screening

[JHRIDDLE%TAONODE@MVS.HOSP.UKY.EDU (Jane.Riddle )]

Nora,

We have been working on a protocol for nursing to screen for dysphagia, to be
piloted on our trach patients.  What we came up with is a modified Fleming
Index, suited to the needs of our facility, followed by seeing if the patient
is able to dry swallow, then proceeding with a tray.  Our index is very hard
to pass, and should capture the patient.

References I used include:

1.  Baker, DM.  Assessment and Management of Impairments in Swallowing.
    Nursing Clinics of North America; 1993 Dec; 28(4); 793-805.

2.  Beadle L.  The Management of Dysphagia in Stroke.  Nursing Standard; 1995
    Jan; 9(15): 37-39.

3.  Dilorio C, and Price ME.  Swallowing:  An Assessment Guide.  American
    Journal of Nursing; 1990; 90(7): 38-41.

4.  Layne KA, Losinski DS, Zenner PM, and Ament JA.  Using the Fleming Index
    of Dysphagia to Establish Prevalence. Dysphagia; 1989; 4: 39-42.

5.  Layne KA. Feeding Strategies for the Dysphagic Patient:  A Nursing
    Perspective.  Dysphagia; 1990; 5: 84-88.

6.  Meehan M. Nursing Diagnosis:  Potential for Aspiration.  RN; 1992 Jan; 55
    (1): 30-4?.

7.  Price ME, and Dilorio C.  Swallowing:  A Practice Guide.  American Journal
    of Nursing; 1990; 90(7):  42-46.

Hope this helps, and good luck!! :)

Jane Riddle, OTR/L
UKMC
Lexington, KY
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We are revising our procedures regarding screening for dysphagia.  We wou=
ld like to=20
train our RNs to screen for dysphagia.  Is anyone using a screening tool =
in this way?=20
 If so, what is it?

nora z=E1rate hodges
speech language pathologist
bowie memorial hospital
1000 lamb
bowie, texas 76230
norazh@morgan.net