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\usepackage{multicol}           % Allows multicols in tables
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\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{ts3414}
\pdfinfo{
  /Title (feeding-and-swallowing.pdf)
  /Creator (Cheatography)
  /Author (ts3414)
  /Subject (feeding and swallowing Cheat Sheet)
}

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% This two commands together give roughly
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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
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% Header and Footer
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\fancyhead{} % Set header to blank
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{feeding and swallowing Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{ts3414} via \textcolor{DarkBackground}{\uline{cheatography.com/195341/cs/40972/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}ts3414 \\
  \uline{cheatography.com/ts3414} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 21st October, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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\begin{tabulary}{5.8cm}{L}
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{definition}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{difficulty or discomfort in swallowing that persists over a prolonged period of time} \tn 
% Row Count 2 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{p{0.76 cm} x{2.812 cm} x{4.028 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{dysphagia diet simplified}}  \tn
% Row 0
\SetRowColor{LightBackground}
diet 1 & thin liquids & fruit juice, coffee tea \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
diet 2 & nectar thick liquids & cream soup, tomato juice \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
diet 3 & honey thick liquids & liquids that are thickened to a honey consistency \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
diet 4 & pudding thick liquids/foods & mashed bananas, cooked cereals, purees \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
diet 5 & mechanical soft food & meat loaf, baked beans, casseroles \tn 
% Row Count 11 (+ 2)
% Row 5
\SetRowColor{white}
diet 6 & chewy foods & pizza, cheese, bagels \tn 
% Row Count 13 (+ 2)
% Row 6
\SetRowColor{LightBackground}
diet 7 & foods that fall apart & bread, rice, muffins \tn 
% Row Count 15 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.92 cm} x{4.08 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{oral motor problems}}  \tn
% Row 0
\SetRowColor{LightBackground}
poor lip closure & Food and liquid escape through the lips, causing drooling and loss of food during chewing and swallowing. \tn 
% Row Count 6 (+ 6)
% Row 1
\SetRowColor{white}
poor lateralization of tongue movements & Poor formation of the bolus prior to swallowing, pocketing of food in the cheeks due to the inability of the tongue to clear food. \tn 
% Row Count 13 (+ 7)
% Row 2
\SetRowColor{LightBackground}
tongue thrust & Food is pushed out of the mouth instead of up and back toward the throat. \tn 
% Row Count 17 (+ 4)
% Row 3
\SetRowColor{white}
poor lateral movement of the jaw & Ineffective formation of the bolus, food particles may be too large to swallow. \tn 
% Row Count 21 (+ 4)
% Row 4
\SetRowColor{LightBackground}
misaligned or weak bite & Inability to take small pieces of food into the mouth \tn 
% Row Count 24 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.76 cm} x{4.24 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{ot tx}}  \tn
% Row 0
\SetRowColor{LightBackground}
poor postural control & Position the patient sitting upright with head and spine aligned in neutral, hips and knees at a 90 degree angle, and feet on the floor. -use head, lateral and pelvic supports if the patient is unable to maintain this position independently. -if the patient cannot get out of bed, position the patient in bed as close to the upright neutral position as possible. \tn 
% Row Count 18 (+ 18)
% Row 1
\SetRowColor{white}
poor upper extremity control & -facilitate hand to mouth movement patterns during neuromuscular treatment. -provide adaptive eating utensils and dishes to compensate for weakness, tremor, athetosis, or other upper extremity problems. \tn 
% Row Count 28 (+ 10)
% Row 2
\SetRowColor{LightBackground}
poor lip closure & Manual stimulation including: -light touch to the midline of the lips -firm maintained pressure around the lips. -stretch pressure around the lips. Sucking and blowing activities: -blow bubbles through a straw -suck on a popsicle -blow up a balloon \tn 
% Row Count 40 (+ 12)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{3.76 cm} x{4.24 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{ot tx (cont)}}  \tn
% Row 3
\SetRowColor{LightBackground}
poor tongue mobility, tongue thrust & -tongue "exercises" including up/down and side to side movement, repetitive tongue tip sounds, holding the tongue behind the upper teeth. -licking flavor off the lips, i.e. rub a lollipop on the lips and have the patient lick the flavor off. -facilitating tongue retraction during feeding by pressing the bowl of the feeding spoon on the middle of the tongue before withdrawing it from the mouth. \tn 
% Row Count 20 (+ 20)
% Row 4
\SetRowColor{white}
weak or misaligned bite & -use chew tubes for oral motor exercise -bite and hold objects in the teeth (make sure objects are safe to bite) -use handling techniques to align the jaw and facilitate lower jaw mobility during feeding. \tn 
% Row Count 30 (+ 10)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{3.76 cm} x{4.24 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{ot tx (cont)}}  \tn
% Row 5
\SetRowColor{LightBackground}
oral sensory problems & -use a z-vibe or other small vibrator to provide vibratory input to the mouth, lips, and facial areas -aromatherapy -deep pressure and proprioceptive activities to all joints -present new food items one at a time in a fun, non-threatening manner. -match food textures and temperatures to the patient's oral motor abilities. \tn 
% Row Count 16 (+ 16)
% Row 6
\SetRowColor{white}
impaired cognitive abilities & -use sectioned dishes to separate foods of different textures. -use high contrast place settings, i.e. white plate on blue placemat. Make sure food colors contrast with plate. -provide smaller size utensils to control amount of food that enters the mouth. \tn 
% Row Count 29 (+ 13)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}