[Dysphagia] Re:(Dysphagia)Intervention

[KWylie at morila.com (Karen Wylie)]

I have to side track from the issue, but my question is related to
ethical management and continuity of care...

How can you be expected take over management of this patient without
accurate detailed reporting and handover information available??? 
WHY are you still waiting for reports? And why did these not come with
the transfer of the patient to rehab. I would consider waiting for these
for more than a day unacceptable, as should most health services (and
most patients!).


-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of Furstoss, Jeanne ACMC
Sent: Wednesday, October 18, 2006 2:25 PM
To: 'dysphagia@b9.com'
Subject: [Dysphagia] Re:(Dysphagia)Intervention

***what data is  available about frequency of treatment/practice?  
Do we really know  how much "homework" we should be expecting/demanding
of our pts to see  results?  The hospital slp had him practicing
6x/day...........at  what point does the law of diminishing returns kick
in?

It has been suggested that there is no data indicating efficacy of
'exercises' beyond the Shaker?  If that is true, why would any exercise
be indicated, let alone a treatment plan of ongoing skilled therapy when
the patient is already following a "home exercise program 6x/day" =
independent in that exercise program. What is the justification and
ethics for considering a charge of skilled therapy for such a treatment
plan?

***I'm still waiting for his records and  the reports from his 3
MBS's.............but my original question was not about this particular
pt.

Are you wondering if there is a typical and general treatment regime?
For what diagnosis causing these dysphagia symptoms?

jeanne
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