I've been developing a case history form for dysphagia that will hopefully ensure that I don't omit any important information before doing a home visit. I've found that getting clear medical information, information on the client's swallowing baseline and the chronology of the client's illness (e.g. had a fall - admitted to hospital - dysphagia symptoms ...) are essential.
Dysphagia History
Medical history (history of dysphagia)
Chronology of illness
Reason for referral
Baseline of swallowing
Previous SLT
Current nutritional status/ recommendations
Social information (meal preparation/care package/supervision)
Communication/ cognition (conversation/expressive/receptive
language)
Plan
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