How do you address the challenges and limitations of geriatric patients with swallowing difficulties?

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Sample interview questions: How do you address the challenges and limitations of geriatric patients with swallowing difficulties?

Sample answer:

Addressing Challenges and Limitations of Geriatric Patients with Swallowing Difficulties

Assessment:

  • Comprehensive assessment to identify underlying causes, severity, and functional limitations.
  • Orofacial examination, tongue evaluation, and cognitive assessment.
  • Instrumental assessments (e.g., videofluoroscopy) as needed.

Intervention:

  • Therapeutic Exercises:
    • Strengthening exercises for orofacial muscles to improve swallowing function.
    • Sensitivity training to enhance tongue and palate sensation.
  • Neuromuscular Electrical Stimulation (NMES):
    • Stimulate weak muscles involved in swallowing to improve strength and coordination.
  • Postural Adjustments:
    • Optimal head and neck positioning to facilitate airway protection and swallowing.
  • Dietary Modifications:
    • Pureed or thickened liquids and soft foods to reduce the risk of choking or aspiration.
  • Swallowing Maneuvers:
    • Teach patients specific techniques to enhance swallowing efficiency (e.g., chin tuck, Mendelsohn maneuver).

Collaboration:

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