Abstract WP38: Can I Eat? The Next Chapter Of Improving The Stroke Swallow Screen Process For Previously Lethargic Patients
| Autor: | Karen Schaefer, Melissa Harmon |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Stroke. 53 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.53.suppl_1.wp38 |
| Popis: | For stroke patients the swallow screen is one of the initial assessments completed by the RN that is typically completed in the Emergency Department. Our hospital system consist of a Primary Stroke Center (PSC) and a Comprehensive Stroke Center (CSC). At the PSC the swallow screen process was changed to allow the RN to repeat the swallow screen for patients that had an improvement in their mental status only if the patient initially failed due to lethargy. If this patient were to fail the repeated screen, they would remain NPO until evaluated by Speech Language Pathology (SLP). This change was made as a result of RNs noticing that some of these patients who failed due to lethargy would arrive to the stroke unit no longer lethargic and requesting something to eat or drink, however, due to the prior policy would be NPO. At times, these patients were admitted in the late evening/overnight and remained NPO until morning which was causing patients to be frustrated and agitated. A year after the policy change, we looked at patients that remained at the PSC and found that this was a positive change for both patients and staff. Now that a few years have passed, we wanted to look at not only the patients that stayed at the PSC but those that were transferred to the CSC. Data was gathered from a random sample of patients seen at the PSC as well as those transferred to the CSC. Of patients who stayed at the PSC and had a swallow screen repeated, 86% passed the repeated swallow screen, those who failed were referred to SLP. Of the patients transferred to the CSC, 55% passed the initial swallow screen after failing for lethargy at the PSC, 27% remained lethargic and the swallow screen was unable to be completed by the RN. 7 of the patients (36%) transferred to the CSC expired. None of the patients at either facility were readmitted with aspiration pneumonia. |
| Databáze: | OpenAIRE |
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