Pediatric speech therapy evaluation template

Cued throat clear successfully clears the airway. There is constriction through the upper esophagus with weak pharyngeal contractility. Subsequently, there is retention in the vallecula and piriform sinuses with all consistencies. The patient is able to swallow 2 to 3 times to achieve clearance for liquids.

More dense consistencies such as particulate solids pool heavily in the vallecula. Multiple left head turn, chin tuck swallows and a sip of thin liquid subsequently helps to clear the vallecula.

Images were obtained in synapse for review of proximal esophageal narrowing. Weak pharyngeal bolus propulsion and incomplete epiglottic deflection results in pooling in the vallecula with all consistencies. This is more evident with semisolid consistencies and liquids. Subsequent weak pharyngeal contractility and narrowing through the upper esophagus makes it difficult for the patient to achieve clearance of residue in the vallecula.

Use of left head turn, chin tuck and subsequent liquid wash appears to be the best strategy at this time for clearing residue. The patient has laryngeal penetration with all liquids, subsequent from spillover from the vallecula into the endolarynx. He does not consistently throat clear in response, although cued throat clear helps to clear any penetrated materials. At this time, the patient was counseled to use intermittent throat clear and re-swallow during meals and after liquids and to utilize left head turn, chin tuck with subsequent liquid wash with soft solids.

This is similar to what the patient is currently eating. Medications should continue to be crushed. Given that he has not had a dilation in approximately 3 months, we will refer back to Gastroenterology for question of further dilation to assist with achievement of pharyngeal clearance. The patient can be seen back for repeat testing as indicated after repeat dilation and should ultimately continue to be monitored via periodic objective swallowing study. The patient is continuing with his dysphagia therapy exercises as is recommended and this will help to maintain swallowing function and hopefully continue to strengthen it as well.

The patient can follow up with speech pathology after any further dilation. Then use the information collected to develop an informed treatment plan. To assist occupational therapy practitioners in conducting an occupational profile with each client AOTA has developed the Occupational Profile Template which can.

A comprehensive OT assessment that addresses general OT support needs. Customize this template and use it as a pediatric occupational therapy evaluation form to easily document a childs assessment. In addition the occupational therapy evaluation and re-evaluation CPT codes require the inclusion of an occupational profile get more information on the evaluation codes.

Our occupational therapy feeding evaluations are comprehensive. Filling out all paperwork sensory questionnaire and the parent interview prior will help ensure the therapists gets exactly what they need. His mother also reports asthma and.

Determining a patients occupational therapy needs is an important first step toward providing quality care. OT Goal Examples for Pediatrics. Robert is a 4-year-old male who has been referred for an occupational therapy evaluation. We use cookies to improve security, personalize the user experience, enhance our marketing activities including cooperating with our marketing partners and for other business use.

Read less. Pediatric Occupational Therapy Evaluation Template. How It Works. Apgar rating. How to fill out and sign SIPT online? Execute Pediatric Occupational Therapy Evaluation Template within several minutes following the guidelines below: Pick the template you will need in the library of legal forms. Select the Get form key to open the document and start editing.

Submit all the required fields these are marked in yellow. The Signature Wizard will help you put your electronic autograph as soon as you have finished imputing info. Add the date. Look through the entire form to make certain you? Press Done and save the resulting form to the computer.