{"id":118928,"date":"2023-09-07T15:20:58","date_gmt":"2023-09-07T15:20:58","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118928"},"modified":"2023-09-07T15:21:00","modified_gmt":"2023-09-07T15:21:00","slug":"assessment-of-swallowing-2023-questions-and-answers-complete","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/07\/assessment-of-swallowing-2023-questions-and-answers-complete\/","title":{"rendered":"Assessment of Swallowing 2023 Questions and Answers Complete"},"content":{"rendered":"\n<p>screening, clinical evaluation, and instrumental evaluation &#8211; What are the 3 ways one<br>can assess swallowing?<br>screening &#8211; given broadly to groups of people to determine if any of them have the<br>condition in question (pass\/fail)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>easy to administer, inexpensive, accuracy; high sensitivity, low specificity<br>high sensitivity = few false negative results; should help rule out the disorder<br>low specificity = identify more patients than have the disorder &#8211; Explain what high<br>sensitivity and low specificity means with screening.<br>no, (e.g., nurse may do this) &#8211; Is it only SLP&#8217;s who can do a swallow screening?<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Risk of pneumonia is 11 times higher for patients with severe dysphagia and<br>aspiration<\/li>\n\n\n\n<li>Hospitals using mandatory and formal dysphagia screening have lower pneumonia<br>rates than those without a screening<\/li>\n\n\n\n<li>Health incentive and financial incentive to screen high risk patients &#8211; Why do we do<br>swallow screenings? (3)<br>To determine:<\/li>\n\n\n\n<li>The likelihood that dysphagia is present<\/li>\n\n\n\n<li>The need for formal swallow evaluation<\/li>\n\n\n\n<li>Whether it is safe to feed the patient orally (for the purposes of nutrition, hydration,<br>and administration of medication)<\/li>\n\n\n\n<li>Whether the patient requires referral for nutritional or hydrational support &#8211; What are<br>the goals of a swallow screening? (4)<\/li>\n\n\n\n<li>A known history of dysphagia<\/li>\n\n\n\n<li>A medical diagnosis that frequently involves swallowing impairment (e.g., stroke)<\/li>\n\n\n\n<li>Reduced level of consciousness<\/li>\n\n\n\n<li>Overt signs of difficulty swallowing or aspiration<\/li>\n\n\n\n<li>Complaints of difficulty swallowing &#8211; Screening procedures are usually used to<br>determine whether any of the following represent a risk of dysphagia and\/or a reason to<br>maintain an NPO status for the patient: \u2026? (5)<\/li>\n\n\n\n<li>Interview or questionnaire<\/li>\n\n\n\n<li>Observation of the signs and symptoms of oropharyngeal dysphagia<\/li>\n\n\n\n<li>Formulation of appropriate recommendations, including the need for a full swallow<br>function assessment<br><\/li>\n\n\n\n<li>Communication of results and recommendations to the team responsible for the<br>individual&#8217;s care &#8211; What compromises a screening? (4)<br>Speech-language pathologists<br>Nurses<br>Physicians<br>Others<br>Screening requires little examiner expertise or interpretation &#8211; Who should screen?<\/li>\n\n\n\n<li>The Toronto Bedside Swallowing Screening Test (TOR-BSST)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Health care professionals<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Gugging Swallowing Screen<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>SLPs<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Massey Bedside Swallowing Screening<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nurse administered<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Modified Mann Assessment of Swallowing Ability (MASA)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Physician administered (Neurologist) &#8211; What are the different types of screening<br>tools? Who are they typically used with?<\/li>\n\n\n\n<li>Widely used clinical screening to determine the risk of aspiration<\/li>\n\n\n\n<li>Patients are given 3 ounces of water and asked to drink the entire amount<\/li>\n\n\n\n<li>Not appropriate for every patient &#8211; Describe the 3 Ounce Water Swallow Test.<br>inability to consume the entire 3 ounces or coughing or throat clearing within 1 minute of<br>test administration &#8211; How does one fail the 3 ounce water swallow test?<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Orientation and command following<br>What is your name?<br>Where are you right now?<br>What year is it?<\/li>\n\n\n\n<li>Command following<br>Done in conjunction with oral\u2010mechanism exam<br>Open your mouth<br>Stick out your tongue<br>Smile<\/li>\n\n\n\n<li>3\u2010ounce water swallow test (part of the Yale Swallow Protocol) &#8211; Describe the Yale<br>Swallow Protocol and it&#8217;s 3 parts.<br>screening = pass\/fail (e.g., 3 ounce water test)<br>clinical = more in depth assessment (e.g., beside swallow eval.)<br>instrumental = using an instrument (e.g., FEES) &#8211; What is the difference between<br>screening, clinical, and instrumental?<br>Clinical evaluation &#8211; the initial form of testing performed by physicians and establishes<br>the patient-clinician relationship; same for the SLP<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>screening, clinical evaluation, and instrumental evaluation &#8211; What are the 3 ways onecan assess swallowing?screening &#8211; given broadly to groups of people to determine if any of them have thecondition in question (pass\/fail)<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118928","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118928","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118928"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118928\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}