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This study delves into the implications of reduced sensation on swallowing safety, exploring its impact on both pediatric and adult populations. The intricate phases of swallowing, the risks posed by decreased sensation, and potential causes in various age groups are examined. Presented insight sheds light on associated risks such as choking, aspiration, and malnutrition that compromise patient well-being and nutritional intake.
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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 • Completion of a normal swallow involves receiving constant and always changing information from contact receptors for touch, pressure, taste and smell.
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 • 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 • People are living longer. • Aging is the primary cause of decreased sensation. • Other causes: CVA, TBI
What Can Happen? • Choking • Aspiration • Dehydration • Malnutrition • Pneumonia • Reduced quality of life