Teaching code

4S000171

Teacher

Nicoletta Bonisoli

Credits

2

Language

Italian

Scientific Disciplinary Sector (SSD)

MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY

Period

1 SEMESTRE PROFESSIONI SANITARIE dal Oct 1, 2021 al Dec 23, 2021.

Lessons timetable Moodle Seminars 0

To show the organization of the course that includes this module, follow this link:  Course organization

Learning outcomes

knowledge:
To provide knowledge of the identification and the management of dysphagic patient.
Anatomical and functional aspects of the various phases of swallowing, diversifying them between the adult and geriatric patient.
Recognize the pathologies in which the eating disorder and swallowing disorder can be found and what this affections could produce on the patient in adulthood and old age.
Learn to think about complex clinical features both from the diagnostic and rehabilitation point of view .
Plan a specific targeted rehabilitation plan for the individual patient.
The rehabilitation techniques most frequently used in the field of neurological dysphagia, dysphagia neurodegenerative and oncology.
Physiology of swallowing;
Pathophysiology of dysphagia
Primary Presbifagia;
Dysphagia
Classification of Dysphagia in adults and secondary presbifagia age.

skill:
Guidelines on patient management dysphagic adult (interdisciplinary taking charge)
to Identify patients at risk dysphagia:
to Administer screening in patients at risk of swallowing and dysphagia in patients tracheostomy.
to Administer self-assessment questionnaires of swallowing function.
to Conducts the interview and counseling to deglutological value
Make no instrumental clinical evaluation of swallowing in adults and age involution.
Observe and monitor the meal.
Report the evaluation and rehabilitation process of the dysphagic patient, the goals and rationale of speech therapy in relation to swallowing deficits and pathology.
to lead the Counseling with the caregiver
Perform individualized treatment

Program

Phenomenology of adult ,and senile swallow. gerontology.
The elderly swallowing.
Neurological and neurodegenerative dysphagia;
Dysphagia in eating disorders (dementias cortical and subcortical).
Dysphagia in severe brain injury (LCF); The patient dysphagic tracheostomysed (swallow, phonation)
features of the assessment and treatement with dysphagic oncologyc patient.
Model of care of dysphagia: screening procedures (rational); evaluation of swallowing function,
logopedic observation at the meal-time.
phoniatric and logopedic assessment: the instrumental evaluation outline (FEES, GFR)
The management and treatment of the patient dysphagic hospitalized (acute, subacute, chronic).
methodological approach:
- Screening Procedures
- Clinical - Functional assessment (Bedside Examination)
- Evaluation of the dynamic morphological structures involved in swallowing patient unresponsive, minimally
responsive, responsive to the patient, the patient with tracheal cannula.
- Evaluation Conclusions
- The choice of diet consistencies and aids: the role of the speech therapist
- Administration of drugs
- Therapeutic objective: physiological swallowing, functional swallowing
- Individualized speech therapy treatment: goal, restorative procedures, compensatory procedures
- Visit the control phoniatric
- Discharge (counseling the patient and the caregiver for protected discharge)
Criteria that guide the choice of food; correlation between diet and specific deficits precautions
informational counseling, training the patient dysphagic and caregive reference.
The patient dysphagic: from nasogastric nutrition to oral nutrition.

Bibliography

Examination Methods

oral exemination