Drug administration guides in dysphagia
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Updated: May 20, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Jose Manuel Serrano Santos1, Fiona Poland, Jennifer Kelly
1University of East Anglia.
Background:
Patients with dysphagia are more likely to suffer medication administration errors than those without swallowing difficulties.
Aim:
To evaluate the use of individualised medication administration guides (I-MAGs) for patients with dysphagia on one stroke ward over six months.
Method:
A specialist pharmacist in dysphagia designed a software package supported with data on national guidelines on administering medicines to this group, which enabled the pharmacist to create I-MAGs. Once the pilot was completed, a questionnaire was given to all nurses, pharmacists and speech and language therapists who had used the guides.
Results:
Of 26 health professionals approached, 19 returned questionnaires. Eight (62%) nurses felt more confident in their practice when I-MAGs were in place.
Conclusion:
I-MAGs were well received and supported individualised care. However, they needed additional pharmacist input and greater nursing time. Research to determine the guides' cost-effectiveness is needed.
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