FEEDING PATIENTS WITH DYSPHAGIA AFTER STROKE The Activities on these Portfolio Pages correspond with the learning objectives of the Guided Learning unit published in Nursing Times 105: 32/33 (18 August, 2009). The full reference list for this unit follows Activity 2. Before starting to work through these Activities, save this document onto your computer, then print the completed work for your professional portfolio. Alternatively, simply print the pages if you prefer to work on paper, using extra sheets as necessary. Recording your continuing professional education To make your work count as part of your five days’ CPD for each registration period, make a note in the box below of the date and the total number of hours you spent on reading the unit and any other relevant material, and working through the Activities. Hours: Date: ACTIVITY 1 Learning objective: Understand the psychological and emotional issues surrounding dysphagia and feeding. Activity: Outline the psychological issues that patients with dysphagia post-stroke may experience. RESPONSE Begin your response here. Nursing Times Portfolio Pages: Feeding patients with dysphagia after stroke 11 1 FEEDING PATIENTS WITH DYSPHAGIA AFTER STROKE ACTIVITY 2 Learning objective: Recognise the importance of good communication when helping patients with this impairment during mealtimes. Activity: Describe how you would ensure good communication with patients during mealtimes. RESPONSE Begin your response here. Nursing Times Portfolio Pages: Feeding patients with dysphagia after stroke 22 2 FEEDING PATIENTS WITH DYSPHAGIA AFTER STROKE FULL REFERENCE LIST Baillie, L. (2001) Developing Practical Nursing Skills. London: Arnold. Brooker, C., Waugh, A. (2007) Foundations of Nursing Practice: Fundamentals of Holistic Care. London: Mosby. Chapelhow, C. et al (2005) Uncovering Skills for Practice. Cheltenham: Nelson Thornes. Department of Health (2009) Stroke. London: DH. tinyurl.com/stroke-facts Department of Health (2003) Essence of Care: Patient-focused Benchmarks for Clinical Governance. London: DH. tinyurl.com/essence-benchmarking Edmans, J. et al (2005) Occupational Therapy and Stroke. London: Whurr Publishers. Egan, G. (2002) The Skilled Helper: a Problem-Management and Opportunity Approach to Helping. Pacific Grove: Brooks/Cole. Cited in: Chapelhow, C. et al (2005) Uncovering Skills for Practice. Cheltenham: Nelson Thornes. Giddens, A. (2006) Sociology. Cambridge: Polity Press. Heron, J. (1990) Helping the Client: A Creative Practical Guide. London: Sage. Hinchliff, S. et al (2003) Nursing Practice and Healthcare. London: Arnold. Jacobsson, C. et al (2000) How people with stroke and healthy older people experience the eating process. Journal of Clinical Nursing; 9: 2, 255–264. Mayberry, M., Mayberry, J. (2003) Consent in Clinical Practice. Oxon: Radcliffe Medical Press. National Institute of Neurological Disorders and Stroke (2008) Post-Stroke Rehabilitation Fact Sheet. tinyurl.com/stroke-rehabilitation NICE (2008) Stroke: Diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack. London: NICE. www.nice.org.uk/CG68 Rosenvinge, S. Starke, I. (2005) Improving care for patients with dysphagia. Age and Ageing; 34: 587-593. Perry, A., Potter, P. (2002) Clinical Nursing Skills and Techniques. London: Mosby. Richards, A., Edwards, S. (2004) A Nurse’s Survival Guide to the Ward. London: Churchill Livingstone. Scottish Intercollegiate Guidelines Network (2004) Management of Patients With Stroke: Identification and Management of Dysphagia. Edinburgh: SIGN. tinyurl.com/sign-dysphagia Terrado, M. et al (2001) Dysphagia: An Overview. BNet Healthcare. tinyurl.com/dysphagia-overview Thayer, K. (2003) Establishing an Effective Dysphagia Program in a Long Term Care Facility. Speech Pathology.com. tinyurl.com/dysphagia-program The Stroke Association (2009) Psychological Effects of Stroke. London: The Stroke Association. tinyurl.com/psychological-effects The Stroke Association (2008) Five Demands for Action: the Stroke Survivor's View. London: The Stroke Association. tinyurl.com/stroke-survivors Trapl, M. et al (2007) Dysphagia bedside screening for acute-stroke patients. The Gugging Swallowing Screen. Stroke; 38: 11, 2948–2952. Wilkins, T. et al (2007) The prevalence of dysphagia in primary care patients: a HamesNet research network study. The Journal of the American Board of Family Medicine; 20: 2, 144–150. Workman, B., Bennett, C. (2003) Key Nursing Skills. London: Whurr Publishers. World Health Organization (2006) STEPwise Approach to Stroke Surveillance. Geneva: WHO. tinyurl.com/stepwise-stroke Nursing Times Portfolio Pages: Feeding patients with dysphagia after stroke 3 3