Baseline Requirements
Specialities Involved
Medical Necessity
100

at least 26% of daily calorie requirements and provides at least 501 mL of fluid/day

What comprises enteral feeding?

100

Decides goals for dysphagia training

Who is Speech therapy?

100

Tracheostomy, throat cancer, failure to thrive, stroke with dysphagia

What are examples of diagnoses requiring PEG placement?

200

Type of test done to determine swallow function

What is MBS?

200

Speech therapy and dietician ordered

What 2 disciplines should be involved if PEG is d/t dysphagia?

200

measurements to be taken weekly

What are relevant labs and weights?

300

Possible goals/outcome of PEG tube

Can the patient/family be taught?

Is weaning of the PEG an option?


300

tolerating PO intake without s/s of aspiration

What are speech therapy goals?

300

Enteral nutrition definition

What is a means of providing nourishment to pt's who cannot swallow

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