American Speech-Language-Hearing Association

EBP Compendium: Summary of Clinical Practice Guideline

Ontario Guidelines Advisory Committee
Best Practice Guidelines for Stroke Care

Ontario Stroke System (2003).
Ontario (Canada): Heart & Stroke Foundation

AGREE Rating: Recommended with Provisos

Description:

This guideline provides recommendations pertaining to stroke prevention, identification, assessment, and management. These guidelines are intended for a wide audience.  

Recommendations:

  • Assessment/Diagnosis
    • 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
      • Swallowing
        • 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).
  • Treatment
    • Language
      • “The family and caregivers should be involved in the treatment plans for aphasia to help re-establish functional communication” (p. 50).

Keywords: Stroke

Access the Guideline

Added to Compendium: October 2011

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