Effect of the Evidence-Nursing Care Algorithm of Dysphagia for Nursing Home Resident
Name of Effect of the Evidence-Nursing Care Algorithm of Dysphagia for Nursing Home Residents
The main purpose of the essay is to examine the effect of the Evidence-Based Nursing Care Algorithm of Dysphagia (ENCAD) in accordance with risk of dysphagia, oral health and disphagia-specific quality of life among nursing home residence.
A lot of researches have been made, showed that after ENCAD implementation, a risk of aspiration and dysphagia-related quality life improved. However, oral health status did not change. Thus, we can notice that implementing ENVAD contributed to a significant reduction in the risk of aspiration and an improvement in the quality of life in nursing home residents. According to Chen, Golub, Hapner and Johns (2009) about 50% of old people in nursing homes have swallowing difficulties and about 13% in the general community. Due to the problems with management of nature of dysphagia, the issue is of great concern. The reason is: lack of protocols or algorithms for a corresponding management of dysphagia. A nursing algorithm is a very essential tool that combines and assesses the intervention into a guiding pathway. As a result, it can provide clear directions and special activities to cope with problems.
A review of the literature showed that it is necessary to implement systematic care guidelines and algorithms to improve dysphagia management and patient outcomes (Runions, Rodrigue & White, 2004). Also, swallowing difficulties in the nursing residence can be more chronic than acute, unlike post-stroke dysphagia, because it is very difficult to recover from it. So, nurses have to focus on its early detection to prevent aspiration and deterioration of possible difficulties with swallowing. Korean nursing homes are really in need of such care algorithms, because nurses are the only health professionals concerning dysphagia issues. It is hard to find medical doctors or speech therapist in Korean nursing homes. ENCAD is a tool that can be implementing in nursing home settings and can help to identify swallow difficulties at the beginning and reflect the chronic nature of swallowing difficulties. Usefulness, appropriateness, and convenience were confirmed by nurses. The final version of the ENCAD was aimed at nursing in nursing homes to differentiate a high risk of dysphagia by evaluating their swallowing function and helping them at the right time.
This algorithm consists of three basic steps:To screen dysphasia risks;To group people according the degree of dysphasia risks;To assign corresponding nursing care for each group.Whereas nursing care includes: checking dysphagia symptoms during the meal, helping adults to take a safe posture to eat, demonstrating and teaching different exercises that help to strength swallowing function and providing oral hygiene. Quick and easy implementation of the tools helps geriatric care helpers to detect any abnormal signs or symptoms of dysphagia. The quick check includes four essential signs and signals as: difficulties with swallowing, aspirating or coughing, making a grounding sound. In this case, it is necessary to inform a nurse, who would then go back …