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Bedside Swallow Evaluation Form PDF

Bedside Swallow Evaluation Form PDF

Create a custom swallowing assessment 0 that meets your industry’s specifications.

Apply): __Drooling __Coughing __Choking __Difficulty swallowing: __Solids __Liquids __Pills __Pain on swallowing __Food gets stuck __Weight loss __History of aspiration or pneumonia ______________________ __Other: _____________________________________________ Current diet (check all that apply) Solids: __regular; __mechanical, __mechanical soft, __chopped, __minced, __pureed; other: ______________ Liquids: __thin; __nectar thick; __honey thick; __pudding thick; other: ____________ NPO:...
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Instructions and help about swallowing evaluation form

Welcome to a Stanford medicine 25 video on the bedside swallow screen hello my name is Jennifer Sister I'm a speech pathologist at Stanford Hospital, and today I'm going to show you how to do a swallow screen when I first encounter a patient I do a quick cognitive screen the second thing I do is assess their ability to follow simple one-step directions to be able to participate in my assessment and the third thing that I do is an oral motor examination hi Mr. Schweitzer I'm Jennifer from a speech therapy how are you doing today okay I just want to make sure before we get started that I'm talking to the right person, so I just want to check your name band can you tell me your name and your birthday max Schweitzer 1125 1984, so first I just want to take a look inside your mouth is that okay here's my flashlight it's kind of big you open rEval wide for me good can you say uh-uh good can you stick your tongue out as far as you can good and move it side to side perfect and up and down great

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