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How to Write a Swallow Evaluation Report

The Clinical Swallow Eval (CSE) is a big part of what we do as medical SLPs. The CSE allows us to develop a relationship with the patient (Coyle, 2014) and a hypothesis about the patient’s swallow function. The CSE guides our dysphagia plan of care…including what type of instrumental testing will be beneficial (if needed). “At the close of the clinical swallowing examination, the clinician should be able to confidently develop a management program for the patient or determine the necessity of further instrumental assessment or sub-specialty referral (Murray, 1999 p. 37)”. But our job doesn’t stop when we finish the CSE. We need to document it appropriately so that other members of the medical team understand our clinical decision-making. And remember, “if it wasn’t documented, it wasn’t done.” (per ASHA, in this documentation webinar) Today we’ll be talking all about how to write a swallow evaluation report and what to include in your documentation for a CSE. Watch and Enjoy! Theresa Richard VIDEO RESOURCE: ======================== Check Out Episode 176 On the Swallow Your Pride Podcast: Episode 176: How to Become Confident & Competent in Clinical Writing – Kelsey Day, MS, CCC-SLP https://syppodcast.com/176 If you’re already a MedSLP Collective Member, we have an entire webinar on Documenting and Report Writing for Dysphagia Instrumental Assessments (VFSS and FEES) https://medslpcollective.com/a-review... Link to sign up for the collective: www.medslpcollective.com/enroll The free MedSLP Collective clipboard kit gives you access to editorial reviewed resources on other various conditions that we treat. https://medslpcollective.com/clipboard KEY MOMENTS IN THE EPISODE: ======================== 00:00 How To Write A Critical Swallow Evaluation Report 01:11 SOAP Notes: Explained 03:35 Detailed SOAP Explanation WHAT TO WATCH NEXT: ======================== The Bedside Swallow Evaluation | What Should Be Included? Part 1:    • The Bedside Swallow Evaluation | What Shou...   ACCESS TO MED SLP RESOURCES: ======================== Get my Amazon and Barnes & Noble Best Selling Book; So You're Having Trouble Swallowing: The essential guide to basic swallowing, swallowing disorders, and navigating care. https://theresarichard.com/book Listen to the Swallow Your Pride Podcast: Dive deeper into the issues that speech-language pathologists face when working with patients with swallowing disorders. https://swallowyourpridepodcast.com MedSLPEd (an approved ASHA CEU provider): Offering live and recorded online courses that fill the gap between grad school and clinical practice. Each course is in-depth, goes far beyond the textbook rhetoric, and focuses on case-based learning. https://medslped.com/ MedSLP Clipboard Kit: 30 blind editorial reviewed resources written by 15 contributors with over 150 references to support its contents. https://medslpcollective.com/clipboard MedSLP Pediatric Clipboard Kit: Get instant access to blind editorial-reviewed pediatric resources for Medical SLPs with references to support its contents. https://info.medslpcollective.com/med... CITED ARTICLES: ======================== Listed Below In The Comment Section ABOUT THERESA RICHARD:: ======================== Theresa Richard, a medical speech pathologist for 15+ years, is a board certified specialist in swallowing and swallowing disorders, and the founder and CEO of the MedSLP Collective and MedSLP Education. Theresa is also the mother of a son with severe disabilities who humbles her daily and is the inspiration behind all of the work she does in the world. Theresa, host of Swallow Your Pride Podcast, has over 3 million unique downloads, and her book “So You’re Having Trouble Swallowing'' is an Amazon and Barnes and Noble best seller. Theresa Richard, M.A. CCC-SLP, BCS-S - Medical Speech Language Pathologist https://www.TheresaRichard.com/ ======================== #SLP #MedicalSLP #Dysphagia #MedSLP #SpeechTherapy #SpeechPathology #SpeechTherapyTips #SpeechTherapyCommunity #SpeechTherapyResources #SpeechTherapyAdvice #SpeechTherapyCareer #SpeechTherapyContinuingEducation #SpeechTherapyProfessionalDevelopment

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