List your major recommendations for dietary substitutions and/or ...

[JGIBBSON]

List your major recommendations for dietary substitutions and/or other changes that would help Mrs. Moore reach her medical nutrition therapy goals, to be consistent with the DASH diet and sodium intake guidelines.
 
  What will be an ideal response?

Question 2

Describe a modified barium swallow or fiberoptic endoscopic evaluation of swallowing.
 
  What will be an ideal response?

[chinwesucks]

Answer to Question 1

Current Food Choices Substitution
Donut Bagel with fat-free cream cheese or English muffin
Butter Low-fat or fat-free margarine spread
Salad dressing Low-fat or fat-free salad dressing
Chicken Smaller portion  3-4 ounces
Added salt Mrs. Dash
2 beers 1 light beer
Soup Fruit Salad

Answer to Question 2

 These are the preferred diagnostic tools for dysphagia.
 Modified barium swallow:
- Fluoroscopy allows observations of the oral cavity, pharynx, and esophagus during a swallow.
- Barium is added to foods and liquids in order to observe the bolus.
 Fiberoptic endoscopic evaluation of swallowing:
- small, fiberoptic endoscope (inserted through the nose) used to observe the oral pharynx and larynx while the patient swallows different consistency foods and liquids
 Results are used to identify:
Absence/presence of dysphagia
Percentage (estimated amount) of aspiration
Bolus transit time
Motility problems
Pooling of food
Efficiency of swallow
Etiology of dysphagia
Efficacy of various compensatory or therapeutic strategies
 It also offers opportunity to assess and test the safety of different types, textures, and amounts of food.

[JGIBBSON]

Excellent

[ghepp]

TYSM