Prosthetic Management
Embedded Files
Impairment
Impairment
Pediatric Dysphagia
Goal
Goal
The ultimate goal of prosthetic management is to help the patient to achieve the best possible outcome with the device.
Reduce nasal regurgitation during feeding.
Patient will consume means of nutrition by mouth.
EBP
EBP
"With the advances in surgical procedures and improvement in the timing of surgery, the outcomes of surgical intervention are usually superior to those that can be obtained with prosthetic management." (Kummer, 2014)
Implementation
Implementation
A multidisciplinary approach
When the patient is waiting surgery or when surgical correction is not an option or not sufficient (McKinstry, 1998)
[e.g., history of cleft, large soft palate perforations or palatal fistulas, velopharyngeal Insufficiency or incompetence after several unsuccessful surgical repairs] (Kummer, 2014; Hoffman, 1985).
*Note: Oral care Is critical a part of prosthetic management
Materials
Materials
To provide compensation or physical support for children with congenital abnormalities (e.g., cleft palate) or damage to the oropharyngeal mechanism
Feeding Obturator
NASAL or PALATAL prosthesis
Used In the first few months of life
Palatal Lift Prosthesis
Data Collection
Data Collection
Overview:
Observation of client performance, parent report of mealtimes throughout the week, expected outcomes that were and were not achieved, and difficulties encountered during the task.
S: Subjective Information- Observation of client
O: Objective Information- Data collection
A: Assessment- Analysis of S & O
P: Plan- Treatment Plan, Counseling, Referral, Monitoring & Follow-Up
Page updated
Report abuse