Speech Therapy Chart Review Page 2

RADIOLOGY RESULTS:

Chest X-Ray:

CT Scan:

MRI:

Endoscopy Report:

PATIENT PRESENT STATUS FOR ORAL INTAKE:

NPO waiting for swallowing

NPO waiting for medical procedure

OK to proceed with swallowing

evaluation

NURSING ASSESSMENT NOTES:

LEVEL OF ALERTNESS:

Does patient respond to verbal stimuli?

Yes

Does patient respond to tactile stimuli?

Yes

PATIENT’S POSITION:

Are there precautions prohibiting the patient from sitting in a 90-degree angle?

Yes

Does the patient require assistance with positioning to a 90-degree angle?

Yes

Does the patient require pillows to make sure the head is in a neutral position, with neck slightly flexed downward?

Yes

NOTES:

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