The FEES and MBS indicate the following: "Patient demonstrates difficulty initiating the swallow and bolus was held in the mouth for an excessive amount of time. Spillage into the larynx is noted with some aspiration
" Identify the diet you would recommend at this time.
• Based on this assessment and using the DOSS, recommend a modified diet of Level 4 – moderate dysphagia: intermittent supervision/curing, one or two consistencies restricted
This patient has no noted problems chewing, but stated that she feels food gets stuck in her throat – would benefit from a softer diet
• Level 3 (advanced) for most liberal diet
Only need to restrict liquid consistency to be thicker
• Pt had penetration into the larynx with some aspiration
Pt may need cueing, but with some tips, can learn to initiate on her own
• Recommend: Level 3 advanced diet and nectar-thick liquids
The thickness of the liquids/diet consistency depends on what the SLP recommends
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