Here are some examples of poor, better and best responses for this worksheet provided by previous students.

Dietician Year 2 in a hospital.
What profession and what interaction did you observe?
Speech Pathologist – swallow assessment.
Speech Pathologist – swallow assessment for a patient with diagnosis of aspiration pneumonia.
Speech Pathologist – swallow assessment for a patient with diagnosis of aspiration pneumonia. Day 5
What exactly did the professional do with the patient/client?
Observed SP feed patient
SP used a variety of food and fluids
Provided different food/fluid textures to patient and monitored for signs of aspiration – via hand on trachea & listening.
What was the goal of the interaction for the professional you observed?
See what the patient likes best.
The goal is to determine food and fluid patient can tolerate.
Determine if the patient was aspirating on normal food/fluid textures.
From your observation of the patient/client experience, what was the impact of the interaction?
Patient had difficulty swallowing.
I will need to monitor what thickened fluids the patient is having.
Patient made gurgling sounds and had difficulty clearing throat on thin fluids & mildly thick. Thus patient was placed on moderately thickened fluids.
What are the patient/client’s issues that relate to your profession’s area of practice?
Not sure what I should do now.
I will need to monitor what thickened fluids the patient is having.
Thickened fluid diet means a change in what supplements can be offered. People often eat and drink less and I will need to monitor hydration and nutritional intake and make appropriate interventions.
Compared with your profession’s role, were there any overlaps in roles? Similarities in approaches to care? Differences?
Same.
Many similarities.
Similar style of approach but she is involved in determining the TEXTURE appropriate for the patient. Whereas dietitian determines if the nutritional profile is appropriate.
How can you see yourself, in your professional role working with and learning from the profession observed?
Only for aged patients.
We could work together with some patients.
I think as a hospital dietitian, especially if working with people – for example – who are ageing have neurological problems or certain types of disability/s, that we will work closely together to optimize nutritional care and status.
How may this observation assist you in providing patient/client care?
I will contact the SP.
I know what the SP role is and will refer patients if they show signs of swallowing difficulties.
I have an improved understanding of HOW the SP assesses for swallowing at the bedside and now I will feel more confident when referring to SP (eg: if I hear a patient coughing when drinking).
What else did you learn from this observation that you were not previously aware of?
SP role in swallowing assessment.
SPs work with children also.
I met with SP after this assessment and she explained that they also assess and facilitate speech & language/reading development in children.