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No one FAILS an MBS- this is an incorrect interpretation of the test-what do
you possibly mean by fails??!!! Did he aspirate on all textures, did he have
pooling for some, did he fail to produce any swallow, was there reduced
hyoid elevation or epiglottal lowering, did he penetrate into the vestibule,
did he attempt to clear the pharynx, did some bolus enter the esophagus???
These are among the observations one makes to analyze a swallow or set of
swallows--he can not FAIL.
Dr Barbara Sonies, BRS-S
On 5/15/07 4:44 PM, "tweetsalong at aol.com" <tweetsalong at aol.com> wrote:
> 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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