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How to fill out the ASHA Endoscopic Swallowing Evaluation online
The ASHA Endoscopic Swallowing Evaluation is a crucial document used by healthcare providers to assess swallowing capabilities in individuals. This guide will provide you with streamlined instructions to complete the evaluation efficiently and accurately online.
Follow the steps to complete the evaluation form online.
- Press the ‘Get Form’ button to access the ASHA Endoscopic Swallowing Evaluation form and open it in your preferred online editor.
- Begin by entering the patient's personal details such as 'Name', 'ID/Medical record number', and 'Date of exam' in the respective fields. Ensure accuracy, as these details are critical for identification.
- Fill out the 'Referred by' and 'Reason for referral' sections to provide context for the evaluation. This helps establish the referral source and the purpose behind the evaluation.
- Complete the 'Medical diagnosis', 'Date of onset of diagnosis', and 'Other relevant medical history/diagnoses/surgery' fields with pertinent information about the patient’s medical background that could affect swallowing.
- List any 'Medications' and 'Allergies' in the specified areas, ensuring to include all relevant details to assess potential impacts on the swallowing process.
- Describe the patient's 'Pain', 'Primary languages spoken', 'Educational history', and 'Occupation', as these factors may influence the evaluation outcomes.
- Indicate the patient's 'Hearing status', 'Vision status', 'Tracheostomy', and whether they are on 'Mechanical ventilation' to provide comprehensive background information.
- Engage the 'Subjective/Patient Report' section by checking the symptoms the patient reports, ensuring all applicable symptoms are noted.
- Document the patient's current diet, indicating specific types of solids and liquids, using the checkboxes to select all that apply.
- Evaluate feeding methods and endurance during meals, selecting appropriate options and providing additional comments where necessary.
- Thoroughly observe and document the patient's 'Mental Status', 'Position during study', 'Comments', and other evaluations including observations of the hypopharynx and other phases of swallowing.
- After completing all sections, review the entire form for accuracy and completeness. Users can then save changes, download, and print the completed evaluation or share it as needed.
Complete the ASHA Endoscopic Swallowing Evaluation online today to ensure a thorough assessment of the patient's swallowing capabilities.
To perform a swallow evaluation, a trained clinician typically follows a structured process. The ASHA Endoscopic Swallowing Evaluation begins with observing the patient's swallowing while they consume various food and liquid textures. This evaluation helps identify any difficulties in the swallowing process, which can inform appropriate treatment options.
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