American Speech-Language-Hearing Association

EBP Compendium: Summary of Clinical Practice Guideline

National Institute for Health and Clinical Excellence; National Collaborating Centre for Chronic Conditions; National Health Service
Stroke: Diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack (TIA)

National Collaborating Centre for Chronic Conditions. (2008).
London (UK): Royal College of Physicians, 123 pages.

AGREE Rating: Highly Recommended

Description:

This guideline provides recommendations for the management of acute stroke or transient ischaemic attack (TIA). The target audience of this guideline is healthcare professionals involved in stroke care at the acute level.

Recommendations:

  • Assessment/Diagnosis
    • Assessment Areas
      • Swallowing
        • "If the admission screen indicates problems with swallowing, the person should have a specialist assessment of swallowing, preferably within 24 hours of admission and not more than 72 hours afterwards" (p. 95).
        • Individuals with acute stroke who are unable to adequately maintain nutrition and hydration should be referred for a detailed nutritional assessment and be considered for non-oral feeding method.
    • Assessment Instruments
      • Swallowing
        • Individuals with suspected aspiration should be considered for instrumental examination and dietary advice.
        • No evidence was found directly comparing FEES and videofluoroscopy. Advantages and disadvantages of both assessment options should consider (e.g. patient mobility, radiation dosage). 

Keywords: Stroke; Instrumental Assessment

Access the Guideline

Added to Compendium: November 2011

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