O'Loughlin G, Shanley C
Speech Pathology Department, Balmain Hospital, Sydney, Australia.
Dysphagia. 1998 Summer;13(3):172-83. doi: 10.1007/PL00009569.
Various studies suggest that between 50% and 75% of nursing home residents have some difficulty in swallowing. Some of these residents are assessed and treated by speech pathologists, but many are managed by nursing staff without specialist input. A training program called Swallowing ... on a Plate (SOAP) has been developed by the Centre for Education and Research on Ageing and the Inner West Geriatrics and Rehabilitation Service to help address swallowing-related problems in local nursing homes (Inner West of Sydney, Australia). The training program teaches nursing staff how to identify, assess, and manage swallowing problems, including making appropriate referrals. Several new instruments were developed specifically for this program including two assessment checklists, a set of management guidelines, and a swallowing care plan. Evaluation of the program--including 3 months follow-up--showed it to be highly successful. A stand-alone training resource has been produced for wide distribution to help staff implement the program as a permanent aspect of their nursing care. This paper describes the development, content, presentation, resource, and evaluation of the above program.
多项研究表明，50%至75%的养老院居民存在吞咽困难。其中一些居民由言语病理学家进行评估和治疗，但许多居民由护理人员管理，没有专家的参与。澳大利亚悉尼内西区老年教育与研究中心及内西区老年病与康复服务中心开发了一个名为“盘中吞咽”（SOAP）的培训项目，以帮助解决当地养老院与吞咽相关的问题。该培训项目教导护理人员如何识别、评估和管理吞咽问题，包括进行适当的转诊。专门为该项目开发了几种新工具，包括两份评估清单、一套管理指南和一份吞咽护理计划。对该项目的评估——包括3个月的随访——显示其非常成功。已制作了一份独立的培训资源，以便广泛分发，帮助工作人员将该项目作为其护理工作的一个永久组成部分来实施。本文介绍了上述项目的开发、内容、呈现方式、资源和评估情况。
