Wednesday, 31 July 2013

Dysphagia Presentation (to volunteers)



Audience
Hospital volunteers who sometimes support patients at mealtimes.

Content
Lecture

  •  Inroduced SLT, my role, where I work and what volunteers might be expected to do.
  • What is dysphagia + risks + signs of
  • Safe feeding strategies
  •  SLT recommendations – showed example bedside signs e.g. nil by mouth. Fluids (thickened/ normal), Diet (normal, soft, soft-mash, puree, tasters
  • Malnutrition and dysphagia
  • Volunteer responsibilities when working with dysphagic patients e.g. asking nurses for info.
  • Top ten tips for feeding.
Activities
  • Thickening drinks
  • Feeding each other, one person pretending to have hemiplegia/ sensory deficit e.g. hemiplegia/ closing their eyes (eater) and one person practiced feeding in a attentive/ neglectful way e.g. not talking through what they were doing.
  • Reflecting on the activities. How did it feel to be the eater/ feeder?

How did it go?

  •  Activities and props e.g. bedside SLT dysphagia recommendation sign and a menu from the ward – worked well to break up the presentation and engage the volunteers.
  •  Examples/ client case studies interested the volunteers.
  •  Reading out text was not so engaging for the volunteers.


Improvements for next time

  •   Images on a powerpoint e.g. feeding tubes, drowsy looking patient, supplements, chest for aspiration pneumonia….
  •  Case studies to work through – split the large group up into four – what would you do if 1 – Patient struggling with meal, 2 Patient has requested normal fluids repeatedly 3. Aggressive patient 4. Patient keeps falling asleep.
  •  Ask more about experiences – eating/ drinking diff. / choking … and then relate these to the training. E.g. imagine if you had a coughing fit everytime you drank.






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