Dysphagia and aspiration precautions support homebound status through the intensity of supervision and the safety risk; document the patient-specific evidence when present and do not overstate it.
Swallowing-related evidence that supports homebound status
Aspiration precautions and supervised or assisted feeding requirements that make leaving home a taxing effort.
A dysphagia requiring texture modification and monitoring that limits safe travel and eating outside the home.
A high aspiration risk with a need for skilled monitoring that makes leaving home unsafe without assistance.
A need for assistance and a taxing effort to leave home where swallow-safety management is ongoing.
