- 18 yr old 1080p no gag reflex deepthroat choking full#
- 18 yr old 1080p no gag reflex deepthroat choking series#
- 18 yr old 1080p no gag reflex deepthroat choking free#
18 yr old 1080p no gag reflex deepthroat choking full#
Truth: Patients often eat as part of therapy for exercise or to practice strategies, but that doesn’t mean they’re safe to have a full meal or eat unsupervised. It’s important to test bolus size on instrumental assessments to know what size is best.ġ4) Myth: If a person is eating or drinking during speech therapy sessions, they’re good to have a full meal, sips of water, or their favorite snacks.
Truth: For people with reduced sensation, a bigger bite may give more sensory information and can be swallowed more safely.
18 yr old 1080p no gag reflex deepthroat choking series#
Use of a chin-tuck strategy should always be tested with an instrumental assessment to see what impact it has on the swallow.īe sure you know why certain strategies work and for whom! Check out this 3-part series on compensatory strategies from Mobile Dysphagia Diagnostics.ġ3) Myth: Smaller bites are always safer than big ones. Tucking the chin to the chest closes off the airway for many patients, but for others, it can make things worse and actually cause aspiration. Truth: The “chin tuck” is a popular compensatory strategy for swallowing impairments. If the patient has difficulty with mixed textures, soups should be blended or simply broth, and cereal should absorb the milk or be drained.ġ2) Myth: Tucking your chin down makes swallowing safer. Mixed textures are harder to control in the mouth. Truth: Dysphagia diets often restrict “mixed textures.” These are foods that combine two or more textures together, like non-blended soups, cereal with milk, and even juicy fruit like grapes or oranges. Some ice-creams melt to be nectar thick because they contain fillers, so test and see.ĩ) Myth: If a person can have thin liquids and soft solids, they’re good to have Minestrone soup.
If a person is not safe with thin fluids, they are likely not safe with these items either. Truth: Actually, both of these food melt into thin liquids in the mouth before being swallowed. Ask and observe.Ĩ) Myth: Ice cream and Jell-O are soft solids. Don’t assume what a person can eat based on their dentition. Truth: Some people have strong gums and can actually bite into a raw apple. That’s why good oral care is essential.ħ) Myth: People without teeth can’t eat a regular-texture diet. The idea is that even if a small amount of pure water is taken into the lungs, the body will clear it without infection.
18 yr old 1080p no gag reflex deepthroat choking free#
The Frazier Free Water Protocol is a procedure of offering water for some dysphagia patients to keep hydration up – especially those who are otherwise medically stable and physically active. Truth: Water is sometimes recommended as the only thin liquid a person can have if good oral care can be ensured. Don’t assume that a “dysphagia diet” is pureed food with honey-thick fluids.Ħ) Myth: If a person is on thickened liquids, they can never have water. SLPs do a detailed assessment that looks at the underlying impairments, and food/drink recommendations are made separately, based on those findings. It’s possible to be safest on thin liquids and pureed solids (if the oral phase is weakest), or on regular solids with thickened fluids. Truth: Food and liquid recommendations are not dependent on one another. Was the person coughing or choking? If he was choking, you should probably give the Heimlich maneuver instead of writing it down.ĥ) Myth: Thickened liquids must be recommended along with modified solids. Please be specific when documenting trouble at mealtimes. Technically, choking is about not being able to breathe because something is obstructing the airway, but the term “choking” is often confused with “coughing”. It takes air to cough, so if you’re coughing, you’re breathing. Truth: Related to the one above, coughing is protective. But as above, you need to actually see what’s happening to know for sure. It can also be from another medical condition and completely unrelated to eating. A cough can be a sign of aspiration, but it can also be the way a person protects themselves from aspiration. A strong cough is a good sign you’re actually not getting food caught in your lungs. Truth: A cough is a protective reflex meant to expel things from the airway. Nobody has x-ray vision.Ģ) Myth: If you cough, you’re aspirating. The only way to tell if someone is taking food or liquid into their lungs is to see it on an instrumental swallowing assessment (MBS/VFSS or FEES). Truth: It’s called silent aspiration for a reason. 1) Myth: If you don’t cough, you aren’t aspirating.
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