By Steven B. Leder, Debra M. Suiter (auth.)
The Yale Swallow Protocol is an evidence-based protocol that's the basically screening device that either identifies aspiration threat and, while handed, is ready to suggest particular oral diets with no the necessity for extra instrumental dysphagia trying out. dependent upon study by way of Drs. Steven B. Leder and Debra M. Suiter, an simply administered, trustworthy and established swallow screening protocol used to be built and will be utilized by speech-language pathologists, nurses, otolaryngologists, oncologists, neurologists, intensivists and physicians assistants. additionally, the protocol can be utilized in a number of environments, together with acute care, rehabilitation and nursing houses. The Yale Swallow Protocol meets the entire standards helpful for a winning screening try, together with being basic to manage, cross-disciplinary, within your means, applicable to sufferers and ready to determine the objective characteristic via giving a good discovering whilst aspiration probability is current and a detrimental discovering while aspiration threat is absent. also, early and exact id of aspiration possibility can considerably lessen health-care bills linked to well-known prandial aspiration.
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Extra resources for The Yale Swallow Protocol: An Evidence-Based Approach to Decision Making
Example text
It is important to note that when a screening test is passed no further treatment or assessment is indicated. Only when a screening test is failed is the more extensive and expensive diagnostic examination performed. The use of a screening test is based upon two general assumptions [1]. First, the course of the targeted disorder will, if undetected and untreated, result in serious and preventable health problems. For example, undetected prandial aspiration has the potential to cause a number of negative health outcomes including aspiration pneumonia, acute respiratory failure, dehydration, malnutrition, and sepsis with the possibility of leading to death.
Many times a patient will pass who, at first blush, did not appear capable, resulting in timely and safe resumption of oral alimentation. Repeat screening at 24-h intervals can be done, also without harm, prior to recommending instrumental testing. Since many hospitalized patients often demonstrate rapid improvement in their medical condition, including swallowing function [12], whenever the protocol is passed diet recommendations can be confidently made without the need for instrumental dysphagia testing.
Therefore, early identification and management is essential in prevention and health maintenance. Second, treatment for the target condition being screened exists and is effective. Again, in the case of prandial aspiration, effective interventions such as postural changes, bolus volume adjustments, and viscosity alterations can be implemented with the goal of either eliminating or minimizing its consequences. , no food or drink by mouth, order is generally effective when prandial aspiration is unresolved and before instrumental testing is performed.