Barnes_Jewish_Hospital_Stroke_Dysphagia_Screen v.1

Assesses ability to swallow without aspiration after stroke.

Henrik Honkanen

henrik.honkanen@stud.ki.se

@Cambio CDS

Assesses ability to swallow without aspiration after stroke.

The Barnes Jewish Hospital Stroke Dysphagia Screen (BJH-SDS) was designed to create a simple dysphagia screen that health care professionals could use to detect swallowing difficulty in stroke patients quickly and accurately. The BJH-SDS can be used to help non-speech pathologists identify stroke patients who are at risk for dysphagia and aspiration, allowing some patients to eat earlier while still preventing aspiration risks. The BJH-SDS examines the patient using the 4 physical exam screening (answered Yes/No)questions of the BJH-SDS: -If the answer to any of the screening questions (GCS<13, Facial, Tongue, or Palatal Asymmetry/Weakness) is “YES” then the remainder of the screen should be stopped and the patient should be referred to speech pathology for further evaluation. -If the answer to all 4 screening questions is no, then the patient should be given a 3oz of water to swallow in sequential drinks.

1. Edmiaston J, Connor LT, Loehr L, Nassief A. Validation of a dysphagia screening tool in acute stroke patients. American Journal of Critical Care. 2010 Jul 1;19(4):357-64.

OBSERVATION.barnes_jewish_hospital_stroke_dysphagia_screen.v0