LibGuides: Moderate to Severe Acquired Brain Injury (ABI): Dysphagia, Nutrition and Hydration

Overview

Evidence-based Review of Moderate to Severe Acquired Brain Injury (ERABI): Clinical Guidebook
Chapter 3. Dysphagia, Aspiration, and Nutrition Post Acquired Brain Injury
This chapter provides a review of the clinical presentation, incidence, and risk factors for dysphagia and aspiration. Instrumental outcome measures and assessments are discussed along with the criteria for diagnosis. Relevant interventions are highlighted, including those from the Stroke Best Practice Guidelines for Managing Dysphagia. The importance of oral care and nutritional management, as well as evidence-based interventions, are also discussed.
ERABI Module 5. Dysphagia, Aspiration, and Nutritional Interventions for Patients with Acquired Brain Injury
Includes a detailed review of the literature.
Dysphagia rehabilitation
This chapter from the Evidence-based Review of Stroke Rehabilitation describes techniques commonly used in detection and assessment of dysphagia and aspiration, and reviews the interventions used in the management of dysphagia.
Teasell, R. (2018). Evidence-based Review of Stroke Rehabilitation (EBRSR). 19th ed.

Learning Module

Core Competencies 13: Swallowing
Stroke Training and Awareness Resources (STARs) Chest Heart & Stroke Scotland (CHSS) eLearning

Best Practice Guidelines

Canadian Clinical Practice Guideline L.1 - Assessment of Swallowing (Dysphagia)
The KITE research Institute, UHN
Canadian Clinical Practice Guideline L.2 - Management of Swallowing (Dysphagia)
The KITE research Institute, UHN
Canadian Clinical Practice Guideline L.3 - Assessment and Management of Nutrition
The KITE research Institute, UHN
Assessment and Management of Dysphagia and Malnutrition following Stroke
6th Edition - 2019 UPDATED
Canadian Stroke Best Practices, Heart and Stroke Foundation of Canada
TACLS Quick Reference Guide: 3.3 Swallowing and Dysphagia
from Taking action for Optimal Community and Long-Term Stroke Care (TACLS): A Resource for Healthcare Providers
Canadian Stroke Best Practices
TACLS Quick Reference Guide: 3.4 Hydration
from Taking action for Optimal Community and Long-Term Stroke Care (TACLS): A Resource for Healthcare Providers
Canadian Stroke Best Practices

Nova Scotia Health Dysphagia Protocols

The Nova Scotia Health dysphagia working group, including representation from Nova Scotia Health and Hearing and Speech Nova Scotia, developed:

Stroke Swallow Screening Tool
Dysphagia Diet Initiation Protocol (DDIP)
Dysphagia Diet Advancement Protocol (DDAP)

The purpose of the DDIP and DDAP is to provide a systematic process for the nursing team to use for introduction of oral intake when the dysphagia team is not available. Revisions were based on consideration of Dysphagia Team availability in Nova Scotia Health, feedback from nursing team members, and principles of person-centered care. These tools can be accessed through:

Nova Scotia Health Learning Management System (LMS) Catalogue

Nova Scotia Health Patient Education Pamphlets

Community Resources

Brain Health Food Guide
Canadian Consortium on Neurodegeneration in Aging (CCNA)
Healthy Eating
Heart and Stroke Foundation of Canada
Canadian Dysphagia Support Group
Aging Swallow Research Lab