Introduction this is a reflective essay based on an episode of care that i was directly involved in managing during a community placement this episode of care will be analysed using up to date references, health care policies and relevant models. Dysphagia occurs in up to half of patients after an acute stroke and may cause dehydration, undernutrition, and aspiration pneumonia current evidence suggests that a systematic program of diagnosis and treatment of dysphagia in an acute stroke management plan may yield dramatic reductions in aspiration pneumonia rates. Scottish intercollegiate guidelines network (sign) has also issued guidelines on the management of patients with stroke, including guidelines about the assessment and management of dysphagia in stroke patients. Methods: we did a prospective, multicentre, cluster-randomised, open-label controlled trial with masked endpoint assessment of patients older than 18 years with dysphagia after new stroke recruited from 48 stroke units in the uk, accredited and included in the uk national stroke audit.
2 | dysphagia in the social care & healthcare sectors table of contents forward by caroline lecko - patient safety lead at the national patient safety agency 3. Evidence-based information on interventions for dysphagia in stroke from hundreds of trustworthy sources for health and social care make better, quicker, evidence based decisions. The findings from a care coordination model where social workers proactively contacted stroke patients to assess and address unmet mental health, psychosocial and environmental needs, showed decreased symptoms of depression and improved mental health (clairborne, 2006.
The care quality commission (cqc) is the independent regulator of health care and adult social care services in england whether services are provided by the nhs, local authorities or by. Ciated with improved quality of life and reduced health and social care costs management of dysphagia frequently requires environmental modifications, safe swallowing advice, appropriate dietary modification, and the application of swal. Essay about communication in care definition of health comes from two main sources, the professional definition from nurses, doctors and health care professionals and the lay definitions from the ordinary people in the street.
Screening for dysphagia and aspiration in acute stroke: a systematic review lin perry, msc, rgn, rnt1,3 and claire p love, bsc, srd2,3 1mayday healthcare, 2worthing & southlands hospitals nhs trust, and 3faculty of health and social care sciences, kingston university and. There is a wide range of specialists that care for a stroke patient from the medical, nursing, and therapy professionals the multi-disciplinary team give care to the person in a range of settings, icu, general ward, and home after care. Patient handouts- dysphagia strategies love love love has all the swallowing techniques and how to do them step by step find this pin and more on adult speech/swallow by cat casey this dysphagia handout that could be given to patient to perform exercises independently throughout their day. Evolving practice of nursing and patient care nursing is a unique healthcare profession that is an affiliation in maintaining and delivering healthcare services, education, health advice, and counseling. Cerebro vascular accident health and social care essay introduction stroke or cerebro vascular accident is the rapid loss of encephalon map ( s ) due to the perturbation in the blood supply.
Cfp208/a1 1712010 throughout this paper the author intends to discuss in detail the challenges of caring for a patient with poor nutrition, in this instance the cause for the poor nutrition is as a result of a symptom of stroke, dysphagia. In their study titled treatment of post-stroke dysphagia with repetitive transcranial magnetic stimulation, khedr, abo-elfetoh and rothwell (2009) aimed to investigate the therapeutic potential of rtms over the esophageal motor cortex for treating post-stroke dysphagia. Evidence-based information on care plan for stroke patient from hundreds of trustworthy sources for health and social care make better, quicker, evidence based decisions evidence search provides access to selected and authoritative evidence in health, social care and public health. The risk of stroke doubles with every decade after the age of 55 and, by the age of 75, one in five women and one in six men will have had a stroke (seshadri et al, 2006 health and social care information centre (hscic), 2015. This paper will discuss what dysphagia is, factors leading to the cause of dysphagia, how it is assessed, how this disorder affects quality of life and how can nursing professionals gear their knowledge in creating greater quality of life and care for patients with dysphagia.
It also includes a quality standard that covers care provided to adult stroke patients by healthcare staff during diagnosis and initial management, acute-phase care, rehabilitation and long-term management. Health care is a human right, and in 1912, theodore roosevelt stated that, freedom cannot exist without economic security and independence and every human being should have the right to adequate medical care (hnn) with this being said, you would think that no health insurance company should be able to deny a stroke victim's. A total of 81% of the patients had dysphagia at the time of initial clinical swallowing evaluation, which was performed 10 to 75 days after a total of 81% of the patients had dysphagia at the time of initial clinical swallowing evaluation, which was performed 10-75 days after the onset of stroke. This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old mr bertoli who has returned home from hospital after experiencing a stroke.
The median pre test feeding performance of the patients with post stroke dysphagia was 5 with a range of 1 to 6 and that of post median test was 65 with a range of 1 to 7 the non parametric sign test was used to find out the effectiveness of the therapy on feeding performance. The essay is based on my practice and training in the cardiac ward during my foundation degree in health and social care i have selected 5 extracts from my reflective journal concerning a patient experiencing shortness of breath which led to a cardiac arrest.
The national intermediate care audit report 2013 found that crisis response teams and home-based services appear to be well integrated into the wider health and social care systems with referrals received from primary, secondary, community and social care sources. We did a prospective, multicentre, cluster-randomised, open-label controlled trial with masked endpoint assessment of patients older than 18 years with dysphagia after new stroke recruited from 48 stroke units in the uk, accredited and included in the uk national stroke audit.