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Dysphagia management by properly trained staff can minimise risks faced by patients. Training can save the NHS the costs associated with re-admission to hospital. The training was shortlisted for the National Patient Safety Awards 2010.
Dysphagia management by properly trained staff can minimise risks faced by patients. Training can save the NHS the costs associated with re-admission to hospital. The training was shortlisted for the National Patient Safety Awards 2010.
Dysphagia management by properly trained staff can minimise risks faced by patients. Training can save the NHS the costs associated with re-admission to hospital. The training was shortlisted for the National Patient Safety Awards 2010.
Helping Patients Swallow Safely With Dysphagia Awareness Training
Andrea Stroud, Dysphagia Training Coordinator and Nicola Davidson, Dysphagia Training Assistant Dorset Speech & Language Therapy Service Safeguarding Good dysphagia management by properly trained staff can minimise the risks faced by patients who may otherwise be exposed to serious harm from choking or aspirating, both of which have potentially fatal consequences. This was highlighted by the cases of Rita Smith (1) and Raymond Rees Lewis (2), both of whom died after untrained staff failed to adhere to Speech & Language Therapy recommendations. Introducing The Dysphagia Training Project Patients throughout Dorset were receiving different levels of care dependant on the dysphagia training that their nursing/care staff received. The Dysphagia Training Project was set up to provide an equal and consistent approach, and has developed a high quality training package that was shortlisted for the National Patient Safety Awards 2010. Why Else Do We Need Dysphagia Awareness Training? To save the NHS the costs associated with re-admission to hospital. Training nurses/carers in general dysphagia awareness can prevent avoidable aspiration pneumonia within 2-3 weeks of discharge.(3) To prevent patients being placed nil by mouth unnecessarily To meet the standards of the Inter Professional Dysphagia Framework (4) RCP guidelines state that Any stroke patient with continuing problems with swallowing food or liquid safely should have carers trained in the identification and management of swallowing difficulties.(5) The Training Modules Dysphagia Awareness Training (DAT) - Is for all healthcare workers caring for dysphagic patients. Participants investigate the causes, signs, and symptoms of swallowing difficulties, and how to manage these. An insight is gained into what it might feel like to be a patient through practical sessions. DAT Lite - A module specifically for nursing home staff, provided within the nursing home, allowing optimum numbers to attend. Water Swallow Screen A module for medics and stroke unit nurses. This ensures that a stroke patients ability to eat and drink safely can be screened within hours of admission. Catering Training - Our new module for catering staff increases awareness of texture modified diets, why they are necessary and what can be done to make food more appealing to dysphagic patients.
image Kirstine Davies (Staff Nurse) the 1,000 th DAT attendee, with Marie- Claire Lawson, Speech and Language Therapist, May 2010. Excellent Outcomes Substantial increase in attendees dysphagia knowledge base (6) Significant rise in attendees confidence to feed someone with swallowing difficulties and ensure they are eating & drinking appropriately (7) More staff adhering to Speech and Language Therapy recommendations, improving levels of care (8) Increase in referrals made by doctors (9) Reduction in patient waiting times (9) More than 1600 staff trained to date (6) For enquiries contact Suzanne Shaw, Dysphagia Training Administrator on 01305 213065 1. Health and Safety Executive [Internet]. [13 March 2014; cited 23 June 2014]; Available from: http://press.hse.gov.uk/2014/uks-biggest-care-home-provider-fined-over-fish-chip-death/2. Western Telegraph [Internet]. [26 September 2007; cited June 2014]; Available from http://www.westerntelegraph.co.uk/news/1713604.print/ 3. Heritage M. Enabling Older People to Eat Safely At Home 2002 4. Boaden E, Davies S, Storey L, Watkins C. Inter Professional Dysphagia Framework; 2006 5. Intercollegiate Stroke Working Party. National clinical guideline for stroke, 4th edition. London: Royal College of Physicians, 2012. P. 101 6.Dorset Speech & Language Therapy Service, Dysphagia Training Database Reports; 2014 7. Attendee Course Evaluation Forms; 2005 2014 8. Dorset Speech & Language Therapy Service. Lunchtime Feeding Record Audit; 2008 9. Dorset Speech & Language Therapy Service. New Referral Audit; 2008
One of the best workshops I have attended (45 years of nursing!). This made me more confident (feeding someone with a swallowing difficulty) and more aware of the risks of not doing it properly Very much improved my working practice. (7)