Click-to-copy swallow trials & nmes documentation for SLPs in skilled nursing. Free, no login.
Patient participated in 30 min of NMES at level 3 with volitional swallows in 26/60 opps. Patient completed OMEs in 5 sets of 10 reps to incr lingual and labial strength/coordination. Patient tolerating mech soft with thins, success in 80% of opps.
Patient participated in --- min of NMES at level --- with volitional swallows in ---/--- opps. SLP provided verbal and tactile cueing at the laryngeal prominence to facilitate timely swallow initiation.
PO trials of --- consistency administered x --- boluses via ---. Patient demonstrated --- overt s/s of aspiration. SLP graded bolus size to --- in response to patient presentation.
Effortful swallow trained x --- reps with --- consistency to improve base of tongue retraction and pharyngeal clearance. Patient required --- cueing to achieve adequate effort.
Mendelsohn maneuver trained x --- reps with SLP tactile cueing at the thyroid cartilage to prolong hyolaryngeal elevation. Patient achieved the maneuver in ---/--- opps.
Supraglottic swallow sequence trained x --- reps to protect the airway prior to bolus transit. Patient required --- step cueing for correct sequencing.
Chin tuck posture trialed with --- consistency x --- boluses. --- reduction in overt s/s of aspiration observed with the strategy in place compared to without.
Thermal-tactile stimulation applied to the anterior faucial pillars x --- reps to heighten sensory awareness prior to swallow trials. Swallow initiation latency --- following stimulation.
Cued swallow trials with --- consistency; patient required --- verbal cues per bolus for a dry re-swallow to clear residue. Vocal quality --- post-swallow.
Multiple swallow per bolus strategy trained x --- boluses to reduce pharyngeal residue. Patient demonstrated --- carryover without cueing by the end of session.
Straw vs open cup trialed with thin liquids x --- boluses each. Patient demonstrated --- with the straw and --- with the cup. SLP has comm the recommendation of --- to nursing.
NMES applied at level --- x --- min with simultaneous --- consistency trials. Skin inspected before and after with --- noted. Patient reported --- during stimulation.
Patient c/o --- during PO trials. Trials discontinued after --- boluses and nursing notified. SLP will re-attempt --- with modification to ---.
Head rotation to the --- side trialed x --- boluses to direct the bolus down the stronger pharyngeal channel. Residue and vocal quality --- with the strategy applied.
Skilled SLP required to grade bolus size, consistency, and compensatory strategy in real time based on the patient's swallow response. This analysis cannot be delegated to nursing or restorative staff.