Lesson 4- Non Instrumental Assessment

Question 1

Non Instrumental Techniques

Answer 1

screening
modified evans blue dye test (MEBDT)
Clinical Evaluation of Dysphagia (CED)

Question 2

The _____requires, as one of its stroke performance measures, that “a screen for dysphagia should be performed on all ischemic/hemorrhagic stroke patients before being given food, fluids, or medication by mouth” (2006)

Answer 2

Joint Commission

Question 3

Screening helps determine

Answer 3

likelihood of presence of dysphagia
the need for full swallow assessment
whether it is safe to feed the patient orally
whether a referral for nutrional support or hydration is warranted
**typically hands-off procedure (chart review)

Question 4

AHSA’s Preferred Practice Pattern on swallowing states…

Answer 4

Swallowing screening is a pass/fail procedure to identify individuals who require a comprehensive assessment of swallowing function or a referral for other professional and/or medical services

Question 5

Medicare guidelines define a “screening” as a ____assessment.

Answer 5

“hands-off”

Question 6

ASHA Division 13 suggested Models for screening

Answer 6

Model A: SLP trains nursing staff to conduct, those who fail are referred to SLP for comprehensive assessment
Model B: Physician performs swallowing screening and request SLP as necessary
(tend to be less structured than nursing staff screening)
Model C: Model A or B FOLLOWED BY an automatic referral regardless of screening results
Model D: All patients are automatically referred to SLP for swallowing screening or assessment