Specific information regarding the Communication Sciences and Disorders' Acute Care Speech Language Pathology practicum led by Carley Evans MS CCC SLP. Carley is a medical speech pathologist at the Evelyn Trammell Institute for Voice and Swallowing of the Medical University of South Carolina in Charleston. If you are new to this practicum, start with the oldest post listed in Archive.

Friday, October 26, 2007

Bedside Swallowing Evaluation Components

Lip closure : oral receipt and containment; ability to suck (intraoral pressure)
Tongue movement: receipt of bolus, preparation of bolus, control and transport of bolus, clearance
Pharyngeal swallow response: Occurs? Appears timely, delayed
Laryngeal rise: Occurs? Appears brisk or sluggish?
Number of swallows per bolus: One or several? May indicate pharyngeal clearance
Voice quality: immediately prior to bolus presentation and after swallow; also monitor for later changes
Cough/throat clear: present or absent

Length of meal: Timely or prolonged?
Patient complaints: What? When?