[Dysphagia] (no subject)

[tweetsalong at aol.com (tweetsalong at aol.com)]

Hello everyone-
 
I am looking for a little advice regarding one of my homecare patients.  This gentleman came to me as NPO back in the beginning of March.  I have been seeing him since then and have recertified him for services.  Today he went for a repeat MBS and failed once again.  I know that he has made some progress.  He is very motivated and practices his exercises 3 times a day.  I will continue to see him for the remainder of the certification period which ends at the beginning of July.  Should I recommend another MBS at that time or do I discharge him and encourage him to continue to pactice?  When do you draw the line as to how long you should continue services (especially if no progress has been made)?  I am waiting for the updated MBS to be faxed to me to see if anything at all has changed...
 
Any thoughts would be greatly appreciated...
 
Allie
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