EBP Compendium: Summary of Clinical Practice Guideline
Ontario Guidelines Advisory Committee
Best Practice Guidelines for Stroke Care
Ontario Stroke System
Ontario (Canada): Heart & Stroke Foundation
AGREE Rating: Recommended with Provisos
This guideline provides recommendations pertaining to stroke prevention, identification, assessment, and management. These guidelines are intended for a wide audience.
- Assessment Areas
- Swallowing and Language
- The care guides (pp. 71-107) include best practice recommendations for various stages of stroke care and rehabilitation. The recommended time frame for SLP screening, assessment, and management of dysphagia, aphasia, and other cognitive-communicative impairments is discussed in detail for each stage.
- Assessment Instruments
- Bedside Swallow Examination and Videofluoroscopy
- “Routine bedside screening is useful to detect stroke survivors who aspirate. However, because 1/3 - 1/2 of individuals who aspirate do so silently, without coughing, clinical assessment may not detect aspiration in these cases.
- Videofluoroscopic modified barium swallow may be required in selected cases” (p. 48).
- “The family and caregivers should be involved in the treatment plans for aphasia to help re-establish functional communication” (p. 50).
Access the Guideline
Added to Compendium: October 2011