[Dysphagia] Guidelines

[eripley at yahoo.com (Irene Campbell-Taylor)]

  The National Guideline Clearinghouse? (NGC), a public resource for evidence-based clinical practice guidelines. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. NGC was originally created by AHRQ in partnership with the American Medical Association and the American Association of Health Plans (now America's Health Insurance Plans [AHIP]).
  The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use. 
  For example:
   
  Dehydration and fluid maintenance.
  BIBLIOGRAPHIC SOURCE(S)
  American Medical Directors Association (AMDA). Dehydration and fluid maintenance. Columbia (MD): American Medical Directors Association (AMDA); 2001. 28 p. [15 references]
  Excerpt:
  ?Providing general support. Review existing diet orders and remove any nonessential fluid and salt restrictions. Be aware that diets of altered consistency (e.g., pureed foods and thickened liquids) may be so unpalatable that they result in decreased patient intake. Such diets are sometimes ordered because of a swallowing abnormality or symptom, but the risk of aspiration may be outweighed by the risk of weight loss and dehydration. The physician must make a rational assessment of relative risks and benefits when coexisting problems suggest incompatible interventions.?
   
  Other useful guidelines include:
   
  Oral hygiene care for functionally dependent and cognitively impaired older adults.
  http://www.guidelines.gov/summary/summary.aspx?doc_id=3611&nbr=002837&string=dysphagia
  Cough and aspiration of food and liquids due to oral-pharyngeal dysphagia: ACCP evidence-based clinical practice guidelines.
  http://www.guidelines.gov/summary/summary.aspx?doc_id=8664&nbr=004829&string=dysphagia
  Mealtime difficulties for older persons: assessment and management.
  http://www.guidelines.gov/summary/summary.aspx?doc_id=3506&nbr=002732&string=dysphagia
   
   
   


Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com