The development and implementation of a standardized policy for the management of dysphagia in motor neurone disease

Author:

Kirker F J1,Oliver D J2

Affiliation:

1. Clinical Service Manager, Oliver Zangwill Centre, Princess of Wales Hospital (East Cambs & Fenland NHS Trust), Lynn Road, Ely, Cambridgeshire CB6 1DN, UK

2. Wisdom Hospice, Rochester, UK

Abstract

Following an audit to determine the standards of the assessment and management of dysphagia within the Wisdom Hospice, a standardized, multidisciplinary dysphagia policy was established, incorporating a dysphagia trained nurse (DTN) scheme. The standards of care of dysphagic patients were audited after its introduction and the results indicate that the resourcing and quality of care difficulties identified have been improved by the implementation of the policy. The service development implications for the management of dysphagia in palliative care settings are discussed.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,General Medicine

Reference13 articles.

1. Wagner-Sonntag E, Allison S, Oliver D, Proseigel M, Rawlings J, Scott A. Dysphagia. In Oliver D, Borasio GD, Walsh D eds. Palliative care in amyotrophic lateral sclerosis. Oxford: Oxford University Press, 2000: 62–72.

2. Motor neurone disease: a hospice perspective.

3. The quality of care and symptom control — the effects on the terminal phase of ALS/MND

4. Management of oral-pharyngeal dysphagia symptoms in amyotrophic lateral sclerosis

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