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Reduced Sensation and its Effects on Safe Swallowing. Nicole Martin Wayne State University 2012. Swallowing. Begins in utero . Involves a tightly coupled interdependence among ongoing sensory and motor events. Three phases: the oral phase, pharyngeal phase and esophageal phase

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Reduced Sensation and its Effects on Safe Swallowing

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Reduced sensation and its effects on safe swallowing

Reduced Sensation and its Effects on Safe Swallowing

Nicole Martin

Wayne State University

2012


Swallowing

Swallowing

  • Begins in utero.

  • Involves a tightly coupled interdependence among ongoing sensory and motor events.

  • Three phases: the oral phase, pharyngeal phase and esophageal phase

  • Completion of a normal swallow involves receiving constant and always changing information from contact receptors for touch, pressure, taste and smell.


Reduced sensation

Reduced Sensation

  • Puts the patient at risk.

  • Can affect pediatric and adult populations.

  • Several possible causes.

  • Patient’s safety and nutrition are both at risk.


Children

Children

  • Independent by three years old.

  • Possible causes of reduced sensation: prematurity, cardiac/respiratory conditions leading to need for ventilator, neurological, genetic and anatomic or structural etiologies, cerebral palsy, cleft palate, Down Syndrome and Autism Spectrum Disorder.


Adults

Adults

  • People are living longer.

  • Aging is the primary cause of decreased sensation.

  • Other causes: CVA, TBI


What can happen

What Can Happen?

  • Choking

  • Aspiration

  • Dehydration

  • Malnutrition

  • Pneumonia

  • Reduced quality of life


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