I had a quick question, I'm a new speech path and am so glad there's a forum where I can ask questions!
I have a patient who has failed 3 video swallows w/in the last year. He's very upset that he is unable to eat. I've done all the conventional tx that is suppose to be done, he was very non-compliant w/tx from the start. I was wondering has anyone used a diet waiver w/this type of patient? He will clearly aspirate the food if he eats but he's determined to do it. In the past I've used a diet waiver w/a patient that wanted a diet upgrade but not in this context. Is this ever done w/a NPO patient? Is it even common? What exactly is the process?
Also can someone clarify where it becomes patients right to eat i.e. in terms of HIPPA laws vs. the clinician's right to treat?
I feel very bad for him and want him to eat desperately too!
Thanks in advance for your help.