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[Dysphagia] VFSS without PMV
Sherri,
It has been my experience that the PM valve helps to create
a more "normal" swallow situation for our patients with trachs.
That is why many like the pt. to wear it during PO intake. However,
if the pt. cannot tolerate it ......which many cannot.....then the swallow
test, clincal or video, should be done without it because this would
be the way the pt. will be eating on an everyday basis. Hope this
helps a little!
----- Original Message -----
From: <Winslowpack@wmconnect.com>
To: <Dysphagia@b9.com>
Sent: Thursday, December 08, 2005 7:36 PM
Subject: [Dysphagia] VFSS without PMV
> Have a pt. with trach (no cuff). Have tried having her tolerate the
> Passy-Muir valve with no success...sats drop into the 80s after a minute
of wearing.
> Sent her to have a VFSS done and stated that she wasn't wearing the valve
and
> to do the test without the valve. Once the pt. arriived, the SLPs there
said
> they would not do the assessment without the valve and proceeded to place
a
> valve on and do the test. The results don't really help us though since
she
> can't wear the valve but for a minute and that's not long enough to eat.
What
> are your opinions/research about doing the VFSS without pts. wearing the
PMV?
> Should I send her to a different local facility where they state they will
do
> the VFSS without the PMV for us? It would be helpful to have the
instrumental
> assessment done to determine her safety for p.o. intake and she really
wants
> to eat.
> Thanks!
> Sherri
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> Dysphagia@b9.com
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