An inter-disciplinary approach to swallowing problems in acute stroke

International Journal of Language & Communication Disorders
S DaviesD Barer

Abstract

Many speech and language therapy (SLT) departments are in danger of being swamped with dysphagia referrals, often to the detriment of other work. At the same time surveys have shown that large numbers of patients with acute stroke have swallowing problems which are poorly managed during the critical early phase, not referred or missed altogether. The Collaborative Dysphagia Audit (CODA) study, carried out in six British hospitals, showed that nurses could quickly be trained to carry out basic screening assessments for dysphagia and that implementation of a co-ordinated inter-disciplinary dysphagia management policy (DMP) could substantially improve the proportion of dysphagic patients in whom appropriate feeding precautions were taken. These early DMPs were limited by the need for ward staff to keep all patients with suspected swallowing impairment nil by mouth until assessed by SLT, so in some acute stroke units nurses have been trained to a higher level which allows them to manage most routine transient swallowing problems, leaving only complex or persistent cases for referral to SLT. This approach has been used successfully in our unit in Gateshead, where a dysphagia nurse specialist post has been set up to act as a link bet...Continue Reading

Citations

Jul 8, 2011·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Tracy A ComansLorraine A Sheppard
Dec 4, 2003·Journal of Advanced Nursing·Li-Chan LinShiao-Chi Wu
Nov 26, 2008·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Janice WeinhardtRick Keleman
Nov 13, 2018·International Journal of Health Care Quality Assurance·Manal Abdullah Khoja

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