Why does poor oral hygiene increase risk of aspiration pneumonia?

Bad oral bacteria increases risk of infection if aspirated

If someone has difficulty swallowing medication:

Contact speech pathologist and ask pharmacist for alternatives

What is the role of a speech pathologist in swallowing/mealtime management?

Assess swallow, recommend texture changes, give strategies for safe meals

What does silent aspiration mean?

Food/fluid enters lungs/airway without obvious signs

How can a person who is PEG fed aspirate?

Saliva, vomit, or reflux can enter the airway

Why should someone sit upright for 30 minutes after meals?

To avoid aspiration of residue or reflux

What should you do during meals when supervising someone requiring full supervision?

Watch the person for the entirety of their meal

Which of the following describes level 5 (Minced and moist) texture?

Soft and moist with lumps no bigger than 4mm

How do you prepare thickened fluid?

Accurately measure liquid then add appropriate number of pumps and stir

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Dysphagia

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Questions 20

Answers

1
How do you test level 4 (Pureed) foods
Fork drip and spoon tilt test
Fork drip test
Spoon tilt test
Fork drip or spoon tilt test
2
Why does poor oral hygiene increase risk of aspiration pneumonia?
Makes it hard to swallow
Makes your breath stinky
Causes aspiration
Bad oral bacteria increases risk of infection if aspirated
3
Which of the following can help reduce risk at mealtimes?
Sitting upright during meals
Allowing the person to talk while eating to make them feel more comfortable
Lying down after eating/drinking
Feeding the person quickly so that they finish their meal while it's hot
4
Which of the following would NOT warrant a speech pathologist referral?
Unexplained loss of appetite or weight loss
Overstuffing mouth or pocketing food
Recurrent or unexplained chest infections or temperatures
Spilling food when eating
5
If someone has difficulty swallowing medication:
Contact speech pathologist and ask pharmacist for alternatives
Crush medication and mix with yoghurt
Cut pills in half
Contact speech pathologist
6
Which of the following is a sign of swallowing difficulty?
All of the above
Frequent throat clearing during meals
Unexplained weight loss
Taking a long time to finish meals
7
What is the role of a speech pathologist in swallowing/mealtime management?
Creating meal plans and ensuring proper nutritional intake
Diagnosing dysphagia, prescribing medication, and modifying mealtime plan
Assess swallow, recommend texture changes, give strategies for safe meals
Provide tools and exercises to support client's self-feeding skills
8
What does silent aspiration mean?
Choking silently due to blocked airway
Silently having big ambitions and dreams
Food/fluid enters lungs/airway without obvious signs
Someone eats silently
9
How can a person who is PEG fed aspirate?
Food accidentally enters the airway
Saliva, vomit, or reflux can enter the airway
They cannot aspirate since they do not eat/drink
Choking on large bites of food
10
What is the maximum size of pieces in soft and bite-sized food:
1cm x 1cm
2cm x 2cm
0.5cm x 0.5cm
1.5cm x 1.5cm
11
Which of the following does NOT increase risk of aspiration pneumonia?
Reduced mobility
Advanced age
Poor oral hygiene
Regular exercise
12
What should you do if a resident is coughing excessively on drinks?
Call an ambulance, then contact speech pathologist.
Give them a straw to drink with, then contact speech pathologist.
Contact speech pathologist.
Add some thickener to see if it helps, then contact speech pathologist.
13
Why should someone sit upright for 30 minutes after meals?
So they don't fall asleep
To avoid aspiration of residue or reflux
So they don't feel sick
To aid digestion
14
Soup with small chunks and broth would be classified as:
minced and moist
Pureed
Soft and bite-sized
Regular
15
If a resident shows difficulty on their soft/bite sized meals, support workers should downgrade them to minced/moist.
False
True
16
What should you do during meals when supervising someone requiring full supervision?
Watch the person for the entirety of their meal
Get up to use the bathroom while the resident is eating
Chat to your colleague in the kitchen
Scroll social media on your phone
17
What is dysphagia?
A speech disorder
Difficulty swallowing
A chronic cough
A condition that makes eating enjoyable
18
Which of the following describes level 5 (Minced and moist) texture?
Smooth, no lumps, holds shape on spoon
Can be sucked through a straw but leaves some residue
Soft and moist with lumps no bigger than 4mm
Soft, cut into bite-sized pieces no larger than 1.5 cm
19
How do you prepare thickened fluid?
Pump the thickener into the client's mouth then add fluid
Accurately measure liquid then add appropriate number of pumps and stir
Put a bit of fluid in a cup and add thickener, then stir
Pump the thickener into a cup then add fluid
20
What is a sign that a person is choking?
weak, ineffective coughing
all of the above
Turning blue or pale
Going silent

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