Question 5: In the case history it states that Thomas does not cough when he drinks and from the clinical swallow exam and the cranial nerve examination it has identified that Thomas demonstrates a pro-longed oral phase. There was no evidence that Thomas has any pharyngeal difficulties once he initiates the swallow. Therefore, it is appropriate to start oral food trials with Thomas as there is no potential risk of aspiration at this stage. Cichero and Murdoch (2006) have identified conditions that
Dorothea Orem’s Self-Care deficit theory Dorothea Orem, who was born in the year 1914, was a nursing theorist who had a vast experience in the nursing field. Self-care deficit nursing theory is a grand nursing theory which was set forth by Dorothea Orem in the year 1959 as part of her study to identify under circumstances which required nursing care (Orem, 2001). Orem published her first book in the year 1971 named Nursing : Concepts in practice and continued to release improved editions till 2001
6. Bill of Rights: This topic is taken from module 6.1 of BMN03 of the Ethical Issues in Nursing Practice. It is all about human rights and dignity, that is the patient’s bill of rights, the eight key areas in the bill of rights, the major goals, and uses of the bill of rights, freedoms to be given to the patient, then the evidence-based report on the relationship between ethics and rights. 6.1 Personal context: Personally the patient’s bill of rights includes the laydown guideline that ensures
ROLE OF SPEECH LANGUAGE PATHOLOGIST IN ASSESSMENT AND MANAGEMENT OF DYSPHAGIA AND COMMUNICATION FOLLOWING SPINAL CORD INJURY Ankita Bhutada*, Abhishek Srivastava* Introduction: It is well established to have Dysphagia following neurological conditions such as Stroke, Neurodegenerative disorders Head and Neck Cancers. Dysphagia in these conditions is attributed to the involvement of Central Nervous System (CNS) or any aberrations at structural and physiological level. Moreover, it is well understood
cancer(42). There are other scoring system used especially in patients with head and neck cancer like - The Swallowing Questionnaire Quality of Life Questionnaire (SWAL-QOL and SWAL-CARE) and The MD Anderson Dysphagia Inventory (MDADI). Several screening tests were designed to identify patients with dysphagia following stroke who needed to be referred to speech therapists for detailed assessment. Some of the tests which were
was given medication, food, or fluids he was assessed for ineffective swallow by the nurse. If the screening shows swallow impairment the patient must be referred to SALT within 24hours (NICE,2008). The screen used in this hospital was the “Stroke dysphagia screen” (Lepine,2009 cited in Barnard,2011). This involves giving an alert patient (absent of facial droop and with a gag reflux) a sip of water, if they can swallow without coughing/choking they are allowed more and observed for coughing/choking
His CT scan showed a soft tissue mass on his right tonsil extending posteriorly to the oropharyngeal wall, involving to the right base of the tongue, blocking 75% of his airway. Two months before diagnosis, he was complaining of a sore throat, dysphagia, otalgia and frequent coughing with whitish sputum and blood clots. His curative treatment plan consisted of 30 treatments of radiation therapy, with weekly chemotherapy. Cancer has affected many people in his family, where his brother died of pancreatic
treated at Aristide LeDantec Hospital Radiation Therapy Department. The dysphagia was assessed through a self-questionnaire (DHI) and a functional swallowing test (COLP - G -FR). Each patient was seen twice: before treatment (T0) and three months after radiotherapy (T). Results: Patients maximum ages were 18 and 69 years old. Persons aged over 60 (39.4%) were predominant. Men made up the/have accounted for the majority
such as diabetes mellitus and obesity and occurs mostly in the fifth and sixth decade of life and in males (3). The osteophytes are usually seen in the thoracic, lumbar and cervical vertebrae (97%, 90%, 78%) (4). Most of patients are asymptomatic, dysphagia is the most common symptom due to compression of esophageus by anterior osteophytes at the level of C4-5. Cervical subaxial pain, stiffness and decreasing range of motion of the cervical spine are the other complains (5). This, reports a case of
words, but the exact definition helped me get a better picture of the meaning in my head. And yes, I do associate words with pictures and feelings in my head. Dysphagia: “Difficulty in swallowing”. I was scrolling through the dictionary trying to find a word I didn’t know and I came across dysphasia. It’s very ironic because I have dysphagia due to acid reflux. It’s something I have been able to control in the last year after a change in
feed herself due to many health conditions. Although, I completed my clinical experience last semester at a long-term nursing facility, I hadn’t had the experience to feed a patient with dysphagia. While feeding this patient, it gave me the opportunity to remember special precautions when feeding patients with dysphagia. Such as making sure they are placed in the most up-right position and not giving them liquids with a straw, which can cause them to
Reflexes: within normal limits Sensation: Within normal limits Weakness of the bilateral arm increased after exercise Symptoms: Intermittent facial muscular weakness, diplopia in late evening, dysphagia, and bilateral weakness increased after strenuous activity On behalf of the available information most probably condition could be a Nero, muscular disorder, Myasthenia Gravis .Condition could be confirmed by diagnostic test such as Tension Test
Describe the multiple causes of traumatic brain injury. Traumatic brain injury is caused by a trauma/impact to the head that usually takes places in car accidents, while playing sports or performing an activity, from falling or during an assault. TBI in babies are usually associated with abuse, while toddlers usually suffer TBI from falling. School aged children sustain injuries most frequently from bicycle accidents, while older peers injuries are related to sports or car accidents. Car accidents
The use of neurotoxin “periodic botulinum toxin” injections is considered to be the gold standard treatment for adductor spasmodic dysphonia. Botulinum toxin is produced by the bacterium clostridium botulinum and attains a “reversible neuromuscular blockade at presynaptic terminals, therefore, preventing the release of acetylcholine in response to action potentials” (Holden, Vokes, Taylor, Till & Crumley, 2007). Botox is directly put into the affected muscles of the larynx; therefore, injection of
Aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly. The estimated incidence is 0.5-2%. They are often asymptomatic, but approximately 10% of people may complain of dysphagia lusoria4 or other compressive symptoms. In ARSA of the Innominate artery, the right subclavian artery arises as its own branch from the aortic arch distal to the origin of the left subclavian artery. Its relationship to the esophagus is variable with 80% posterior to esophagus, 15% between the esophagus
needed are: • Paula’s medical history • Is she experiencing any loss of appetite? • Did she lose weigh from a certain period of time? Is it involuntary losing of weight or is it because of diet? • Is she experiencing any difficulty in swallowing (dysphagia)? • Does she have any aversions or intolerance in eating specific food? If yes, What are those? • Do you experience any episodes of nausea and vomiting? • Is there any change in her bowel movements? • Is she experiencing any pain? Ask about o Is
With her parents and other close family members, there is no indication that Katie is suffering from any abnormalities. At home she is a fundamentally normal and outgoing fourth grader, who loves to read and play outside with her siblings. But things take a turn for the worst when Katie has to go to school or visit other public places where there may be strangers. Katie has been diagnosed with a disorder called selective mutism, which is a speech phobia of sorts – it can take on a wide variety of
some facts and treaIf you’re having difficulty digesting food, an increase loss of appetite that’s noticeable can be symptoms of stomach cancer. As the cancer progresses in a patient they may also experience hematochezia, frequent emesis, jaundice, dysphagia, anorexia, dyspepsia, and irritable bowel syndrome. It is best for a patient to see a doctor right away if experiencing
According to World Health Organization, 15 million babies are born premature each year. As the leading cause of death among children under the age of five years old, it is important that these babies and families receive all the important information and top-notch healthcare as possible. Hospitals are lacking the medical professionals with specialists in neonatology. With the accessibility of practical and cost-effective healthcare, 3 out of 4 premature babies can be saved. Luckily, medical professionals
emotional issues, various learning disabilities and physical impairments, such as a cleft palate Keep long-term records on clients in case problems arise in the future Some common reasons a speech therapist is needed would be stroke, head injury, dysphagia, apraxia, expressive disorder and articulation disorders.