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Northwestern Dysphagia Patient Check Sheet Participant Name: Variable Medical history 1. History of recurrent pneumonia 2. Frequent temperature spikes 3. Question of aspiration pneumonia 4. Longterm.

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Modified water swallow test [Procedure] The patient is given 3mL of cold water in the oral vestibule, and then instructed to swallow the water. If possible, give more water and ask to swallow 2 more times, and the worst swallowing activity is to be assessed.

Your SLP will give you different foods and drinks mixed with barium. The barium makes the food and liquid show up on the x-ray. Barium will not hurt you or stay in your body for too long. The x-ray machine is turned on only while you swallow, so you will not get too much radiation.

Oral bolus control, oral transit, laryngeal elevation, cricopharyngeal dilation, and aspiration are clearly visible.

The test will take about 30 minutes, and there will be no restrictions to your diet or daily activities after the test unless your doctor specifies otherwise. You'll hear from your doctor's office within a few days to go over your test and schedule any necessary follow-up appointments.

You will likely be asked to swallow a series of substances. They may range from water, thicker liquids, pureed foods, soft foods, and even regular foods. The SLP will note if you have problems chewing, swallowing, or breathing. They will also check if your voice sounds “wet.” That can be a sign of aspiration.

The VFSS (Videofluoroscopic Swallowing Study) is the standard assessment for dysphagia.

Swallow test The SLT will ask you to swallow some water. The time it takes you to drink the water and the number of swallows required will be recorded. You will also be asked to chew and swallow a soft piece of pudding or fruit so the SLT can look at how well your lips, tongue and the muscles in your throat work.

A videofluoroscopy assesses your swallowing ability. It takes place in the X-ray department and provides a moving image of your swallowing in real time. You'll be asked to swallow different types of food and drink of different consistencies, mixed with a non-toxic liquid called barium that shows up on X-rays.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232