Purpose
Speech-language pathologists (SLPs) are trained to evaluate and treat dysphagia. One treatment method is to modify diet consistency or viscosity to compensate for swallowing dysfunction and promote a safer intake; this typically involves softening solids and thickening liquids. Thickening liquids is not safer for all patients, and modification of dysphagia diets without adequate training may reduce the quality of dysphagia patient care. Over 90% of SLPs working in health care report exposure to nurses who regularly downgrade dysphagia diets without an SLP consult. This study explores dysphagia diet modification practices of nursing staff with and without dysphagia training.
Method
Practicing nurses and student nurses (
N
= 298) in the United States were surveyed regarding their dysphagia diet modification training and practice patterns. Additionally, a pre-/posttest design was used to determine the efficacy of a short general tutorial on willingness to modify diets without an SLP consult.
Results
Downgrading diets without an SLP consult is a common practice. Fewer than one third of nurses (31.41%) would avoid it, whereas 73.65% would avoid upgrading without SLP consult. Formal dysphagia training made little difference to this practice. The short general tutorial also had no beneficial effect, in fact slightly reducing the willingness to consult SLPs.
Conclusions
Dysphagia diet modification practice by nurses is pervasive in U.S. health care. This is a previously unexplored but common issue SLPs face in work settings. This study identifies a need to clarify guidelines and increase interprofessional education between both professions to improve patient care.
Objectives
Older adults are at risk for age-related hearing loss and for dementia. Hearing loss increases the risk of dementia and accelerates cognitive decline. There is no cure for dementia, but hearing loss is treatable. Medical professionals who work with individuals with dementia are surveyed to explore whether recommendations made to individuals diagnosed with dementia include hearing assessments.
Method
A convenience sample of 85 medical professionals in California, Illinois, and Indiana responded to paper surveys in October 2018–April 2019.
Results
Of the 85 participants, 69 had some level of involvement with dementia. Of these, 16 (23%) reported recommending hearing assessment, and only one (1.45%) reported considering hearing assessment in the top three priorities of recommendations.
Conclusions
Hearing assessment is not currently a priority for the surveyed medical professionals who work with dementia populations. Advocacy is needed to close the gap between research and practice.
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