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[DYSPHAGIA] Rehab Dining



"I have outlined the risks involved, yet
> tend to want her to remain PO w/all possible precautions taken."

You may want her to remain PO, and many of us may agree with you, but what
does she (or in this case her health care proxy/guardian) want?  That's what
matters.
Rob
----- Original Message -----
From: <CFR42@aol.com>
To: <LOBSTERPAM@aol.com>; <dysphagia@medonline.com>
Sent: Sunday, September 23, 2001 1:39 PM
Subject: Re: [DYSPHAGIA] Rehab Dining


>
> In a message dated 9/22/01 4:06:47 PM, LOBSTERPAM@aol.com writes:
>
> << However,  SLP's can't prescribe.  We only
> recommend. >>
>
> This is for those of you who think i may be too flippant or lighthearted
for
> this listserv.
> This should be serious enough to start a discussion.
>
> A patient of mine who was reportedly somewhat self-sufficient at some
point
> before I began seeing her 3 years ago has lost her ability to speak, much
> control over her ADLs and has recently been seen to aspirate silently on
all
> consistencies in two successive MBSs. She is also now and always has been
> developmentally disabled. She is blind and may be in the last stages of
> Alzheimer's. It is time to officially recomment NPO.
>
> She has had few, if any (remember...no matter what you want from
records...a
> lot relies on word of mouth) cases of pneumonia. Whatever she is doing,
she
> does not seem to suffer pulmonary damage from this documented aspiration.
>
> Do we recommend NPO for this patient and take away one of her last access
> points of sensation with this world? I have outlined the risks involved,
yet
> tend to want her to remain PO w/all possible precautions taken.
>
> Your thoughts?
>
> Thank you,
> Craig in RI
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