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Informed Consent in Speech-Language Pathology Documentation When Recommending Diet Changes.

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Title: Informed Consent in Speech-Language Pathology Documentation When Recommending Diet Changes.
Authors: Bice, Ed M.1 ed@iopimedical.com, Tomitz, Nicole K.2, Baumrucker, Steven J.3, Galek, Kristine E.2
Source: American Journal of Speech-Language Pathology. May2026, Vol. 35 Issue 3, p1191-1201. 11p.
Subject Terms: *Documentation standards, *Documentation, *Speech therapists, *Language & languages, *Autonomy (Psychology), *Interprofessional relations, *Legal liability, *Culture, *Speech-language pathology, *Retrospective studies, *Research, *Communication, *Comparative studies, *Nutrition education, *Cognition, Pearson correlation (Statistics), Patient autonomy, Health literacy, Pneumonia, Medical protocols, Outpatient services in hospitals, Therapeutics, Time pressure, Labor productivity, Statistical sampling, Research evaluation, Responsibility, Endoscopic surgery, Hospitals, Descriptive statistics, Chi-squared test, Respiratory aspiration, Informed consent (Medical law), Medical records, Acquisition of data, Statistics, Electronic health records, Deglutition, Data analysis software, Deglutition disorders, Fluoroscopy, Endoscopy, Critical care medicine, Psychosocial factors
Geographic Terms: United States
Abstract: Purpose: Informed consent is a legal and ethical requirement in health care, yet limited research has examined how speech-language pathologists (SLPs) document the process when recommending diet modifications. The study investigated the presence of the five components of informed consent in SLP documentation. Method: A retrospective review was conducted on 201 clinical swallow evaluations, videofluoroscopic swallowing study (VFSS), and flexible endoscopic evaluations of swallowing reports. Reports were selected from medical records from two health care companies across acute and outpatient settings. Two raters reached consensus on the presence of the five core components of informed consent: understanding, disclosure, treatment, alternatives, and choice. Results: On average, SLPs documented only two of the five components, and no report contained all five. Documentation of "choice" was significantly higher in outpatient settings compared to acute care (p = .006). Clinical swallowing evaluations were less likely to include "understanding" (p = .02) and "choice" (p > .001) compared to instrumental assessments, such as VFSS and flexible endoscopic evaluations of swallowing. Conclusions: The findings reveal a gap between ethical and legal standards and current documentation practices when recommending diet modifications. Incomplete documentation may compromise personal autonomy and increase the risk of professional liability. Enhanced education, targeted training, and systematic implementation of informed consent protocols are essential to promote best practice and safeguard both people with dysphagia and clinicians. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Informed Consent in Speech-Language Pathology Documentation When Recommending Diet Changes.
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  Data: <searchLink fieldCode="AR" term="%22Bice%2C+Ed+M%2E%22">Bice, Ed M.</searchLink><relatesTo>1</relatesTo><i> ed@iopimedical.com</i><br /><searchLink fieldCode="AR" term="%22Tomitz%2C+Nicole+K%2E%22">Tomitz, Nicole K.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Baumrucker%2C+Steven+J%2E%22">Baumrucker, Steven J.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Galek%2C+Kristine+E%2E%22">Galek, Kristine E.</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. May2026, Vol. 35 Issue 3, p1191-1201. 11p.
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  Data: Purpose: Informed consent is a legal and ethical requirement in health care, yet limited research has examined how speech-language pathologists (SLPs) document the process when recommending diet modifications. The study investigated the presence of the five components of informed consent in SLP documentation. Method: A retrospective review was conducted on 201 clinical swallow evaluations, videofluoroscopic swallowing study (VFSS), and flexible endoscopic evaluations of swallowing reports. Reports were selected from medical records from two health care companies across acute and outpatient settings. Two raters reached consensus on the presence of the five core components of informed consent: understanding, disclosure, treatment, alternatives, and choice. Results: On average, SLPs documented only two of the five components, and no report contained all five. Documentation of "choice" was significantly higher in outpatient settings compared to acute care (p = .006). Clinical swallowing evaluations were less likely to include "understanding" (p = .02) and "choice" (p > .001) compared to instrumental assessments, such as VFSS and flexible endoscopic evaluations of swallowing. Conclusions: The findings reveal a gap between ethical and legal standards and current documentation practices when recommending diet modifications. Incomplete documentation may compromise personal autonomy and increase the risk of professional liability. Enhanced education, targeted training, and systematic implementation of informed consent protocols are essential to promote best practice and safeguard both people with dysphagia and clinicians. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=193560219
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        Value: 10.1044/2026_AJSLP-25-00381
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        Text: English
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