Research and explore the effects of public and private managed

A 50-year-old patient was admitted to the hospital in which you work. The patient has been diagnosed with a new left hemisphere CVA and is referred to you for a modified barium swallow study. Nursing conducted the Yale Swallow Protocol, which he failed, and he is now taking nothing by mouth. You do a modified barium swallow study. Results of the study indicated: . Spillage of thin and mildly-thick liquids to the level of the pyriform sinuses prior to swallow onset . Residue with moderately-thick liquids and pureed solids on the right side of the pharynx (in the valleculae, pyriform sinuses, in the hypopharynx superior to the pyriform sinuses) . Aspiration of thin liquids before the swallow . Aspiration of pureed solids after the swallow Explain the physiology that likely resulted in each of the above symptoms. What compensatory strategies or rehabilitative approaches would you introduce in the plan of treatment to address each? Consider postures, maneuvers, bolus modification, strength, and skill when formulating your response.

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