B.experienced a left hemispheric stroke producing a lesion in the frontal,temporal and parietal lobes.Her impairments include mixed aphasia,unilateral vocal fold paralysis,unilateral pharyngeal weakness and unilateral epiglottic dysfunction.The results of the instrumental examination revealed that Mrs.B.experiences significant residue in the vallecula and pyriform sinus after swallowing,placing her at risk for aspiration.
A)The speech-language pathologist decides to teach Mrs.B head rotation to the left side to narrow laryngeal entrance and to eliminate the damaged side of the pharynx from the pathway of the swallow. B)The speech-language pathologist decides to teach Mrs.B head rotation to the right side to narrow laryngeal entrance and to eliminate the damaged side of the pharynx from the pathway of the swallow C)The speech-language pathologist decides to teach Mrs.B.the Mendelsohn maneuver. D)The speech-language pathologist recommends NPO status for Mrs.B.