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[Dysphagia] Hypodermoclysis
Good point - but I don't recommend PEG tubes per se. This is probably
going to sound like quibbling with semantics, but here goes. I might
recommend that an alternative route of nutrition be considered. What
type, if any, is utilized, is a medical decision - and has to be,
because there may be other issues with that patient that might preclude
some medical procedure that I might think would be appropriate.
Similarly, I can comment that a patient's swallowing status places him
at risk of dehydration, but I won't say "Recommend D5 normal saline via
IV." I would recommend "consider neurological workup," not "CT scan
without contrast." Or I would recommend that pharmacy "evaluate
medication regime," not suggest changing a certain medication. I know
an SLP who made recommendations for vent settings... didn't go over
well at all, which is no surprise.
I think at times it IS a blurry line, and there might be settings where
an SLP has the knowledge and experience where he/she is making more
medically specific recommendations than are others. I know there were
certain physicians who wanted more specifics from SLP recommendations
than did others.
ps
-----Original Message-----
From: Drirenect@aol.com
To: LOBSTERPAM@aol.com; dysphagia@b9.com
Sent: Sun, 5 Feb 2006 10:59:10 EST
Subject: Re: [Dysphagia] Hypodermoclysis
Actually, Pam, I think SLPs are making medical recommendations all
the time
- What about NPO? PEG? These are purely medical.
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