Thus, a score of 8 indicates the most severe condition: aspiration of material without a reflexive or conscious attempt to expel it, which is referred to clinically as silent aspiration
Absence of a cough response to stimulation with silent aspiration
is atussia; both conditions represent breakdown within airway defense mechanisms (Bolser, Gestreau, Morris, Davenport, & Pitts, 2013).
Silent aspirators could cause study results to appear more favorable because approximately 30%-40% of patients with stroke present with silent aspiration
, which is not identifiable on bedside screening (Courtney & Flier, 2009).
There also might have been children with silent aspiration
that was not recognized.
may be suspected in individuals with a history of frequent respiratory problems, even without other signs of a cold (like nasal congestion or runny nose).
In particular, oral-motor therapists look for and work on oral defensiveness, texture sensitivity, jaw weakness, swallowing dysfunction, silent aspiration
, weak suck, and bottle dependence.
may then occur and the only sign of oropharyngeal dysphagia is then bronchopneumonia.
Two stroke subjects (S1 and S3) each had an average P-A Scale score of 8, indicating silent aspiration
This high proportion of silent aspiration
is much greater than the 20% reported by Kidd et al.
refers to residents who appear to be eating well without coughing or choking, but who are actually aspirating oral secretions, foods and/or liquids.
The NBSS also includes an inclusive analysis of signs and symptoms of overt and silent aspiration
, whereas other nursing swallow screens have not adequately acknowledged these additional parameters.
11-13) More important, a laryngopharyngeal sensory deficit without clinical evidence of dysphagia-that is, a silent sensory deficit--may be hazardous because it is likely to escape detection and to predispose the patient to silent aspiration