Financial: Cindy Nehe and Pamela Masters-Farrell receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Non-Financial: Cindy Nehe and Pamela Masters-Farrell has no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Pamela Masters-Farrell, MSN, RN, CRRN
Pam Farrell has worked, educated, and participated in research in nursing, particularly rehabilitation nursing, since 1975. She has been responsible for management and staff development for rehabilitation facilities from 1985 to the present and is currently designing and publishing multimedia computer-based training programs for rehabilitation professionals and working as a Clinical Educator for Rehab ClassWorks,…Read full bio
Cindy Nehe, MS, CCC-SLP
Cindy Nehe has been a Speech Therapist since 2002. She has worked in a variety of settings including education, skilled nursing, outpatient, home health, acute inpatient rehabilitation, and acute care. Cindy is currently in management for an acute care hospital that specializes in cardiac and trauma care. Evaluating and treating patients with dysphagia is a…Read full bio
1. Anatomy of the Mouth and Throat
Nurses provide data and feedback to other team members. Accuracy of this data is dependent on the ability to use anatomically correct terms during documentation and communication. This chapter reviews the anatomy of the mouth and throat, emphasizing the structures that help to protect the airway.
2. Physiology of Swallowing
In order to understand aspiration risk and the strategies used to reduce this risk, the nurse must understand the physiology of swallowing. Stages of swallowing, the movement of food and liquid boluses, and protective actions of the larynx are explored.
3. Common Swallowing Problems
Swallowing problems can occur at any point in the eating and swallowing process. Awareness of the different types of problems that may occur helps the rehabilitation nurse to be alert for signs of swallowing problems. Problems that occur before, during, or after swallowing are addressed in this chapter. The nurse must recognize risk and know when and why a patient should not have anything by mouth until further assessment is completed. This chapter identifies the cardinal signs of high risk and reviews actions that should be taken when they are noted.