DtH 9: Dysphagia Documentation Dilemma

It happens every time. A particular question is posed by one member of an audience of speech language pathologists who treat dysphagia. The question is cautious with a hint of frustration: How do I deal with inadequate modified barium swallow study reports from other speech language pathologists? In this Down the Hatch #9 (Swallowing Podcast), Alicia Vose and I discuss dysphagia documentation dilemmas for the evaluating clinicians who conduct modified barium swallow studies and write reports and for the treating clinicians who rely on the reports from evaluating clinicians to guide the treatment plan for patients in their care. SLP clinician experts Michele Singer and Nicole Roth weigh in to add immediate clinical relevance to this critical, and somewhat controversial, clinical topic.

By following the links on this page, you can find a sample report with accompanying audio as Alicia Vose discusses the layout and rationale for this sample report. Please use it as intended, as a sample for one way to approach documentation as discussed in the podcast, rather than a fully comprehensive document stating what MUST be done. Please leave comments below and we will address them as best we are able!


8 Replies to "DtH 9: Dysphagia Documentation Dilemma"

  • Gal F.
    June 1, 2017 (1:17 am)
    Reply

    Loved this episode. You mentioned putting up sample reports for listeners to look at. Will these be made available? Thanks!

    • Alycia Rivet
      July 7, 2017 (6:33 pm)
      Reply

      Hello, Gal! Please see the new links added to this post for a sample report and make sure to listen to the accompanying audio so that you can hear Alicia Vose talk about what she includes, why, etc.

  • Kerrigan
    June 18, 2017 (5:08 am)
    Reply

    Yes, I’m also interested in the sample reports! 🙂

    • Alycia Rivet
      July 7, 2017 (6:34 pm)
      Reply

      Hi, Kerrigan! Please check out the links in the last paragraph that we just updated to take you to the sample report and the audio to narrate your way through the document provided. We hope you enjoy it!

  • Carmen Sidlaruk
    July 8, 2017 (6:26 pm)
    Reply

    I really like how the MBSImP Data is documented concisely. What instrument or tools do you know need to measure seconds and milliseconds? This information may help to standardize route measures of normalcy/impairment between various conditions at my facility where facility only one of clinician , myself, does MBSImP. All other SLP’s pretty much do description of results include some standardization of by reporting penetration aspiration is that scale and dispose of severity scale.

    • Alicia Vose
      July 8, 2017 (6:55 pm)
      Reply

      Hi Carmen! Happy to share some materials I use if you e-mail me directly at avose1@ufl.com or message me on FB that will be easier!

  • Ellen
    July 13, 2017 (7:50 pm)
    Reply

    I was surprised to see no section and no mention for swallow maneuvers. This is important info for our HH, SNF and OP SLPS.

    • Alicia Vose
      July 13, 2017 (8:02 pm)
      Reply

      Hi Ellen! I don’t usually include swallowing maneuvers in a separate section, instead I embed swallowing maneuvers I tried into my assessment description. I do this usually so connect pathophysiology with what maneuver I attempted to target that specific impairment. For example, if the patient aspirated during the swallow (PAS 8) due to decreased duration of laryngeal vestibule closure, I will say “to increase duration of LVC the patient attempted an effortful swallow which resulted in a 100 msec increase in dLVC and successfully eliminated aspiration and penetration during the swallow (PAS 1)

      In the sample report I did mention some maneuvers I trialed and how they impacted the physiology. But I have seen many clinicians insert it as a separate section, which works too! I think the most important part is describing how the manuever impacts the physiology.

      Thanks for your comment!
      Alicia


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