Get Dynamic Medical Solutions Dysphagia Medical Work Up ...

Filling out the Dynamic Medical Solutions Dysphagia Medical Work Up is essential for accurately assessing swallowing disorders. This guide will provide you with clear, step-by-step instructions to help you complete the form efficiently and effectively online.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to access the Dysphagia Medical Work Up form and open it within your preferred digital environment.
2. Begin by entering the patient's name in the designated section at the top of the form. Ensure the spelling is accurate to prevent any miscommunication.
3. Next, input the medical diagnosis in the corresponding field. This should be a clinically accurate description of the patient's condition.
4. Fill in the Health Insurance Claim Number (HICN) as it is necessary for processing any insurance claims related to the patient’s evaluation.
5. Review the patient’s swallowing disorders and mark the appropriate phase(s) affected: Pharyngeal, Oral, or Esophageal. This is crucial for a comprehensive assessment.
6. Evaluate the dysphagia potential based on your clinical findings and the assessment of the speech pathologist. Circle Good, Fair, or Poor as applicable.
7. Describe the patient's level of alertness, motivation, cognition, and deglutition in the provided space. Be specific and provide detailed observations for clarity.
8. Check the box next to any existing history of aspiration problems or aspiration pneumonia that apply to the patient. This information is critical for understanding the patient's swallowing risk.
9. Define the risks associated with the patient's condition. This involves marking the applicable boxes for aspiration, choking, or any related symptoms.
10. Document any presence of motor disorders or structural lesions impacting swallowing by checking the corresponding boxes. Accuracy here will inform the intervention needed.
11. Indicate any post-surgical effects or significant weight loss that directly relate to the patient’s eating capabilities by checking the relevant boxes.
12. Provide comments or additional findings in the designated area. Use this space to detail any other pertinent information regarding the patient's swallowing assessment.
13. Once the form is complete, ensure all entries are accurate, and save your changes. You can then download, print, or share the completed form as needed.

Complete your Dynamic Medical Solutions Dysphagia Medical Work Up online today!