Name of the Procedure:

Motor Speech Functional Limitation, Discharge Status at Discharge from Therapy or to End Reporting (G9158)

Summary

This procedure involves assessing the progress and functional limitations in motor speech capabilities of a patient at the time of discharge from speech therapy. It helps in documenting the patient's speech abilities upon concluding therapy or ending the reporting period.

Purpose

The primary purpose is to evaluate and record the functional status of a patient's motor speech at discharge, ensuring that any progress or remaining limitations are systematically documented.

• Medical Conditions Addressed: Neurological disorders, stroke, traumatic brain injury, Parkinson's disease, and other conditions affecting speech abilities.
• Goals: To provide a clear endpoint summary of a patient’s speech improvement or persistent limitations, which aids in further treatment planning or referrals.

Indications

• Symptoms: Difficulty articulating words, slurred speech, inconsistent speech patterns.
• Conditions: Neurological impairments, post-surgical recovery affecting speech, degenerative diseases impacting motor skills.

Preparation

• Instructions: No specific patient preparation required for this assessment.
• Pre-assessment: Review of patient’s therapy progress notes and prior assessments.

Procedure Description

1. Initial Review: Revise the patient’s therapy records.
2. Direct Assessment: Conduct a motor speech evaluation which may include tasks like repetition, reading aloud, or conversational speech.
3. Documentation: Record the patient’s current speech capabilities, noting any improvements or persistent limitations.
   • Tools: Standardized speech assessment tools, audio recording devices if necessary.
   • Anesthesia: None needed for this procedure.

Duration

The assessment typically takes 30 to 60 minutes, depending on the patient's complexity and the thoroughness required.

Setting

This procedure is usually performed in an outpatient clinic or a rehabilitation center.

Personnel

• Healthcare Professionals: Speech-language pathologists (SLPs), and occasionally other healthcare providers involved in the patient’s care.

Risks and Complications

• Common: Minimal risks as it is a non-invasive assessment.
• Rare: Patient fatigue or stress due to lengthy assessment tasks.

Benefits

• Expected Benefits: Accurate documentation of progress, aiding in future treatment or therapy planning. Benefits are realized immediately as part of the patient’s medical records.

Recovery

• Post-assessment Care: No specific care required.
• Recovery Time: None; patients resume normal activities immediately.
• Follow-ups: Dependent on the patient's overall treatment plan, may involve follow-up appointments for ongoing care.

Alternatives

• Other Options: Ongoing therapeutic interventions, different forms of speech assessments.
• Pros and Cons: Alternatives may not provide as clear an endpoint summary of progress specific to motor speech functional limitations.

Patient Experience

• During the Assessment: Patients may feel a range of emotions, from confidence if progress is evident to frustration if limitations persist.
• After the Assessment: Patients will receive feedback, and it can be emotionally impactful. Pain management is not typically necessary, but emotional reassurance may be beneficial.