James F.

Dela Torre BSN-IV

Reaction Paper

Nutrition is a basic human need that changes throughout the life cycle and along the wellness. Food provides nutrition for the body and the mind. Proper nutrition is needed in the body for growth, development, activity, reproduction, lactation, health maintenance, and recovery from illness or injury. Any eating disorder will surely affects the nutritional status of an individual. Dysphagia or difficulty swallowing is one of eating disorders that are common among older adults. It may be caused by neurological disorders like strokes, dementia’s and other diseases. As I read this article, their goal is to improve the quality of dysphagia assessment and management, specifically to identify nurses’ self-assessment of their knowledge of dysphagia and confidence in caring for patients with dysphagia, assess the effects of the interactive educational program and educational outreach on nurses’ knowledge retention over time, and increase nurse-initiated dysphagia referrals to SLP over time. In my opinion, this dysphagia assessment and management program has the potential to decrease the incidence and complication of pneumonia, malnutrition, and other adverse outcomes. The program evaluation for increasing SLP referrals as mentioned in the article should include retrieval of charts of individuals with selected neurological disorders because they compromise a majority of patients with dysphagia. This will help determine whether SLP screening request are being made appropriately. The research should examine the incidence of pneumonia and aspiration pneumonia in patients who have

dysphagia, weight changes, and the length of stay in relation to dysphagia management program implementation. Nurses need to be [patient advocates because they are most likely to be the first health care team members to observe dysphagia. Early detection and management of dysphagia is critical to improving outcomes for hospitalized older adults. Health care facilities instituting protocols for dysphagia management require multiple strategies to sustain change. The OMRU provides a useful framework for knowledge transfer, outcome evaluation and continuous improvement planning for the care of patients at risk for dysphagia.

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