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Short-Term Goals

1. Patient will safely ingest presentation of puree solids with adequate


bolus manipulation, AP transit, timely swallow initiation, and no overt
clinical signs/symptoms of aspiration/penetration or difficulty
swallowing in 90% of all attempts given min-mod verbal/visual cues to
utilize safe swallow strategies.
2. Patient will safely ingest therapeutic trials of dysphagia advanced
solids with adequate mastication, AP transit, timely swallow initiation,
and no overt clinical signs/symptoms of aspiration/penetration or
difficulty swallowing in 80% of all attempts given mod-max
verbal/visual cues to utilize safe swallow strategies.
3. Patient will safely ingest presentation of nectar-thick liquids with
adequate bolus manipulation, AP transit, timely swallow initiation, and
no overt clinical signs/symptoms of aspiration/penetration or difficulty
swallowing in 90% of all attempts given min-mod verbal/visual cues to
utilize safe swallow strategies.
4. Patient will safely ingest therapeutic trials of thin liquids with adequate
bolus manipulation, AP transit, timely swallow initiation, and no overt
clinical sings/symptoms of aspiration/penetration or difficulty
swallowing in 80% of all attempts given mod-max verbal/visual cues to
utilize safe swallow strategies.
Long-Term Goals
1. Patient will safely ingest presentation of dysphagia advanced solids
with adequate mastication, AP transit, timely swallow initiation, and no
overt clinical signs/symptoms of aspiration/penetration or difficulty
swallowing in 90% of all attempts given min-mod verbal/visual cues to
utilize safe swallow strategies.
2. Patient will safely ingest presentation of thin liquids with adequate
bolus manipulation, AP transit, timely swallow initiation, and no overt
clinical signs/symptoms of aspiration/penetration or difficulty
swallowing in 90% of all attempts given min-mod verbal/visual cues to
utilize safe swallow strategies.
Treatment Encounter Note
Patient seen by skilled speech therapist for dysphagia therapy. Patient
presented prone in bed and alert. Provided assistance to reposition to upright
posture due to aspiration risk. Facilitated and assessed swallow function on
therapeutic trials of dysphagia advanced solids and presentation of nectarthick liquids during breakfast. Provided assistance with feeding including
presenting small bolus size and reducing rate of intake. Trialed patient with
x23 bites of dysphagia advanced solids (pancakes). Patient presented with
mod prolonged mastication, oral holding, adequate AP transit, and timely
swallow initiation. Throat clear x3 noted; provided verbal cues to utilize safe

swallow strategy of volitional throat clear. Patient produced adequate return


demonstration and clear vocal quality. Patient presented with signs of oral
fatigue as trials were presented. Provided max verbal/visual/and light tactile
cues to alternate solids and liquids and finish chewing before speaking.
Patient presented with mildly prolonged bolus manipulation, AP transit,
timely swallow initiation, and no overt clinical signs/symptoms of
aspiration/penetration or difficulty swallowing nectar-thick liquids (tea and
milk). Provided patient education regarding progress in therapy and benefit
of FEES. Provided skilled feedback throughout session.