No swallowing/aspiration assessment, no precautions, no diet detail, no skilled rationale.
The post-stroke model note in §3: the diet/consistency and precautions, the no-coughing/wet-voice finding, and the reason skilled swallowing management was required.
“Coughs with meals.”
No action, no positioning, no swallow-eval, no aspiration watch.
The worsening-dysphagia model note in §4: the aspiration signs, intake held, SLP/provider notification, swallow re-eval and diet modification, and precautions reinforced.
“On thickened liquids.”
No precautions, no tolerance, no aspiration surveillance.
“Nectar-thick liquids and IDDSI Level 5 with upright positioning, small bites, chin tuck; no coughing or wet voice; tolerating.”
