American Speech-Language-Hearing Association

EBP Compendium: Summary of Clinical Practice Guideline

National Stroke Foundation
Clinical Guidelines for Acute Stroke Management

Barber, A., Beer, C., et al. (2007).
Melbourne (Australia): National Stroke Foundation, 114 pages.

AGREE Rating: Recommended with Provisos

Description:

This guideline provides recommendations for the assessment and management of stroke and transient ischemic attack (TIA) in adults. These guidelines are primarily intended to assist health care workers in improving quality and effectiveness of service. Recommendation is graded as follows:

  • A- evidence can be trusted to guide practice;
  • B- evidence can be used to guide practice in most situations;
  • C- evidence provides some support, but care should be taken in application;
  • D- evidence is weak and should be applied cautiously;
  • Clinical Practice Point- based on clinical experience and expert opinion.

Recommendations:

  • Assessment/Diagnosis
    • Assessment Areas
      • Swallowing
        • “Patients should be screened for swallowing deficits before being given food, drink or oral medications. Screening should be undertaken by personnel specifically trained in swallowing screening” (Grade C Evidence) (p. 31).
        • “Patients should be screened within 24 hours of admission” (Clinical Practice Point) (p. 31).
        • “Patients who fail the swallowing screening should be referred to a speech pathologist for a comprehensive assessment” (Clinical Practice Point) (p. 31).
      • Speech and Language
        • “All patients should be screened for communication deficits using a validated screening tool” (Grade C Evidence) (p. 35).
        • “Those with suspected communication difficulties should receive formal assessment by a speech pathologist” (Clinical Practice Point) (p. 35).
        • “Patients with communication difficulties should be treated as early and as frequently as possible” (Grade C Evidence) (p. 35).

Keywords: Stroke

Access the Guideline

Added to Compendium: October 2011

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