Dysphagia Therapy Protocol for Head and Neck Cancer
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Patient demonstrates dysfunctional swallow
Patient demonstrates a functional swallow
2 weeks after Chemo/ Radiation
SLP completes a follow up MBS to evaluate swallow function.
SLP gives patient a HEP of swallow exercises and a journal to document weekly:
▪ Weight
▪ PO
▪ daily pain levels
▪ completion of swallow exercises
SLP completes a pre-treatment MBS to obtain a baseline of swallow function
Physical Therapy
▪ introduction to lymphedema home exercise program
Nutritionist
▪ determine caloric and nutritional needs
Dentist
▪ as needed
Physician sends the patient to the following team members
Patient is diagnosed with HNC
▪ Instruct patient to continue swallow HEP and journal
▪ Return for follow up MBS in 6 weeks or if changes are noted
▪ Enroll patient in swallow therapy program
▪ Plan of Care
▪ Address impairment of stiffness with MFR and exercise
▪ Incorporate VitalStim Therapy to enhance exercise
Enroll patient in PT for:
▪ Lymphedema treatment
▪ Manual therapy
▪ MFR
▪ Hot packs
▪ Ultrasound
▪ Re-evaluate swallow function per Plan of Care
▪ Continue as needed.
If decline in swallow function is noted
Speech Language Pathologist (SLP)
▪ pre-treatment MBS
▪ swallow exercise program, journal, education
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