This Fast Fact Friday examines the clinical reasoning and decision making behind providing skilled SLP dysphagia services to patients who:
- Safely tolerated regular solids and thin liquids at their prior level of function
- Currently have regular and thin as an SLP recommendation, short term goal and physician order
- Remain on regular and thin post evaluation and through the duration SLP services
If the SLP does initiate treatment in the above scenario, skilled treatment procedures must be clearly delineated, goals must be set beyond tolerating regular and thin (as they are already tolerating these textures), and reasons for treatment being warranted (possibly addressing oral motor exercises to increase oral prep and oral phase functions, safe swallow compensatory strategies) should be explained.