How to Answer Hernandez Year Patient Questions (Complete Guide)

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Original Question

Mrs. Hernandez is a 50-year-old patient who was admitted to the hospital in which you work. The patient has been diagnosed with a new left hemisphere CVA and has been referred to you for a modified barium swallow study. The patient is currently receiving a non-oral means of nutrition (NG tube) and is taking nothing by mouth. You do a modified barium swallow study. Results of the study indicated: Anterior spillage of thin liquids from right oral cavity. Residue on lingual surface of the tongue after the swallow. Spillage of thin and mildly-thick liquids to the level of the pyriform sinuses prior to swallow onset. Aspiration of thin liquids before the swallow. Residue with moderately-thick liquids and pureed solids on the right side of the pharynx (in the valleculae, in the hypopharynx superior to the pyriform sinuses and pyriform sinuses) Aspiration of pureed solids after the swallow Explain the physiology that likely resulted in each of the above symptoms. During the MBSS, what are two compensatory strategies you might try to improve swallowing and why? What are two rehab strategies that you could introduce in the plan of treatment and why?

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