Neurol. praxi. 2011;12(6):426-429

Dysphagia screening in neurology: the nurse’s role

Petra Mandysová MSN1,2, doc.MUDr.Edvard Ehler, CSc.2,1
1 Fakulta zdravotnických studií, Univerzita Pardubice
2 Neurologická klinika, Pardubická krajská nemocnice, a.s.

Dysphagia is a symptom that accompanies a number of neurological conditions. To diagnose dysphagia, a screening assessment focused

on swallowing may be used. The article describes the multidisciplinary approach to swallowing disorders, focusing on the role of nurses

in the development and implementation of screening tools in a practice setting. The article provides examples of screening tools, and

at the same time, selected pitfalls associated with their development and implementation are discussed.

Keywords: dysphagia, screening tool, sensitivity, specificity, gold standard

Published: December 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Mandysová MSN P, Ehler E. Dysphagia screening in neurology: the nurse’s role. Neurol. praxi. 2011;12(6):426-429.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Baker M. Reviewing the application of the Glasgow Coma Scale: does it have interrater reliability? Br J Neurosci Nurs 2008; 4: 342-347. Go to original source...
    2. Bateman C, Leslie P, Drinnan MJ. Adult dysphagia assessment in the UK and Ireland: are SLTs assessing the same factors? Dysphagia 2007; 22: 174-186. Go to original source... Go to PubMed...
    3. Bours GJJW, Speyer R, Lemmens J, Limburg M, de Wit R. Bedside screening tests vs. videofluoroscopy or fibreoptic endoscopic evaluation of swallowing to detect dysphagia in patients with neurological disorders: systematic review. J Adv Nurs 2009; 65: 477-493. Go to original source... Go to PubMed...
    4. Bravata DM, Daggett VS, Woodward-Hagg H, Damush T, Plue L, Russell S, Allen G, Williams LS, Harezlak J, Chumbler NR. Comparison of two approaches to screen for dysphagia among acute ischemic stroke patients: Nursing admission screening tool versus National Institutes of Health Stroke Scale. J Rehabil Res Dev 2009; 46: 1127-1134. Go to original source... Go to PubMed...
    5. Canadian Stroke Network (2005). SCORE: SCORE evidence based recommendations for the upper and lower extremities and risk assessment post-stroke 2005. Toronto, Canada: Canadian Stroke Network 2005; 41s.
    6. Carnaby-Mann G, Lenius K, Crary MA. Update on assessment and management of dysphagia post stroke. Northeast Fla Med 2007; 58: 31-34.
    7. Dušek L, Pavlík T, Jarkovský J, Koptíková J. Analýza dat v neurologii: XXV. Hodnocení diagnostických testů - senzitivita a specificita. Cesk Slov Neurol N 2011; 74/107: 97-103.
    8. Dziewas R, Warnecke T, Ölenberg S, Teismann I, Zimmermann J, Krämer C, Ritter M, Ringelstein EB, Schäbitz WR. Towards a basic endoscopic assessment of swallowing in acute stroke - development and evaluation of a simple dysphagia score. Cerebrovasc Dis 2008; 26: 41-47. Go to original source... Go to PubMed...
    9. Dziewas R, Warnecke T, Ritter M, Dittrich R, Schilling M, Schabitz WR, Ringelstein EB, Nabavi DG. Fatigable swallowing in myasthenia gravis - proposal of a standardized test and report of a case. J Clin Neuromuscul Dis 2006; 8: 12-15. Go to original source...
    10. Edmiaston J, Connor LT, Loehr L, Nassief A. Validation of a dysphagia screening tool in acute stroke patients. Am J Crit Care 2010; 19: 357-364. Go to original source... Go to PubMed...
    11. Gerrish K, Lacey, A. The research process in nursing. Chichester, United Kingdom: Blackwell Publishing 2010. 568s.
    12. Head K, Weeks K, Stroud A, Coll AM. A survey of dysphagia screening practices across England and Wales. Int J Ther Rehabil 2007; 14: 409-417. Go to original source...
    13. Hinchey JA, Shephard T, Furie K, Smith D, Wang D, Tonn S. Formal dysphagia screening protocols prevent pneumonia. Stroke 2005; 36: 1972-1976. Go to original source... Go to PubMed...
    14. Hughes T. Neurology of swallowing and oral feeding disorders: Assessment and management. J Neurol Neurosurg Psychiatry 2003; 74(Suppl III): iii48-iii52. Go to original source... Go to PubMed...
    15. Leder SB, Novella S, Patwa H. Use of fiberoptic endoscopic evaluation of swallowing (FEES) in patients with amyotrophic lateral sclerosis. Dysphagia 2004; 19: 177-181. Go to original source... Go to PubMed...
    16. Mandysová P, Škvrňáková J, Ehler E, Černý M. Creation of a 13item bedside dysphagia screening test. Online J Health Allied Sci 2010; 9:6-6. http://www.ojhas.org/issue36/2010-4-6.htm.
    17. Martino R, Silver F, Teasell R, Bayley M, Nicholson G, Streiner DL, Diamant NE. The Toronto Bedside Swallowing Screening Test (TOR-BSST). Stroke 2009; 40: 555-561. Go to original source... Go to PubMed...
    18. Massey R, Jedlicka D. The Massey Bedside Swallowing Screen. J Neurosci Nurs 2002; 34: 252-260. Go to original source... Go to PubMed...
    19. Poorjavad M, Derakhshandeh F, Etemadifar M, Soleymani B, Minagar A, Maghzi A-H. Oropharyngeal dysphagia in multiple sclerosis. Multiple Sclerosis 2011; 16: 362-365. Go to original source... Go to PubMed...
    20. Swets JA. The science of choosing the right decision threshold in high-stakes diagnostics. Am Psychol 1992; 47: 522-532. Go to original source... Go to PubMed...
    21. Tedla M, Bunová B, Ehler E, a kol. Poruchy polykání. Havlíčkův Brod: Tobiáš 2009. 312s.
    22. Trapl M, Enderle P, Nowotny M, Teuschl Y, Matz K. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke 2007; 38: 2948-2952. Go to original source... Go to PubMed...
    23. Vyhláška, kterou se stanoví činnosti zdravotnických pracovníků a jiných odborných pracovníků. In: Česká republika. Sbírka zákonů. Praha: Ministerstvo vnitra 2004; částka 139, 8096-8140. http://aplikace.mvcr.cz/archiv2008/sbirka/2004/sb139-04.pdf.
    24. Wilkins T, Gillies RA, Thomas AM, Wagner PJ. The prevalence of dysphagia in primary care patients: A HamesNet research network study. J Am Board Fam Med 2007; 20: 144-150. Go to original source... Go to PubMed...

    Return to the content


    Neurology for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.