Based on the data, which were collected for two weeks, only six out of ten patients were screened in ER. After reviewing several literatures regarding the importance of performing dysphagia screening on stroke patients, implementation strategies were placed with the aim of changing personnel’s compliance to the requirement in order to improve quality of patients’ health.Many stroke patients need critical attention. Ensuring their safety and providing best care is one of the nurses’ most important tasks. One of the existing policies indicates that stroke patients must have a dysphagia screening prior any oral intake. Based on personal clinical experience, there were several cases where the stroke patients didn’t have the appropriate dysphagia screening in ER. According to the data collected from the emergency department for two weeks, only six out of ten stroke patients had the dysphagia screening prior their admission to the neuroscience department for further care and testing. This means that the safety of the remaining patients was compromised. According to Lakshminarayan et al (2010), “Dysphagia increases the risk of aspirating food and oral secretions into the lungs, thus posing the risk of subsequent pneumonia” (Lakshminarayan, et al. Furthermore, delaying the performance of the swallowing test on the stoke patients could compromise their care, in terms of the administration of certain medication and their nutrition such as dehydration. Mortality can be avoided if dysphagia screening is strictly performed in the ER on every patient representing with stroke symptoms, by given the patients a sip of water and apple sauce to test their ability to swallow different texture and consistency without any difficulties. However, if the patients show any distress or complications such coughing or drooling during the test, they are kept NPO ( nothing by mouth) until further testing.Electronic databases such as CINAHL complete, PubMed and PsycINFO were used for the purpose of this project. Several articles were reviewed and analyzed, and finding results were shared through this project. Dysphagia screening is a common practice in terms of saving the lives of stroke patients. Performing dysphagia screening tests on stroke patients has been used as a precautionary measure to save the lives of many patients, and is a stroke quality care indicator
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