[Dysphagia] disagree with doctor?

[ajbennett05 at yahoo.com (Jonathan Bennett)]

I'm curious about how many of you handle this type of situation.  Of course, many of the patients that we see have pneumonia...but after I see a patient, sometimes I do not believe that it is being caused by aspiration, yet, the doctors are labeling it aspiration pneumonia.  I am then put in the position where I have them on a regular diet and the family is asking how we are sure they won't end up with aspiration pneumonia again.  If they end up back in the hospital, the doctors and family will be angry and once again, labeling it aspiration pneumonia, when in fact it may be viral, community acquired, etc.  How do you handle both the patient and the doctor in these types of situations without losing respect of the doctors?
   
   

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