[Dysphagia] bite reflex

[wwasmith at comcast.net (wwasmith@comcast.net)]

Naomi,
To add to Irene's comments, I would use an extremely firm plastic spoon or perhaps even better a plastic coated metal spoon (avoid metal as it can damage the teeth when chomped on, although a too thin plastic can be bitten in half).  Place a bit of firm downward pressure on the tongue with the back of the spoon to "announce" the presence of the bolus, this may encourage a more normal mouth closure pattern.
    Also, consult your OT and PT team members about positioning.  Good proximal trunk, neck, and limb  position at mealtime may help to mitigate the bite reflex to some extent.  Good luck,
Wendy 





-------------- Original message -------------- 

> Hi all, 
> Recently evaluated MR pt with recent CVA. Now has strong bite reflex (apparently 
> new) that is interfering significantly with PO intake as well as oral care. Some 
> oral stage swallow impairment but would certainly be able to manage some oral 
> intake safely if we could bypass immediate bite. Any suggestions? 
> Thanks in advance, 
> Naomi 
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