{"id":4569,"date":"2024-04-30T19:54:22","date_gmt":"2024-04-30T19:54:22","guid":{"rendered":"https:\/\/blog.ki.se\/studentbloggen\/?p=4569"},"modified":"2024-04-30T20:09:17","modified_gmt":"2024-04-30T20:09:17","slug":"vad-gor-jag-pa-min-vil-praktik","status":"publish","type":"post","link":"https:\/\/blog.ki.se\/studentbloggen\/2024\/04\/30\/vad-gor-jag-pa-min-vil-praktik\/","title":{"rendered":"Vad g\u00f6r jag p\u00e5 min VIL (praktik)?"},"content":{"rendered":"\n<p>Hej hopp! Om ni har l\u00e4st mitt tidigare inl\u00e4gg s\u00e5 vet ni att jag just nu \u00e4r ute p\u00e5 min vuxen praktik just nu. Denna g\u00e5ng handlar praktiken om sv\u00e4ljningssv\u00e5righeter (dysfagi) samt f\u00f6rv\u00e4rvade kommunikationsst\u00f6rningar hos vuxna. Jag har nu snart genomf\u00f6rt 3 av 6 veckor vilket betyder att vi n\u00e4stan \u00e4r halvv\u00e4ggs vilket k\u00e4nns helt sjukt. Det g\u00e5r s\u00e5 fruktansv\u00e4rt fort. Det g\u00f6r ju tiden n\u00e4r man har roligt, klyschigt nog. Idag t\u00e4nkte jag prata lite mer kring min nuvarande VIL-placering. Hur g\u00e5r det? Vad tycker jag fortfarande \u00e4r lite l\u00e4skigt? Hur g\u00e5r en sv\u00e4ljningsunders\u00f6kning till?&nbsp;H\u00e4ng med. <\/p>\n\n\n\n<p><strong>Hur g\u00e5r en sv\u00e4ljningsunders\u00f6kning till? <\/strong><\/p>\n\n\n\n<p>F\u00f6rst och fr\u00e4mst kanske jag lite snabbt ska f\u00f6rklara vad det \u00e4r en g\u00f6r vid en sv\u00e4ljningsunders\u00f6kning. Det finns tv\u00e5 olika unders\u00f6kningsmetoder som kan genomf\u00f6ras p\u00e5 mottagningen. En s\u00e5 kallad FUS, eller en klinisk sv\u00e4ljbed\u00f6mning. Innan b\u00e5da delarna genomf\u00f6rs sker ett anamnestiskt samtal (intervju) med patienten om upplevda besv\u00e4r och en hel del annat. En kollar ocks\u00e5 p\u00e5 patientens oralmotoriska funktion. Det vill s\u00e4ga att en kollar i munh\u00e5la\/svalg, bettstatus, kranialnervernas styrka, k\u00e4nsel, r\u00f6relseomf\u00e5ng som styr delar utav ansiktet, gomfunktion osv osv. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>FUS = Fiberendoskopisk Unders\u00f6kning av Sv\u00e4ljningen. <\/strong>Med detta instrument g\u00e5r man genom n\u00e4san p\u00e5 patienten n\u00e4r till struphuvudet. Man kan d\u00e5 via en kamera som sitter l\u00e4ngst ut p\u00e5 fiberendoskopet hur det ser ut i svalget. Under unders\u00f6kningen f\u00e5r patienten \u00e4ta lite olika konsistenser. Det vi anv\u00e4nt mest \u00e4r bubbelvatten, mj\u00f6lk, nyponsoppa, kr\u00e4m, potatismos, kex samt en k\u00f6ttbulle\/falafel. Det man f\u00e5r ut \u00e4r allts\u00e5 hur det ser ut n\u00e4r patienten bearbetar maten\/klunken, hur l\u00e5ngt ner i svalget maten\/klunken hamnar innan sv\u00e4ljning initieras, om det finns rester kvar i svalget efter en sv\u00e4ljning, om n\u00e5gon mat\/dryck n\u00e5r st\u00e4mbanden\/ luftv\u00e4garna exempelvis. En kan ocks\u00e5 se hur patienten hanterar sitt saliv. En FUS \u00e4r dock n\u00e5got man beh\u00f6ver g\u00e5 en extra kurs f\u00f6r att f\u00e5 genomf\u00f6ra sj\u00e4lv s\u00e5 det g\u00f6r ju inte vi studenter, men vi f\u00e5r assistera vid matning av de olika konsistenserna. <\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/blog.ki.se\/studentbloggen\/wp-content\/uploads\/sites\/143\/2024\/04\/Skarmavbild-2024-04-30-kl.-22.04.15-2.png\" alt=\"\" class=\"wp-image-4583\" width=\"550\" height=\"300\" \/><figcaption class=\"wp-element-caption\">Bild p\u00e5 tv\u00e5 modeller av struphuvudet!<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Klinisk sv\u00e4ljbed\u00f6mning. <\/strong>Detta g\u00f6rs n\u00e4r en FUS exempelvis ej g\u00e5r att genomf\u00f6ra pga. olika anledningar. H\u00e4r f\u00e5r patienten ocks\u00e5 \u00e4ta de ovanst\u00e5ende olika konsistenserna men utan en kamera ner i n\u00e4san. En sitter allts\u00e5 och kollar hur patienten tuggar, sv\u00e4ljer osv utan att se vad som sker inuti svalget. Detta kan g\u00f6ras med eller utan en cervikal auskultation (CA). Med en CA lyssnar en med ett stetoskop (som placeras p\u00e5 sedan utav halsen p\u00e5 patienten) p\u00e5 andning f\u00f6re och efter sv\u00e4ljning, samt lyssnar p\u00e5 sv\u00e4ljningsljuden. N\u00e5got som inte \u00e4r helt l\u00e4tt. <\/li>\n<\/ul>\n\n\n\n<p>Ut\u00f6ver detta, oavsett vilken typ av bed\u00f6mningsmetod en anv\u00e4nder sig av f\u00f6ljer ju d\u00e4refter r\u00e5dgivning\/ information kring sv\u00e4ljningsfysiologin\/ behandlingsplan osv.<\/p>\n\n\n\n<p><strong>Hur tycker jag att det g\u00e5r? <\/strong><\/p>\n\n\n\n<p>N\u00e4sta vecka har jag mittsamtal med en av mina handledare. Detta inneb\u00e4r att vi tillsammans g\u00e5r igenom mina styrkor och saker jag kanske beh\u00f6ver t\u00e4nka lite extra p\u00e5 fram\u00f6ver i min kontakt med patienter. S\u00e5 t\u00e4nker att detta \u00e4r en perfekt reflektion tills dess. S\u00e5 hur g\u00e5r det? Kort och gott g\u00e5r det bra. Jag har fr\u00e4mst haft patientbes\u00f6k kring sv\u00e4ljningssv\u00e5righeter hittills. S\u00e5 mer tal- och spr\u00e5k f\u00e5r vi kanske prata om i framtiden. Men det g\u00e5r som sagt faktiskt bra. K\u00e4nner mig lite chockad sj\u00e4lv faktiskt. Jag trodde nog inte att jag skulle tycka att detta omr\u00e5de var s\u00e5 intressant som jag tycker att det \u00e4r. Jag har b\u00f6rjat ta allt fler delar av bes\u00f6ken sj\u00e4lv (sj\u00e4lvklart finns min handledare med i rummet och kan hoppa in om s\u00e5 beh\u00f6vs). Superkul. Jag k\u00e4nner att jag utvecklas. Att jag kan mer och mer koppla ihop teorin med det praktiska. Vilket \u00e4r m\u00e5let med allt. <\/p>\n\n\n\n<p><strong>Vad \u00e4r sv\u00e5rt\/ l\u00e4skigt? <\/strong><\/p>\n\n\n\n<p>Jag tycker ju som sagt att det rullar p\u00e5 fint. Men sj\u00e4lvklart \u00e4r det fortfarande saker som \u00e4r jobbiga och l\u00e4skiga. En k\u00e4nner sig ju inte helt helt bekv\u00e4m med allt som g\u00f6rs redan nu. En har ju inte gjort det s\u00e5 m\u00e5nga g\u00e5nger s\u00e5 s\u00e5klart \u00e4r det alltid nervigt innan en tr\u00e4ffar patienten. Men det brukar sl\u00e4ppa ganska fort s\u00e5 fort patienten \u00e4r i rummet tycker jag. En kommer snabbt in i sin roll. MEN, jag vet ju aldrig vem det \u00e4r jag kommer att m\u00f6ta. S\u00e5 det l\u00e4skigaste och sv\u00e5raste skulle jag nog s\u00e4ga \u00e4r att allt inte g\u00e5r att f\u00f6rbereda sig f\u00f6r. Det g\u00e4ller ju s\u00e5klart att ha en utt\u00e4nkt plan att f\u00f6lja inf\u00f6r bes\u00f6ket med t\u00e4nka fr\u00e5gor, f\u00f6ljdfr\u00e5gor, ordning f\u00f6r vad som ska g\u00f6ras under bes\u00f6ket osv. Men det g\u00e5r aldrig att f\u00f6rbereda sig helt. Vilket samtidigt \u00e4r lite sk\u00f6nt ocks\u00e5. Det \u00e4r ett konstant dilemma det h\u00e4r som ni h\u00f6r. <\/p>\n\n\n\n<p>Ja, men det var min VIL-uppdatering h\u00f6rreni. Hoppas ni har l\u00e4rt er n\u00e5got nytt kring vad en logoped kan g\u00f6ra och hj\u00e4lpa till med. Har ni fr\u00e5gor eller funderingar \u00e4r det bara att dra iv\u00e4g ett mail eller kommentera nedan. Hur k\u00e4nner ni inf\u00f6r era VIL-placeringar? \u00c4r ni p\u00e5 VIL nu, hur g\u00e5r det? FRAMTIDA STUDENTER, hur g\u00e5r era tankar kring en framtida VIL? <\/p>\n\n\n\n<p>Allt gott!<\/p>\n\n\n\n<p>\/\/ Filippa, logopedstudent <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hej hopp! Om ni har l\u00e4st mitt tidigare inl\u00e4gg s\u00e5 vet ni att jag just nu \u00e4r ute p\u00e5 min vuxen praktik just nu. Denna g\u00e5ng handlar praktiken om sv\u00e4ljningssv\u00e5righeter [&hellip;]<\/p>\n","protected":false},"author":559,"featured_media":4547,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100,1],"tags":[],"class_list":["post-4569","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-logopedprogrammet","category-studentliv"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Vad g\u00f6r jag p\u00e5 min VIL (praktik)? - Studentbloggen<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/blog.ki.se\/studentbloggen\/2024\/04\/30\/vad-gor-jag-pa-min-vil-praktik\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vad g\u00f6r jag p\u00e5 min VIL (praktik)? - Studentbloggen\" \/>\n<meta property=\"og:description\" content=\"Hej hopp! Om ni har l\u00e4st mitt tidigare inl\u00e4gg s\u00e5 vet ni att jag just nu \u00e4r ute p\u00e5 min vuxen praktik just nu. 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Om ni har l\u00e4st mitt tidigare inl\u00e4gg s\u00e5 vet ni att jag just nu \u00e4r ute p\u00e5 min vuxen praktik just nu. 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