Table 2. Discharge Summary Omissions of Dysphagia Recommendations Made by Speech-Language Pathologists (SLP) for Stroke and Hip Fracture Patients Discharged to Sub-Acute Care Facilitiesa (N=187).
| SLP Recommendations in Patient Discharge Summary |
||||||
|---|---|---|---|---|---|---|
| All Omitted | Some Omitted | None Omitted (All Included/ Complete) |
||||
| SLP dysphagia recommendation categories within the final SLP hospital chart note (N = number of patients for whom SLP made recommendation) |
% | (n/N) | % | (n/N) | % | (n/N) |
| Overall (all categories combined) (N=187) | 45% | (84/187) | 42% | (78/187) | 13% | (25/187) |
| Dietary (food and liquid) recommendations and restrictions (N=186) | 47% | (88/186) | 18% | (34/186) | 34% | (64/186) |
| Food recommendations (N=173) | 54% | (93/173) | 14% | (24/173) | 32% | (56/173) |
| Food restrictions (N=2) | 100% | (2/2) | 0% | (0/2) | 0% | (0/2) |
| Foods and liquids that stimulate sensation (N=5) | 60% | (3/5) | 20% | (1/5) | 20% | (1/5) |
| Liquid recommendations (N=158) | 65% | (102/158) | 6% | (9/158) | 30% | (47/158) |
| Liquid restrictions and tools for drinking (N=10) | 100% | (10/10) | 0% | (0/10) | 0% | (0/10) |
| Nutritional advice (N=22) | 100% | (22/22) | 0% | (0/22) | 0% | (0/22) |
| Tube feeding (N=19) | 42% | (8/19) | 16% | (3/19) | 42% | (8/19) |
| Nothing by mouth (NPO) (N=13) | 100% | (13/13) | 0% | (0/13) | 0% | (0/13) |
| Postural and compensatory techniques (N=114) | 82% | (93/114) | 3% | (3/114) | 16% | (18/114) |
| Body positioning (N=86) | 87% | (75/86) | 1% | (1/86) | 12% | (10/86) |
| Head adjustments (N=38) | 76% | (29/38) | 3% | (1/38) | 21% | (8/38) |
| Oral-pharyngeal strategies (N=37) | 95% | (35/37) | 3% | (1/37) | 3% | (1/37) |
| Procedural and sizing recommendations (N=75) | 89% | (67/75) | 5% | (4/75) | 5% | (4/75) |
| Meal scheduling (N=6) | 100% | (6/6) | 0% | (0/6) | 0% | (0/6) |
| Medications - pill recommendations (N=22) | 95% | (21/22) | 5% | (1/22) | 0% | (0/22) |
| Care provider and communication recommendations (N=122) | 79% | (96/122) | 13% | (16/122) | 8% | (10/122) |
| Supervision, monitoring and assistance (N=86) | 78% | (67/86) | 16% | (14/86) | 6% | (5/86) |
| Other provider recommendations (N=47) | 98% | (46/47) | 2% | (1/47) | 0% | (0/47) |
| Future services with health experts (N=49) | 98% | (48/49) | 2% | (1/49) | 0% | (0/49) |
| Environment/other (N=3) | 100% | (3/3) | 0% | (0/3) | 0% | (0/3) |
a
SLP = Speech-Language Pathologist