Shaker et al 1997)
"work"
oral feeding effortful?
QOL impact