1 / 8

Swallowing Screen for Stroke Patients

Swallowing Screen for Stroke Patients. Why is it important?. Dysphagia is difficulty swallowing and is present in 42-67% of patients in the first 3 days after a stroke 50% of patients with dysphagia aspirate 33% of those patients develop pneumonia

callia
Download Presentation

Swallowing Screen for Stroke Patients

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Swallowing Screen for Stroke Patients

  2. Why is it important? • Dysphagia is difficulty swallowing and is present in 42-67% of patients in the first 3 days after a stroke • 50% of patients with dysphagia aspirate • 33% of those patients develop pneumonia • 35% of post stroke deaths are caused by pneumonia • 40% of stroke patients are silent aspirators

  3. Who needs a Swallowing Screen? • ALL stroke patients (ie ischemic and hemorrhagic) are included • Stroke patients are admitted to UIHC by multiple services including, neurosurgery, family practice, internal medicine, and neurology • Regardless of the admitting service, a swallow screen is REQUIRED before PO meds or diet

  4. Who recommended Swallow Screens? • Swallowing screens prior to PO intake are recommended by: • Guidelines for the Early Management of Patients With Ischemic Stroke • American Association of Neuroscience Nurses • American Heart Association

  5. Who can complete Bedside Swallow Screens for Stroke Patients? • Bedside swallow screens may be completed by RN’s on 6JC and SICU who have completed training • Speech Therapy should be consulted for a swallow screen outside of 6JC and SICU • Stroke CareMaps/Order Sets (available on The Point) indicate patients are NPO until Bedside Swallow Screening completed and patient passes

  6. Location of Stroke Orders on the Point

  7. References Adams, H.P., et al. Guidelines for the early management of patients with ischemic stroke. Stroke. 2003;34:1056 Kidd, D., Lawson, J., Nesbitt, R., MacMahon J. The natural history and clinical consequences of aspiration in acute stroke. QJM. 1995; 88:409-413 Perry, L., Love, C.P. Screening for dysphagia and aspiration in acute -stroke: a systematic review. Dysphagia. 2001; 16:7-18

  8. Click the Review Test link and answer the questions to record your participation Review Test

More Related