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Dysphagia Ax (2) - Coggle Diagram

- - - - Labial ability, awareness to take food from spoon, poor labial seal, anterior loss spillage
      - Mastication: adeq, efficient or laboured and slow-open mouth after they have chewed bolus-check-if residue-means tongue is not reaching the sides to scrape residue/ cannot form cohesive bolus
      - Duration, extent of lingual, oral manipulation
      - Bolus formation: Unable to achieve good cohesion. Ask them to show you before they swallow, check if there is residue pocketing on sides
      - Sensory awareness of bolus in oral cavity: pocketing, any oral residue, have a look, as them if they have swallowed it
      - Duration of oral stage-how long from mouth until swallow
      - Issues propelling bolus: repeated lingual attempts to start swallow, problems moving food, fluid from oral cavity
    - - Any impacts to strength, immediacy of swallow reflex-delays b/w sip, laryngeal excursion (swallow) on palpation. Was it complete, incomplete, fast/slow?
      - No. of swallow attempts per bolus-possible sign of inefficient bolus clearance
      - Struggling behaviours-trying to push food down
      - Wet phonation-poor pharyngeal clearance-residue in pharynx, possible penetration
      - Coughs, clears throat post swallow-possible pooled residue
    - - Volitional cough: do they have one, how strong is it? If weak volitional, it means they dont have good laryngeal protection mechanism. BUT they might still have good reflexive cough
      - Reflexive cough
      - Vocal quality: clear or wet
      - Respiratory capacity: impact for cough strength, SOB: impact on swallow wrt swallow-respiratory timing