Speech Pathologist Reference Sheet

Treatment Objectives for Short Term Goals

Anterior loss – Patient will be able to keep PO in the mouth while eating without losing bolus anteriorly.

Treatment objectives

• Patient will eliminate loss of PO when clinician provides jaw support on ___ of ___ trails
• Pt. will achieve lip closure around object ( Lifesaver on string, popsicle, ice cube) for ___ sec on ___ of ___ trails
• Pt will increase sensitivity to cold when clinician rubs lips with cold spoon on __ of __ trials.
• Patient will pucker lips as if to blow a kiss on ___ of ___ trails
• Pt. will hold tongue depressor between closed lip, not teeth) for count of 10 on ___ of ___ trails
• Patient will puff cheek and keep lips tightly sealed on ___ of __ trails

Bolus Propulsion – Patient will move bolus to back of mouth in coordinated fashion to be able to propel PO safely through hypopharynx and reduced risk of it falling into the airway.

• Patient will move lemon swab placed between tongue and hard palate from front to back on __of __ trials.
• Patient will sweep tongue from alveolar ridge to junction of hard and soft palate on __ of ___ trails
• Patient will pop tongue against hard palate on __ of __ trails

Premature Loss – Pt will be able to keep food from falling over the back of the tongue into the airway.

• Patient will produce a forceful /K/ at end of words on __ of __trails
• Patient will exert pressure with base of tongue up against a tongue depressor on __ of __ trials
• Patient will use effort swallow with/without cues on __ of __trials
• Patient will use chin down posture (if loss is not to pyriforms) for ___ consistencies with/without cues on __ of __ trails

Laryngeal Closure – Patient will achieve closure of larynx during the swallow sufficient to keep PO from entering the airway

• Pt will use a supraglottic swallow for ___ consistencies with/without cues on __ of __ trials
• Patient will demonstrate Valsalva maneuver (breath hold) on ___ of ____trails.
• Patient will produce /a/ while pulling/pushing against resistance on ___ of __ trails
• Pt will use multiple swallows for each bolus with/without cues on __ of __ trails.
• Pt will control bolus size to __ with/without cues on __ of __ trials
• Pt will empty mouth before next bite with/without cues on __ of __ trials

Laryngeal Elevation – Pt will reduced change of penetration by increasing laryngeal elevation and reducing retention in the pyriforms

• Patient will use Mendelsohn Maneuver for ___ consistencies with/without cues on ___of ___trials
• Patient will produce /i/ in a continuous fashion, including falsetto on ___ of __ trials
• Patient will trigger volitional swallow in timely conjunction with E-Stim with/without PO, with/without cues on ___ of ___ trials