Hi Heather,

Great question!! I must confess I don't use the NOMS at all. I was involved with the development of the measure and never found it very sensitive to functional changes or representative of clinically meaningful progress. My reports are mainly referential and linked to specific functional goals. I typically describe percentage of targets accomplished fully/partially/not at all, and also describe the degree of cueing required (high/medium/low/indirect/none) to obtain them. I try to describe consequences that are meaningful both in subjective and objective respects, eg, pt able to independently communicate desire to be turned and thus can quickly improve his comfort; and the ability to independently request repositioning could possibly reduce incidence and/or severity of pressure sores and promote healing.

Hopefully this helps -- let me know if I'm off track or if you'd like to talk more about it.

Thanks,

Amy

On Wed, Sep 30, 2015 at 6:06 PM, Thompson, Heather D. <xxxxxx@cshs.org> wrote:

Amy,

 

My co-worker is seeing a Parkinson’s patient and using the NOMS (National Outcome Measure Score) for Motor Speech; however, it is hard to document progress using this area. Is there another NOMS area you use for your ongoing Medicare patient’s to document progress with their SGD? I hope this makes sense.

 

Heather Thompson, MS, CCC-SLP

Cedars-Sinai Medical Center

Department of Physical Medicine

Speech-Language Pathologist

(p)-310-423-9237

(f) 310-423-9222

xxxxxx@cshs.org

 

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Amy Lustig, PhD, MPH, CCC-SLP
Restorative Speech & Swallow

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