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8/12/2019 Dont Choke on It
1/1
Dont Choke On It!Helping Patients Swallow Safely With Dysphagia Awareness Training
Andrea Stroud, Dysphagia Training Coordinator and Nicola Davidson, Dysphagia Training Assistant
Dorset Speech & Language Therapy Service
SafeguardingGood 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 TrainingProject
atients throughout Dorset were receiving
fferent levels of care dependant on the
ysphagia training that their nursing/care
aff received. The Dysphagia Training
roject was set up to provide an equal and
onsistent approach, and has developed a
gh quality training package that was
hortlisted for the National Patientafety Awards 2010.
Why Else Do We NeedDysphagia 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 InterProfessional Dysphagia Framework (4)
RCP guidelines state that Any strokepatient with continuing problems with
swallowing food or liquid safely should
have carers trained in the identificationand management of swallowingdifficulties.(5)
The TrainingModules
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 nursinghome staff, provided within the nursing
home, allowing optimum numbers to attend. Water Swallow ScreenA 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 forcatering 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
1,000thDAT 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
alth 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
net]. [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,
es 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,
P. 101 6.Dorset Speech & Language Therapy Service, Dysphagia Training Database Reports; 2014 7.Attendee Course Evaluation Forms; 20052014 8. Dorset Speech & Language Therapy Service.
htime 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 moreconfident (feeding someone with a swallowing difficulty) and more aware of the risks of not
doing it properly Very much improved my working practice. (7)
Recommended