Screening for and managing dysphagia after stroke

Article Abstract:

Dysphagia in a stroke patient can be managed by nurses if they have been properly trained. Nurses are often the first to notice a patient having difficulty swallowing, or dysphagia. Nurses need to be trained to follow two simple flow-charts which outline screening and management procedures. The charts have been devised by speech and language therapists. The aims of the procedures are to prevent aspiration and ensure the patient gets enough nourishment. A training pack has also been developed for staff caring for stroke patients.

Complications and side effects, Stroke (Disease), Stroke

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A team approach to the treatment of dysphagia

Article Abstract:

The Stockport, England, Healthcare NHS Trust and the Stockport Acute Trust set up in 1991 a dyshphagia initiative group to establish policy and practices to manage patients suffering from the condition. Dysphagia is the inability to swallow food or liquids, and between 10-15% of patients in acute wards and 42% of stroke patients suffer from the condition. The group has launched a variety of initiatives, including guidelines for referral, for assessing the ability to swallow and for diet requirements at each stage of treatment.

Health aspects, Malnutrition

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Take a swallow

Article Abstract:

The use of liquid swallow screening techniques is a vitally important part of training for nurses working in nursing homes. Many elderly people have severe problems swallowing, making early assessment imperative to their nutritional and psychological state of health. Dysphagia screening is not widely carried out in UK nursing homes but would make a vital contribution to the well-being of patients if it was taught to nursing home staff.

Aged, Elderly, Management, Nursing homes, Nursing home management

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