|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] FYI: Neuro exam infantsandchildrenvideopresentationsonline
I should clarify my first response w/ regards to a MDs diet decision over a
weekend if there is no SLP coverage. If it is a pt w/ a large CVA or other
BI that has overall decreased LOA then they will make the pt NPO or put them
on a puree diet w/ honey thick liquids w/ 1:1 assistance. If the pt is
alert then they may put him/her on a soft diet and request a consult for
Monday.
----Original Message Follows----
From: "Thompson, Elana" <EThompson@mountnittany.org>
To: <Sally.Gorski@co.hennepin.mn.us>
CC: dysphagia-bounces@b9.com, dysphagia@b9.com
Subject: RE: [Dysphagia] FYI: Neuro exam
infantsandchildrenvideopresentationsonline
Date: Fri, 11 Aug 2006 10:36:19 -0400
My point was not about providing seven day a week coverage. My point was
about having either NPO status -or- a puree diet with honey-thick liquids as
the choices of what to give a patient who has not yet been seen by an SLP.
There are many other, and better, options for the patients.
-----Original Message-----
From: Sally.Gorski@co.hennepin.mn.us [mailto:Sally.Gorski@co.hennepin.mn.us]
Sent: Thursday, August 10, 2006 11:08 AM
To: Thompson, Elana
Cc: dysphagia@b9.com; dysphagia-bounces@b9.com
Subject: RE: [Dysphagia] FYI: Neuro exam infants
andchildrenvideopresentationsonline
The decision was made for us regarding Sunday coverage (we have been
providing Saturday coverage for new consults for years). JCAHO's mandate
regarding "one level of care" was the driving force behind the decision to
add Sunday coverage. That is, a patient entering the hospital on a Saturday
afternoon (for example) should expect and receive the same level of care
that other patients receive Mon-Fri. Our Neurology team also consults
speech path on almost every patient on their service so it just made sense
to add Sunday coverage even though we (the speech path staff) have been
resisting this idea for years. For many years our PT colleagues have
provided 7 day/week including Holiday coverage and our OT colleagues added
Sunday coverage a couple of years ago. We're a Level One trauma center,
teaching hospital, acute rehab, etc. The change to Sat/Sun coverage not
only impacted our dept, but also departments such as EEG, Cardiac Rehab,
EMG, etc. These are all services that the patient would typically have to
wait until Monday morning if they were admitted anywhere between late Fri
afternoon and Mon morning. It's a sign of the times I think especially in
large metropolitan facilities. However, at this point, we are not coming in
on the six major holidays - so we aren't here 365 days ------- yet!
Staffing Sundays is a challenge and I won't get into it in this post.
"Thompson, Elana" <EThompson@mountnittany.org>
Sent by: dysphagia-bounces@b9.com
08/10/2006 09:47 AM
To
"Irene Campbell-Taylor" <eripley@yahoo.com>, "Erin Powazek"
<epowazek@hotmail.com>, <jsaunt@hotmail.com>, <dysphagia@b9.com>
cc
Subject
RE: [Dysphagia] FYI: Neuro exam infants andchildrenvideopresentations
online
I was hoping to get that response from Irene since I have read it before.
I guess that is why I was wondering why the doctors at that subscriber's
workplace would automatically make a patient NPO or put him/her on the
puree/honey diet just because an SLP is not there for the weekend. It
doesn't make sense that those would be the only two solutions to having no
weekend coverage. It seems to me to be a disservice to the patient.
We have no weekend coverage, per say, at the acute care facility in which I
work and the doctors will either keep a person NPO if that is called for or
will start a diet like clear liquids or even soft regular and then will have
the SLP eval on Monday. We do not have an increased number of pneumonias or
deaths by not using thickeners and puree as some sort of false safety net.
________________________________
From: Irene Campbell-Taylor [mailto:eripley@yahoo.com]
Sent: Thu 8/10/2006 8:34 AM
To: Thompson, Elana; Erin Powazek; jsaunt@hotmail.com; dysphagia@b9.com
Subject: RE: [Dysphagia] FYI: Neuro exam infants
andchildrenvideopresentations online
"Thompson, Elana" <EThompson@mountnittany.org> wrote:
What makes a puree diet with honey-thickened liquids safe?
*** Who says that it is "safe"? What evidence is there?
Is there evidenced-based data that that is a clinically
safer diet?
*** There are no evidence-based data in oropharyngeal
dysphagia.
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia
_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia
|
|