Decision Making for Enteral Nutrition in Adult Patients with Dysphagia - A Guide for Health Care Professionals PDF Download

Author: Nicoll Kenny
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages :

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Book Description
Decision Making for Enteral Nutrition in Adult Patients with Dysphagia - A Guide for Health Care Professionals.

Author: Yvette M. McCoy
Publisher: Plural Publishing
ISBN: 163550466X
Category : Medical
Languages : en
Pages : 145

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Book Description
Adult Dysphagia Clinical Reasoning and Decision-Making Guide is the ideal resource for assessing and treating swallowing disorders. Readily accessible for day-to-day evaluation, this one-of-a-kind text gives clinicians quick access to key clinical information to help them think critically and provide actionable solutions for their patients. With a focus on the clinical process and implementing sound, clinical reasoning skills to inform decision-making, this resource aids speech-language pathologists in developing situation-based assessment and treatment plans. Concise and easy to use, this professional guide can be leveraged as a practical tool by clinicians to facilitate positive, actionable patient outcomes for treating dysphagia in adults. Utilizing case studies with clinically relevant charts, diagrams, and flow sheets, this text helps speech-language pathologists develop a clinical process that involves critical thinking. With essential, evidence-based material for swallowing assessment and treatment, as well as alternate treatment solutions to implement in their clinical caseload, clinicians will acquire informed clinical reasoning and decision-making skills. Key Features: * Case studies * Simple diagrams to describe complex, abstract concepts * Features “Deeper Dive” opportunities to go beyond the essential material * Inclusion of clinical notes and boxed focal points for practical application Please note: Ancillary material such as interactive clinical cases are not included as in the print version of this work.

Author: Renee Speyer
Publisher: BoD – Books on Demand
ISBN: 9535121510
Category : Medical
Languages : en
Pages : 250

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Book Description
Seminars in Dysphagia provides a comprehensive overview of contemporary issues in the field of dysphagia assessment, treatment and management in diverse subject populations. Expert views are shared by international clinical experts from different medical and allied health fields. This book contains an introductory chapter on the anatomical structures and physiology processes that underpin dysphagia and discusses the effects of polypharmacy and ageing on deglutition. Contemporary practices of functional assessment of swallowing and the endoscopic assessment for both oropharyngeal and esophageal dysphagia are reviewed. Both the nutritional support and decision making in oral route are described and the impact of dysphagia on carers and family when managing dysphagia. Several chapters are dedicated to outlining the manifestation and consequences of dysphagia in specific populations, including persons with Parkinsons disease, dystonia, chronic obstructive pulmonary disease and mixed connective tissue disease.

Author: National Collaborating Centre for Acute Care
Publisher:
ISBN: 9781846291500
Category :
Languages : en
Pages : 20

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Author: Paul Leslie
Publisher:
ISBN: 9781907826269
Category : Decision making
Languages : en
Pages : 80

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Book Description

Author: Ólöf G. Geirsdóttir
Publisher: Springer Nature
ISBN: 3030638928
Category : Adulthood
Languages : en
Pages : 274

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Book Description
Intro -- Foreword -- Acknowledgements -- Contents -- Part I: Nutritional Care in Geriatrics -- 1: Overview of Nutrition Care in Geriatrics and Orthogeriatrics -- 1.1 Defining Malnutrition -- 1.2 Nutrition Care in Older Adults: A Complex and Necessary Challenge -- 1.3 Malnutrition: A Truly Wicked Problem -- 1.4 Building the Rationale for Integrated Nutrition Care -- 1.5 Managing the Wicked Nutrition Problems with a SIMPLE Approach (or Other Tailored Models) -- 1.5.1 Keep It SIMPLE When Appropriate -- 1.5.2 A SIMPLE Case Example -- 1.5.2.1 S-Screen for Malnutrition -- 1.5.2.2 I-Interdisciplinary Assessment -- 1.5.2.3 M-Make the Diagnosis (es) -- 1.5.2.4 P-Plan with the Older Adult -- 1.5.2.5 L-Implement Interventions -- 1.5.2.6 E-Evaluate Ongoing Care Requirements -- 1.6 Bringing It All Together: Integrated Nutrition Care Across the Four Pillars of (Ortho) Geriatric Care -- 1.7 Summary: Finishing Off with a List of New Questions -- References -- Recommended Reading -- 2: Nutritional Requirements in Geriatrics -- 2.1 Nutritional Recommendations for Older Adults, Geriatric and Orthogeriatric Patients -- 2.2 Nutritional Recommendations for Older Adults -- 2.2.1 Energy Requirement and Recommended Intake -- 2.2.2 Protein Requirement and Recommended Intake -- 2.2.3 Micronutrients and Dietary Fibers -- 2.3 Nutritional Risk Factors in Older Adults -- 2.4 Estimating Intake in Older Adults -- 2.5 Nutritional Status of Older Adults, Geriatric and Orthogeriatric Patients -- 2.6 Summary -- References -- Recommended Reading -- 3: Nutritional Assessment, Diagnosis, and Treatment in Geriatrics -- 3.1 The Nutrition Care Process -- 3.2 Nutritional Screening/Risk Detection -- 3.3 Nutritional Assessment and Diagnosis -- 3.3.1 Nutrition Impact Symptoms -- 3.3.2 Nutritional Diagnosis -- 3.3.3 Etiologic Criteria.

Author: Jacqueline Kindell
Publisher: Routledge
ISBN: 1351693379
Category : Education
Languages : en
Pages : 105

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Book Description
This informative manual draws on expert research to highlight the feeding and swallowing difficulties that can occur with dementia. It is also a practical guide that offers potential strategies to manage these problems. Professionals are encouraged to focus on the needs of the individual by providing practical questions that should be asked when making an assessment. This is achieved through a step-by-step process, which allows a worker to observe, document and manage feeding and swallowing difficulties. Forms, schedules and checklists that can be photocopied are provided to aid in implementation. This is a detailed, practical resource which offers support and direction for speech and language therapists, and others with an interest in swallowing problems, working with people with dementia. It includes case studies to illustrate theory in practice, as well as a wide ranging bibliography.

Author: Louise McHutchison
Publisher:
ISBN:
Category : Deglutition disorders
Languages : en
Pages : 126

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Book Description
Background: For patients who have severe and chronic dysphagia, decisions need to be made about the provision of nutrition and hydration. 'Risk feeding', where a patient continues to eat and drink despite risk, may be necessary in situations where enteral tube feeding is not thought to be in a patient's best interests or is not medically possible. There is emerging interest in risk feeding pathways internationally. This retrospective audit explored current complex feeding decision practices in one medium sized New Zealand hospital. Methods: Fifty patients identified at daily ward rounds across a 15-month period as involving a feeding decision were recruited. Feeding decision was defined as: an oral or non-oral feeding decision made for the continuing provision of nutrition for severe oropharyngeal dysphagia not expected to resolve during hospital admission. For each identified patient, all discharge summaries, both historical as well as future admissions (up to and including six months post recruitment) were audited. A total of 149 admissions were tallied. All episodes of care where dysphagia or dysphagia-related complications were reported as a primary or secondary diagnosis in the discharge summary were included. Inclusion terms used: dysphagia, swallowing difficulty, diet modification, chest infection. Results: Fifty patients (76% male) were included (mean age 75yrs, range 19-94, SD 14.9) including 103 admissions for dysphagia-related illness (mean admission per patient 2, range 1-16) across a range of specialities: medical, surgical, stroke, oncology and rehabilitation with a mean length of stay of 18 days (range 1-139, SD 22). Only 24% of admissions involved palliative care. Sixty percent of admissions included enteral tube feeding. Of 49 nasogastric tubes placed, 31 (63%) failed. Nil-by-mouth with total enteral tube feeding was the final feeding decision in only 11% of admissions, while, 54% of admissions led to a risk feeding decision. Dysphagia was documented in only 44% of discharge summaries; with a feeding decision documented in only 34%. Conclusions: Management of feeding decisions for patients with severe oro-pharyngeal dysphagia is complex. Convoluted, lengthy decision-making with failed enteral feeding trials is common. Omissions in transfer information regarding dysphagia and feeding decisions potentially affect continuity of care. The findings from this study support the development of an evidence-based clinical guideline for the management of risk feeding decisions.

Author: Tobias Warnecke
Publisher: Springer Nature
ISBN: 3030421406
Category : Medical
Languages : en
Pages : 416

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Book Description
This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

Author: Barry Herman
Publisher: Wiley-Blackwell
ISBN: 9780813800066
Category : Medical
Languages : en
Pages : 96

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Book Description
Tells how to analyze the complete nutritional content of available enteral nutrition formulas, perform nutritional assessments, conduct enteral feedings, treat complications, monitor laboratory tests, and plan at-home care. The purpose of this handbook is to aid dietitians and other health professionals in evaluating and making recommendations for patients receiving enteral nutrition. The handbook is organized to guide the practitioner through various stages of support. The initial section is designed to assist in performing a nutritional assessment. This is followed by the main section on enteral feedings-selection, methods, complications, etc. There are additional sections on laboratory tests to monitor and on discharge planning. The information provided is designed to be practical and to facilitate efficient delivery of enteral feedings. Examples are used to make calculations easily understood. At the end of the book, specific references are provided for statements made in the text. This book is not intended as a conclusive text on enteral feedings. It is instead a convenient guide for the professional to use during daily practice. It also has the advantage of being written by dietitians currently working with enteral feedings at the clinical level.