2.50
Hdl Handle:
http://hdl.handle.net/10755/151889
Type:
Presentation
Title:
To Reduce the Incidences of Aspiration among Patients during Hospitalization
Abstract:
To Reduce the Incidences of Aspiration among Patients during Hospitalization
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Rajaram, Sujata, RN, MSN, (Gerontology)
P.I. Institution Name:Alexandra Hospital
Title:Nurse Manager
21st INRC [Evidence-Based Practice Presentation] Purpose: Dysphagia is common in the elderly and is known to be an important risk factor which may result in developing aspiration pneumonia. It is associated with a mortality of 45% among hospitalized elderly patients. January to August 2005 it was reported that patients had aspirated during their stay in Alexandra Hospital Data showed that out of 13 cases that aspirated 8 (62%) were fed orally, 4 (31%) were fed via nasogastric tube and 1 (7%) via percutaneous endoscopic gastrostomy. However only two cases were referred to the speech therapist, as they had poor swallowing reflexes. There was a pertinent need in our organization to look into the causes of aspiration as this may lead to serious consequences. Method: To identify the root causes for aspiration, a fish bone diagram was used. The 80-20 rule showed that there were poor screening, lack of skills and knowledge deficit of nurses and caregivers. Results: A modified dysphagia screening test and the swallowing assessment were introduced. Caregiver training for feeding for nasogastric tube, percutaneous endoscopic gastrostomy and oral feeding were revised. Visual aids for the better understanding and retaining of information were created. The taping of the nasogastric tube was done using the bolster method. Conclusion: Thus with the introduction of Burke's Dysphagia Screening tool and the swallowing assessment and competency checklists for carers and nurses, there were nil cases of aspiration pneumonia in Alexandra Hospital.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTo Reduce the Incidences of Aspiration among Patients during Hospitalizationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151889-
dc.description.abstract<table><tr><td colspan="2" class="item-title">To Reduce the Incidences of Aspiration among Patients during Hospitalization</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rajaram, Sujata, RN, MSN, (Gerontology)</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Alexandra Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Manager</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rajaram.sujata@alexandrahealth.com.sg</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Purpose: Dysphagia is common in the elderly and is known to be an important risk factor which may result in developing aspiration pneumonia. It is associated with a mortality of 45% among hospitalized elderly patients. January to August 2005 it was reported that patients had aspirated during their stay in Alexandra Hospital Data showed that out of 13 cases that aspirated 8 (62%) were fed orally, 4 (31%) were fed via nasogastric tube and 1 (7%) via percutaneous endoscopic gastrostomy. However only two cases were referred to the speech therapist, as they had poor swallowing reflexes. There was a pertinent need in our organization to look into the causes of aspiration as this may lead to serious consequences. Method: To identify the root causes for aspiration, a fish bone diagram was used. The 80-20 rule showed that there were poor screening, lack of skills and knowledge deficit of nurses and caregivers. Results: A modified dysphagia screening test and the swallowing assessment were introduced. Caregiver training for feeding for nasogastric tube, percutaneous endoscopic gastrostomy and oral feeding were revised. Visual aids for the better understanding and retaining of information were created. The taping of the nasogastric tube was done using the bolster method. Conclusion: Thus with the introduction of Burke's Dysphagia Screening tool and the swallowing assessment and competency checklists for carers and nurses, there were nil cases of aspiration pneumonia in Alexandra Hospital.</td></tr></table>en_GB
dc.date.available2011-10-26T11:17:04Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:17:04Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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