1. What is Dysphagia? Presented by: Christin R. Dowd LISD Speech-Language Pathologist 03/02/04

2. Dysphagia and Feeding Strategies Anatomy Anatomy Facts to consider Facts to consider Signs and Symptoms Signs and Symptoms Strategies for feeding Strategies for feeding

3. Anatomy Lips Lips Teeth Teeth Tongue Tongue Palate/Velum Palate/Velum Epiglottis Epiglottis Trachea Trachea Esophagus Esophagus

5. Fact to consider 7 muscles just to initiate a swallow 7 muscles just to initiate a swallow Is there silent aspiration? Is there silent aspiration? Gravity Gravity Positioning Positioning Consistency Consistency Oral defensiveness Oral defensiveness

6. Signs and Symptoms of Aspiration Choking/turning blue Choking/turning blue Coughing during intake Coughing during intake Gurgly voice quality Gurgly voice quality Drooling Drooling Pocketing of food Pocketing of food Food Left over in oral cavity after a meal Food Left over in oral cavity after a meal Frequent bronchitis/pneumonia Frequent bronchitis/pneumonia Adam’s Apple Test Adam’s Apple Test

7. Feeding Strategies Lets make eating fun! Chin tuck Chin tuck Positioning Positioning Bolus size Bolus size Thickening Liquids Thickening Liquids Tongue thrust strategies Tongue thrust strategies