Please use this identifier to cite or link to this item: http://hdl.handle.net/10125/51525

Stroke Management: Dysphagia Screening Program

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Title: Stroke Management: Dysphagia Screening Program
Authors: Fabro, Maria
Keywords: Dysphagia
Swallow Screening
Deglutition
Stroke Care
Issue Date: Dec 2016
Publisher: [Honolulu] : [University of Hawaii at Manoa], [December 2016]
Abstract: Stroke is the fourth leading cause of death in the United States and a major cause of adult disability. The formation of stroke centers to ensure that evidence-based care is provided to stroke patients has been shown to save lives. Kaua’i has the highest age-adjusted stroke mortality rate in the state, and this is believed to be caused by issues with access and quality of care. As the largest acute care facility on the island of Kaua’i and an affiliate of the Hawai’i Pacific Health (HPH), Wilcox Memorial Hospital is preparing to become certified as a primary stroke center by the Joint Commission. An important element of stroke care is the prevention and management of complications such as dysphagia and aspiration pneumonia. A literature review and synthesis revealed that a formal dysphagia screening program decreases the incidence of stroke-associated pneumonia, which in turn leads to lower mortality rates, improved quality of life and significant cost savings. An educational program was developed and implemented for nurses to learn how to safely conduct the dysphagia screening at the bedside. Evidence-based teaching and learning strategies, including the use of nurse champions, resulted in improved practice compliance and patient outcomes. The Iowa Model and Rogers’ Diffusion of Innovation Model were used as conceptual models in implementing this evidence-based practice
change at Wilcox Memorial Hospital.
Description: D.N.P. University of Hawaii at Manoa 2016.
Includes bibliographical references.
URI/DOI: http://hdl.handle.net/10125/51525
Appears in Collections:D.N.P. - Nursing Practice


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