The Yale Swallow Protocol: An Evidence-Based Approach to Decision Making

✍ Scribed by Steven B. Leder, Debra M. Suiter (auth.)

Publisher: Springer International Publishing
Year: 2014
Tongue: English
Leaves: 164
Edition: 1
Category: Library

No coin nor oath required. For personal study only.

✦ Synopsis

The Yale Swallow Protocol is an evidence-based protocol that is the only screening instrument that both identifies aspiration risk and, when passed, is able to recommend specific oral diets without the need for further instrumental dysphagia testing. Based upon research by Drs. Steven B. Leder and Debra M. Suiter, an easily administered, reliable and validated swallow screening protocol was developed and can be used by speech-language pathologists, nurses, otolaryngologists, oncologists, neurologists, intensivists and physicians assistants. In addition, the protocol can be used in a variety of environments, including acute care, rehabilitation and nursing homes. The Yale Swallow Protocol meets all of the criteria necessary for a successful screening test, including being simple to administer, cross-disciplinary, cost effective, acceptable to patients and able to identify the target attribute by giving a positive finding when aspiration risk is present and a negative finding when aspiration risk is absent. Additionally, early and accurate identification of aspiration risk can significantly reduce health-care costs associated with recognized prandial aspiration.

✦ Table of Contents

Front Matter....Pages i-xiv
Building a Foundation and Defining Terms....Pages 1-17
Screening Basics: Differentiating a Screen from a Diagnostic Tool....Pages 19-28
Criteria Necessary for a Successful and Reliable Swallow Screen....Pages 29-34
Development of a Programmatic Line of Research for Swallow Screening for Aspiration Risk: The First Step....Pages 35-49
Development of a Protocol: Why You Need More Than Just an Isolated 3-Ounce Water Swallow Challenge....Pages 51-70
Generalizing the Yale Swallow Protocol to Different Patient Populations: Time to Change....Pages 71-97
Recommending Specific Oral Diets Based on Passing the Yale Swallow Protocol....Pages 99-103
Yale Swallow Protocol Administration and Interpretation: Passing and Failing....Pages 105-109
Implementation of the Yale Swallow Protocol by Other Health-Care Professionals....Pages 111-118
Question: What About Silent Aspiration? Answer: Silent Aspiration Is Volume-Dependent....Pages 119-131
In Support of Use of the Yale Swallow Protocol: Longer-Term (5 Day) Success of Diet Recommendations and Oral Alimentation....Pages 133-143
Final Thoughts....Pages 145-148
Yale Swallow Protocol Administration Forms....Pages 149-151
Back Matter....Pages 153-157

✦ Subjects

Otorhinolaryngology; Speech Pathology; Oncology; Geriatrics/Gerontology; Neurology

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