DISCHARGE SWALLOW GUIDELINES

 

Patient: ________________________________

 

SOLID CONSISTENCY :

  No food by mouth

     Dysphagia I

     Dysphagia II

     Dysphagia III

     Regular

LIQUID CONSISTENCY:

     Pudding thick liquids

     Honey thick liquids

     Nectar thick liquids

     Thin liquids

     No liquids

     Ice chips only

AMOUNT OF FOOD:

  Three meals/day

   Snacks only; ________

  Other______________

Strategies/Compesations:

 

  Wear Passy-Muir Speaking valve while eating

  Small bites/sips

  Feed by teaspoon only

  Two swallows per bite

  Head of bed 90 degrees

  Sips of liquids after each solid

  Tuck chin down

  Turn head  R  /  L

Other safety information:_______________________________________________________

__________________________________________________________________________

I (patient or caregiver) _______________________________, understand the food consistency that the speech-language pathologist has recommended to me.  I have been given education on the consistency of the solids and liquids.

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5. Dysphagia Treatment

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Tags: discharge swallow guide, swallow worksheet