Speech Therapy

Discharge Summary
Provider
NPI:
Northfield Village Retirement C
1477539070
Dates of Service: 61712013 - 611712013
Dysphagia Therapy
1t21t1926
Payer:
MRN:
Medicare Part A
5
D/C Destination: Home
D/C Reason: All Goals Met
Patientwas seen for2 day(s) during the 6/14120'13 -Gl'17l2A1'3 progress period.
Objective Prog ress/Functional Comparison with Goals
Short-Term Goals
STG #'1.0 - Met on 06/13/2013
Pt will tolerate 9/10 trials of thin liquids utilizing nosey cup with no overt s/s aspiration to decrease risk for aspiration.
Baseline
(6t7r2013)
Previous
(6/1 3/201 3)
Discharge
(6t17t2013)
N/A
Met on 06/'1 3/2013
Comments:
STG #2.0 - Discontinue on 0611712013
Pt will tolerate 9/10 trials of reg. with min verbal cues and no overt
Baseline
(6t7 t2013l.
s/s aspiration to increase tolerance for PO intake.
Previous
(6t13t2013)
Discharge
(6t17 r20131
Comments:
9/10 trials of mech soft 8/10 trials of regular 8/10 trials of regular
Pt's cervical collars cont to affect progress with this goal. rec ST to reassess LRD once pt no longer
reouires collar
STG #3.0 - Met on 061'1712013
Pt will utilize compensatory strategies in 9/10 trials to increase safety during meals.
Baseline
(6t7 t2013)
Previous
(6/1 3/201 3)
Discharge
(6t17 t2013l,
N/A 8/10 trials, min verbal cues 9/1 0 trials,
independently
Comments:
Lono-Term Goals
LTG #1.0 - Met on 06l'1712013
Pt will tolerate LRD in 90% of trials independently for safe, adequate nutrition with no overt s/s of aspiration.
Baseline
(6t7r2013)
Previous
(6t7 t2013)
Discharge
(6t17 t2013)
90% of reg texture
Rec. ST to reassess LRD once pt no
90% of reg texture
longer requires cervical collar
90% trials, mech. soft
independently
Comments:
Summ ary Since Lasf Progress Repart
skitl Interventions Provided: ST services include dysphagia tx including increasing use of compensatory strateiges to
increase safety during meals.
Pt and Caregiver Training: Pt educated on safe swallow strategies to increase safety during meals with good recall
exhibited bv ot.
Summary Sinee EvallSOC
Interventions Provided: ST services include dysphagia tx including assessing and deteriming LRD and necessary
adaptive equipment, developing and implementing compensatory strategies, and pt education.
Ptand CaregiverTraining: Pteducated on safe swallowstrategies including using small bites, alternating
solids/liquids,anduseofnoseycuptofacilitateliquidconsumption Ptdemonstratesgoodrecall ofstrategies
skitl
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Speech Therapy
Discharge Summary
Provider:
NPI:
Northfield Village Retirement C
1477539070
Dates of Service: 61712013 - 611712013
Dysphagia Therapy
1t21t1926
Payer: Medicare Part A
MRN: b
D/C Destination: Home
D/C Reason: All Goals Met
Summary SinceEvallSOC
Patient Response Progress & Response to Tx: Pt has met all goals and has achieved highest functional level at this time
Di scharge Sfafus and Recom mendatian s
Location
Prognosis
Functional
Outcomes
Diet / Liquids
lntake Protocol
DC Location = Patient discharged to live with family/friends.
Prognosis to Maintain CLOF = Good with strong family support
Swallowing Abilities = Ml (Rec. ST to reassess LRD once pt no longer requires cervical collar)
Diet Recs - Solids = Mechanical Soft textures
Diet Recs - Liquids = Thin liquids
Swallow Strategies/Positions: To facilitate safety and efficiency, it is recommended the patient use the following
strategies and/or maneuvers during oral intake. alternation of liquid/solids and bolus size modifications, nosey cup
Supervision for Oral Intake = Distant supervision
Original Signature. Electronically signed by Sarah Vacha M.A. CCC-SLP 611712013 10:26.15 AM EDT
Date
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