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Reframing Dysphagia Documentation With a Person-Centered Approach

presented by Yvette McCoy, MS, CCC-SLP, BCS-S and Karen Sheffler, MS, CCC-SLP, BCS-S

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Disclosure Statement:

Financial: Karen Sheffler receives compensation from MedBridge for this course. She is the founder/owner of and has affiliate relationships with MedSLP Collective, MedBridge Education, and CWI (which sells dysphagia products). She is a paid dysphagia consultant for Trudell Medical (Abilex) and ARKRAY USA (Phazix). There is no commission on sales. She is also a paid consultant with MedBridge, a Hormel Health Labs dysphagia consultant, and on the Hormel Health Labs advisory council. Karen is compensated for webinars and lectures by Summit Education,,, and Encompass Health. She receives honoraria for presenting on IDDSI from Hormel Health Labs; Becky Dorner & Associates; Martin Bros. Distributing Co., Inc.; New Hampshire Academy of Nutrition and Dietetics; Nutritious Lifestyles; Mass DHCC; and the Massachusetts Speech-Language-Hearing Association. She is a dysphagia expert witness in defense and plaintiff litigation since 2016.

Nonfinancial: Karen Sheffler has no competing nonfinancial interests or relationships with regard to the content presented in this course. She is a member of the ASHA Special Interest Group 13, the National Foundation of Swallowing Disorders (NFOSD), and the Dysphagia Research Society. She was a member of the Website, Communications, and Public Relations Committee (WCPRC) from May 2017–April 2020. She has been a member of the American Board of Swallowing and Swallowing Disorders’ (ABSSD) Public Relations and Communications Committee (PRCC) since 2018 and cochair since 2020, a member of two work groups of the United States and Territories IDDSI Reference Group, and IDDSI champion since 2014.

Financial: Yvette McCoy receives compensation from MedBridge for this course. She is the owner of Speak Well Solutions, LLC. She receives a full-time salary from Moravian University and receives honoraria for online webinars.

Nonfinancial: Yvette McCoy has no competing nonfinancial interests or relationships with regard to the content presented in this course. She is the secretary of the American Board of Swallowing and Swallowing Disorders.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 99 Minutes; Learning Assessment Time: 44 Minutes

How we document has a profound influence on people with dysphagia (and their family/caregivers). Practicing and documenting in a person-centered care (PCC) approach shifts the focus away from the traditional medical model and moves toward personal choice and autonomy for people and their families. The individuals we serve are people before patients. This session will discuss how prudent and effective interdisciplinary documentation across the continuum of care can help delineate a person's wishes. Thorough documentation also describes underlying swallow pathophysiology, guides differential diagnosis, and provides a prescriptive therapy program that meets the goals of care of the person. Good collaboration and communication are the keys to providing care in a person-centered approach. Attendees will discover how this shared decision-making approach requires increased detail in documentation. Presenters will discuss the process of obtaining informed consent, which not only protects a healthcare provider in litigation, but also makes sure that the person arrives at their informed decisions voluntarily and without coercion.

Meet Your Instructors

Yvette McCoy, MS, CCC-SLP, BCS-S

Yvette McCoy is an assistant clinical professor of speech-language pathology in the rehabilitative sciences department and director of clinical education at Moravian University. She obtained her Master of Science in Speech-Language Pathology from Southern Illinois University Edwardsville. She currently holds her board certification in swallowing and swallowing disorders. Her current clinical and research interests include…

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Karen Sheffler, MS, CCC-SLP, BCS-S

Karen Sheffler has more than 23 years of experience as a medical speech-language pathologist, specializing in dysphagia since 1995, when she graduated from the University of Wisconsin-Madison. She has had her board certification as a swallowing specialist (BCS-S) since 2012. In 2014, she started, which is a dysphagia resource for people with difficulty swallowing…

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Chapters & Learning Objectives

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1. The Documentation Dilemma

This chapter will show how the benefits of timely and complete documentation outweigh the burdens of the documentation dilemma. Participants will learn how to solve their own documentation dilemmas.

2. What Is Effective Documentation?

This chapter will thoroughly review the benefits of effective and prudent documentation. The same benefits that are good for the person with dysphagia are also effective to protect oneself from litigation. The speakers discuss the importance of thorough documentation, highlighting points from chapters one and two.

3. Person-Centered Care Model: Treating the Person Instead of the Patient

This chapter will discuss person-centered care models and their features across settings. Emphasis will be focused on discussing the individual’s needs, strengths, weaknesses, goals, history, and friends/family/support system.

4. Shared Decision-Making and What Is EDAR?

This chapter will discuss why shared decision-making in person-centered care models is important and how it is becoming standard practice in dysphagia management. Medical ethical principles will be discussed, specifically EDAR: eating and drinking with acknowledged risk, acknowledging that people have the right to make informed decisions.

5. How to Achieve a Person-Centered Approach: Tips, Resources, and Mnemonics

In this summary chapter, presenters include detailed graphics and mnemonics that will help attendees apply this information to their daily practice. References, additional resources, and handouts for ongoing learning and support have also been provided.

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