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Shared decision making in dysphagia.

Katie Atkinson1

  • 1Highly Specialist Speech and Language Therapist, Northern Care Alliance NHS Foundation Trust, Manchester.

British Journal of Nursing (Mark Allen Publishing)
|July 7, 2022
PubMed
Summary
This summary is machine-generated.

The term "risk feeding" is being challenged for its negative connotations. A new framework, Eating and Drinking with Acknowledged Risk, promotes person-centered decisions balancing safety and quality of life.

Keywords:
AspirationDysphagiaEating and drinkingPatient nutritionRisk feeding

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Area of Science:

  • Clinical Nutrition
  • Swallowing Disorders
  • Healthcare Ethics

Background:

  • The term 'risk feeding' is controversial due to its association with risk-taking and potential conflict with patient safety values.
  • Quantifying risk in dysphagia and the effectiveness of interventions are complex, with potential negative impacts on quality of life.
  • The traditional approach may lead to restrictive practices with limited evidence.

Purpose of the Study:

  • To discuss the complexities surrounding the term 'risk feeding' in the context of dysphagia.
  • To introduce and describe the Royal College of Speech and Language Therapists (RCSLT) framework for decision-making.
  • To highlight the role of nurses within this new framework.

Main Methods:

  • Critical review of the term 'risk feeding' and its implications.
  • Description of the RCSLT's multidisciplinary, person-centered decision-making framework.
  • Discussion of the principles of acknowledged risk and balancing personal values.

Main Results:

  • The term 'risk feeding' is increasingly challenged for its negative connotations.
  • The RCSLT framework, 'Eating and Drinking with Acknowledged Risk,' offers a person-centered approach.
  • This framework aligns with the Mental Capacity Act 2005, emphasizing balancing risk and quality of life.

Conclusions:

  • The concept of 'risk feeding' requires re-evaluation in clinical practice.
  • The RCSLT framework provides a structured, ethical approach to managing eating and drinking with dysphagia.
  • Nurses play a crucial role in implementing person-centered, risk-aware decision-making for patients.