SPTH3002 Lecture Notes - Lecture 8: Radiation, Aryepiglottic Fold, Problem Solving
Document Summary
Thirty studies examined the clinical utility of various bedside assessments used in isolation (e. g. , assessment of dysphonia, trial swallows, oral-motor examination) to accurately predict aspiration. Overall sensitivity for correctly ruling patients in for aspiration ranged from. Overall specificity for correctly ruling patients out for aspiration ranged from. Four studies examined the use of patient-reported questionnaires to identify dysphagia symptoms and risk for aspiration. Overall sensitivity for correctly ruling patients in for dysphagia ranged from. Overall specificity for correctly ruling patients out for dysphagia ranged from 44% to 85% Part of our clinical coding and funding is seeing the word dysphagia Referral must be noted - who gave the referral and why (e. g. , referral received with thanks from xx for this patient presenting with yy. With medical history, would consider social history as well o/e means on examination (i. e. on looking at patient, this was observed) Patient rib (resting in bed) or oob (out of bed)