Thick-It is a powdered thickener added to fluids to make them the consistency of honey, nectar, or pudding depending how much is added.
Sometimes after a person has a stroke, or if they have any condition that affects their gag reflex, liquids will not be swallowed properly, but instead will accidentally go down the windpipe (trachea) instead of the food pipe (esophagus). This can lead to a build up of fluid in the lung and lead to pneumonia, advance to a serious infection, and even result in death.
Thickening all liquids (even water) will make it easier for the nervous system to sense what is in the back of the throat (fluids are not as easy to sense), close the epiglottis (the flap that covers the trachea when swallowing) and send the liquids down the safe, intended route to the stomach.
The swallowing process is not done consciously, so if the swallowing function is not working properly , a person may present to the hospital with frequent episodes of pneumonia without knowing the cause. In order to diagnose the condition a speech therapist will do a swallow assessment with the patient, and if any signs of aspiration (food or fluids going down the trachea) are suspected, the next step would be a modified barium swallow (x-ray test) to see exactly what is going on in the throat during swallowing.
A shot a hole on holes 1-18 on the stroke index or handicap holes, and then a further shot on 1-5 on the stroke index or handicap holes.
The babinsky reflex.
You get a shot on the holes as determined by the stroke index or handicap as set on the score card. So if your handicap is 9, you get one shot on each of the holes ranked 1-9 on the stroke index or handicap index. Using your handicap, you get a shot on the hardest holes 1 being the hardest and 18 being the easiest.
They give up strokes on the easiest holes, that is, the hole ranked the highest i.e 18, then 17, then 16 on the handicap or stroke index.
Babinski reflex
That is what the handicap system is for. On the holes ranked 1-9 on the stroke index (UK) or handicap holes (In US) you get one shot from him. That is if on one of those holes if you make a 4 and he makes a 3, you have a net score of 3 and tie. So essentially on the holes where you get one stroke you compare their gross score to your net score.
Typically, you take 50% of the combined handicaps of both players. Then you apply the handicap to the course handicap holes.....So if the players have a total 14 handistrokes they would get a stroke in Handicap holes 1-14....
A cerebral Vascular Accident (stroke)
Post-stroke rehabilitation varies depending on the part of the brain damaged during a stroke. Patients first receive therapy in the first 24 to 48 hours after their stroke, as soon as they are stabilized. Patients are helped and encouraged to move, dress, bathe, and toilet on their own. Patients can continue to receive recreational, occupational, vocational, and physical therapies. They may need to relearn how to speak with speech therapists.
ketamine
On the stroke holes 1-10, you will be given two extra shots. On the stroke holes 11-18, you will be given one extra shot. This adds up to 28 extra shots, which is your handicap. Please note that stroke hole 1 does not mean the first hole. Stroke hole 1 means the hardest hole on the course, and it should say on your scorecard what the stroke for each hole is. If you want your net score, take your gross score and subtract 28.
William Straus Field has written: 'Stroke rehabilitation' -- subject(s): Stroke patients