Dysphagia Evaluation

Aka: Dysphagia Evaluation, Swallowing Exam, Dysphagia after Cerebrovascular Accident, Swallowing Evaluation after Stroke

advertisement

II. Implications

  1. Dysphagia may occur in 55% of patients after CVA
  2. Silent aspiration occurs 40-70% of Dysphagia patients
  3. Risk of Aspiration Pneumonia and other complications

III. Predictors of Aspiration Risk after CVA

  1. Criteria
    1. Dysphonia
    2. Dysarthria
    3. Abnormal Gag Reflex
    4. Abnormal volitional cough (weak cough on command)
    5. Cough within 1 minute of water ingestion (5,10,20 cc)
    6. Voice changes after swallowing (5, 10, 20 cc)
  2. Interpretation
    1. One or less criteria: Mild or no Dysphagia
    2. Two or more criteria: Moderate to severe Dysphagia

IV. Management for moderate to severe Dysphagia

  1. See Dysphagia Diet

V. References

  1. Daniels (2000) Arch Phys Med Rehabil 81:1031 [PubMed]

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Dysphagia Evaluation." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies (from Trip Database) Open in New Window

Related Topics in Examination

advertisement

2018 Family Practice Notebook, LLC. Terms | Privacy (EHS) | About | Site Map | Blog

Footer Site Logo