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Policy: Management of Dysphagia for Adults with a Learning Disability This policy is for use within the Learning Disabilities Directorate only Executive or Associate Director Lead Policy author/lead
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01
Begin by assessing the patient's swallowing abilities and any underlying medical conditions that may contribute to dysphagia.
02
Develop an individualized management plan based on the patient's specific needs and goals.
03
Consider a multi-disciplinary approach, involving speech-language pathologists, dietitians, occupational therapists, and other healthcare professionals as needed.
04
Provide education and training to the patient and their caregivers on safe swallowing strategies and techniques.
05
Implement dietary modifications, such as modifying food consistency or texture, as recommended by the healthcare team.
06
Use compensatory strategies, such as specific head or body positioning during meals, to improve swallowing function.
07
Provide rehabilitative exercises to strengthen the muscles involved in swallowing.
08
Monitor the patient's progress regularly and adjust the management plan as needed.
09
Continuously evaluate and address any potential complications or risks related to dysphagia management.
10
Ensure ongoing communication and collaboration between the healthcare team, the patient, and their caregivers to optimize management outcomes.

Who needs management of dysphagia for?

01
Individuals with neurological conditions such as stroke, traumatic brain injury, Parkinson's disease, multiple sclerosis, or amyotrophic lateral sclerosis (ALS).
02
People with structural abnormalities or disorders affecting the mouth, throat, or esophagus, such as cleft palate, tongue tie, esophageal strictures, or tumors.
03
Patients recovering from head and neck cancer treatments, including surgery, radiation therapy, or chemotherapy.
04
Elderly individuals with age-related changes in swallowing function, known as presbyphagia.
05
Individuals with certain respiratory conditions, like chronic obstructive pulmonary disease (COPD) or aspiration pneumonia, which can be exacerbated by dysphagia.
06
Infants or children with developmental issues affecting their oral motor skills or feeding abilities.
07
People recovering from major surgeries or those dependent on feeding tubes due to difficulty swallowing.
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Management of dysphagia is for assessing and treating swallowing difficulties.
Healthcare professionals such as speech therapists, doctors, and nurses are required to file management of dysphagia for their patients.
Management of dysphagia forms should be filled out accurately with details of the patient's swallowing difficulties, proposed treatment plans, and progress notes.
The purpose of management of dysphagia is to improve a patient's ability to swallow safely and efficiently.
Information such as patient demographics, medical history, swallowing assessments, treatment goals, and progress notes must be reported on management of dysphagia forms.
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