Swallow studies and various kinds of fluoroscopic procedures are used to evaluate patients level of deglutition and digestion. Swallow studies are most commonly used to evaluate if there is any dysphagia present in a patient. Not only are the oral anatomical structures evaluated, but respiratory structures are evaluated as well.
The most important part of the digestive process is the mouth, it is what begins and aids in the digestion process by breaking food down into smaller pieces. Also, salivary glands are present to help break down food as well. The salivary glands are located within and around the tongue which is vital in mastication and speech. The esophagus is a tube that opens for food to pass into the stomach and is solely used in
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Approximately 8% of the world’s population is affected by dysphagia. Some of the factors that can cause dysphagia are obstruction, inflammation, paralysis, altered motor function, and functional conditions. While the most common cause of dysphagia is a stroke. A stroke can be caused by a blood clot and this in turn shuts off blood supply and oxygen to the brain resulting in potential brain cell death. GERD or gastro esophageal reflux disease is also a common chronic disease that results in dysphagia. This is where the digestive system refluxes stomach acids into the esophagus causing irritation. Over time this can result in the esophagus narrowing and many times you will see patient’s food get …show more content…
Patients should be evaluated using intermittent or pulsed fluoroscopy and last image hold should be taken advantage of. A fluoroscopic timer should be used and should alarm if the procedure has reached five minutes. While the patient dose should be monitored during fluoroscopy, as a tech you should be taking proper precautions to protect yourself. Things to help reduce exposure could be wearing a lead apron of at least .5-mm lead equivalent and wearing protective lead eyeglasses of .35-mm lead
The clinician administered the Bedside Swallow Evaluation. The purpose of this evaluation is to determine if further testing is warranted due to performance of swallowing function. The patient will consume a variety of textures and consistencies. The patient is first presented with water from a spoon and asked to swallow it as the clinician places a gloved hand on the patient’s throat, as for the clinician to feel the typical anterior-superior movement of the larynx. After the patient finishes swallowing the clinician asks the patient to produce a prolonged phonation to observe voice quality. The patient is then instructed to take a single sip form a cup with thin liquid (clinician checks larynx movement present and vocal quality), take three
In this article, you are informed about a disease that is occurring more often in our society. It is commonly referred to as “heartburn” but is more appropriately named acid reflux disease or gastroesophageal reflux disease (GERD). Most people suffer from this disease, but think nothing of it. Perhaps they have felt it after a big meal, lying down after eating, during pregnancy, or even when bending over. Most people feel that GERD occurs after eating spicy foods, when in fact the major cause of GERD is fatty foods and the quantity of foods eaten.
Garcia, Jane M., Edgar Chambers, Megan Clark, Jennifer Helverson, and Ziad Matta. "Quality of Care Issues for Dysphagia: Modifications Involving Oral Fluids." Journal of Clinical Nursing 19 (2010): 1618-624. Blackwell Publishing.*
Mouth- Digestion begins in the mouth. Physical actions, such as chewing, breaks food into small parts so it can be easily digested. Next, salivary glands secrete an enzyme called saliva to mix with food to start the breaking down of carbohydrates (WebMD (2).) From the mouth, food travels to the pharynx, or throat, by swallowing,
FS can illustrate bowel pathologies with regards to polyps, ulcers and inflammation. There is a camera attached to the scope with which images are acquired. In addition to this, interventions, such as drug administration, poly removal and biopsy acquisition, may all be conducted through the sigmoidoscope where applicable.
Participants performed the swallows in normal head position and in some cases in chin-tuck position. The
To meet the goals and outcomes for this patient first determine the severity of dysphagia. “If a person has mild dysphagia, simply provide a suitable and advice about eating slowly and sitting upright while eating may enable the person to remain well nourished [sic] and problem free” (Nozarka, 2010, para.
For the human body to function, proper nutrition is necessary. The gastrointestinal system has the significant role to help in eating, absorption of essential nutrients and removal of waste products. It is divided into two major parts; the alimentary canal that includes the oral cavity, pharynx, esophagus, stomach, small intestine, large intestine and the anus. The accessory organs, facilitate digestion of the nutrients include; the salivary glands, bile ducts, liver, pancreas, gallbladder (Story, 2015). The gallbladder that is part of the hepatobiliary system is responsible for storing bile coming from the liver (Strory, 2015).
The Digestive disorder I choose was Gastroesophageal Reflux Disease (GERD). Gastroesophageal Reflux Disease (GERD) is caused when your stomach acid backs up into the tube connecting to your mouth and stomach which is called the esophagus. This acid reflex causes irritation in the lining of the esophagus often causing irritation. When a person has this disease, they normally have burning pain in the middle of their chest with some symptoms normally occur at night. Such as chronic coughs, worsening asthma and disrupted sleep. While other symptoms can include chest pain, difficulty swallowing, and sensation of a lump in your throat. Which can happen twice a week. Some risk factors can include Obesity, pregnancy, and bulging of the top of the stomach up into the diaphragm also known as the hiatal hernia. There are also factors that can aggravate acid reflux such as smoking, or eating large meals late at night. Eating
When an SLP examines a four-year old child with tongue thrust, he or she should examine the tongue. During speech and/or swallowing, the tongue will move forward in an exaggerated way. At rest, the tongue may also lie forward too far and may protrude between the teeth during speech or swallowing and at rest. Teeth are another structure that should be kept in mind. The position of the tongue in a child with tongue thrust can cause labioversion of the incisors (teeth tilt towards lips). Anterior open bite is another characteristic of tongue thrust. Enlarged tonsils and adenoids are a third possible sign of tongue thrust. These can cause blocked airways, which results in an open-mouth breathing pattern.
Early identification and nursing interventions of dysphagia are important to prevent complications associated with dysphagia including risks of malnutrition, dehydration, aspiration, and pneumonia (Lewis et al., 2015).
Did you know that your body starts digesting food before it even touches your lips? The digestive system starts with your mouth. When food enters your mouth your teeth break-up food, your tongue pushes you food down, your salivary glands create saliva and starch digestion, you tastebuds let you enjoy the taste of your food and last but not least, the muscles help you and your jaw bone chew. Next, we go down to the esophagus and the epiglottis. The esophagus is a long tube that pushes the food you eat down to your stomach. The epiglottis is a flap at the root of your tongue that covers the windpipe before you eat or swallow. Next, we go to the stomach, sphincter and, the pylorus. The stomach is a main part of the digestive system and also called
The purpose of this assessment to to observe the different signs and symptoms of the disorder considering the different factors such as fatigue during meal, posture, and conditions within the environment. There are many ways of assessing dysphagia on an individual using a non-instrumental. The most common ones are: an oral mechanism examination which includes the cranial nerve assessment, structural assessment of face, jaw, lips, tongue, oral pharynx, hard and soft palate,; functional assessment of of muscles structures used in swallowing including symmetry, sensation; identification of signs and symptoms of penetration and/or aspiration such as throat clearing or coughing before/during and after the swallow; and observing a patient eating or being fed food items with different consistencies; and assessing the alteration in bolus delivery (ASHA). One of the reason why a non-instrumental may be used to assess dysphagia is due to lack of equipment required in an institution (Yoko 7).. In the study done by Yoko (7), the participants who were suspected of having dysphagia was given a cough test were they inhaled a mist of citric acid-physiologic saline orally for 1 minute with an ultrasonic
The functions of the mouth, with the help of the teeth, work together to digest food. Teeth mechanically breakup food, in order for enzymes and acids to work it’s way through it. The mouth hosts the mechanical breakdown of foods. The salivary glands in the mouth, release an enzyme, called Amylase, which is used to breakdown carbohydrates. The teeth are usually 32 small hard organs, which are designed with the hardest material in your body, enamel, that grind and cut food into small pieces for swallowing.
The digestive system is a very important system in the human body. It is a group of organs that work together to turn food into energy and nutrients in the entire body. The food that was chewed in a humans’ mouth now passes through a long tube that is inside of the body that is known as the alimentary canal. The alimentary canal is made of the oral cavity, pharynx, esophagus, stomach, small intestines, and large intestines. Those few things are not the only important accessories of the digestive system there is also the teeth, tongue, salivary glands, liver, gallbladder, and pancreas.