Dysphagia Management Following Stroke Question Title * 1. Profession Question Title * 2. Grade: Question Title * 3. Client Group: Question Title * 4. Type of Location, e.g. Community/Acute: Question Title * 5. Country: Afghanistan Akrotiri Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Coral Sea Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Dhekelia Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands (Islas Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia, The Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen Japan Jersey Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Spratly Islands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wake Island Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe Question Title * 6. What bedside techniques do you use to ensure that patients with dysphagia, following stroke, swallow safely? Yes/No Timescale Nurse/other screening Yes No Nurse/other screening Yes/No menu 4 hours 24 hours 48 hours 72 hours 72+ hours Nurse/other screening Timescale menu 30z water protocol Yes No 30z water protocol Yes/No menu 4 hours 24 hours 48 hours 72 hours 72+ hours 30z water protocol Timescale menu Timed test of swallowing Yes No Timed test of swallowing Yes/No menu 4 hours 24 hours 48 hours 72 hours 72+ hours Timed test of swallowing Timescale menu Cervical Auscultation Yes No Cervical Auscultation Yes/No menu 4 hours 24 hours 48 hours 72 hours 72+ hours Cervical Auscultation Timescale menu Dysphagia screening (other than nurse screening as above - please specify assessment used) Question Title * 7. What instrumental assessment tools do you use in the assessment of stroke patients in your practice? Frequency Timescale Videoflouroscopy Not at all Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Videoflouroscopy Frequency menu Within 24 hours Within 48 hours Within 72 hours Within a week More Videoflouroscopy Timescale menu FEES Not at all Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) FEES Frequency menu Within 24 hours Within 48 hours Within 72 hours Within a week More FEES Timescale menu Other (please specify) Question Title * 8. Do you have any comments regarding tests you would like to use but are unable to due to availability etc? Question Title * 9. Which techniques do you use for swallow rehabilitation? What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. What non-SALT staff involved in this? When would you begin these techniques? Modifcation of food texture None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Modifcation of food texture What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Modifcation of food texture What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Modifcation of food texture When would you begin these techniques? menu Modification of liquid thickness None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Modification of liquid thickness What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Modification of liquid thickness What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Modification of liquid thickness When would you begin these techniques? menu Frazier Free Water Protocol None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Frazier Free Water Protocol What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Frazier Free Water Protocol What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Frazier Free Water Protocol When would you begin these techniques? menu Use of sour bolus None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Use of sour bolus What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Use of sour bolus What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Use of sour bolus When would you begin these techniques? menu Use of carbonated bolus None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Use of carbonated bolus What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Use of carbonated bolus What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Use of carbonated bolus When would you begin these techniques? menu Use of ice cool bolus None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Use of ice cool bolus What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Use of ice cool bolus What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Use of ice cool bolus When would you begin these techniques? menu Shaker Exercise None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Shaker Exercise What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Shaker Exercise What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Shaker Exercise When would you begin these techniques? menu Hyoid Lift Manoeuvre None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Hyoid Lift Manoeuvre What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Hyoid Lift Manoeuvre What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Hyoid Lift Manoeuvre When would you begin these techniques? menu Mendelsohn Manoeuvre None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Mendelsohn Manoeuvre What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Mendelsohn Manoeuvre What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Mendelsohn Manoeuvre When would you begin these techniques? menu Effortful Swallow None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Effortful Swallow What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Effortful Swallow What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Effortful Swallow When would you begin these techniques? menu Supraglottic Swallow None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Supraglottic Swallow What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Supraglottic Swallow What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Supraglottic Swallow When would you begin these techniques? menu Super-Supraglottic Swallow None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Super-Supraglottic Swallow What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Super-Supraglottic Swallow What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Super-Supraglottic Swallow When would you begin these techniques? menu Head back None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Head back What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Head back What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Head back When would you begin these techniques? menu Chin down/tuck None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Chin down/tuck What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Chin down/tuck What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Chin down/tuck When would you begin these techniques? menu Head rotation to weaker side None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Head rotation to weaker side What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Head rotation to weaker side What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Head rotation to weaker side When would you begin these techniques? menu Head tilt to stronger side None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Head tilt to stronger side What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Head tilt to stronger side What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Head tilt to stronger side When would you begin these techniques? menu Lying down on one side None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Lying down on one side What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Lying down on one side What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Lying down on one side When would you begin these techniques? menu Jaw exercises None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Jaw exercises What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Jaw exercises What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Jaw exercises When would you begin these techniques? menu Tongue exercises None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Tongue exercises What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Tongue exercises What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Tongue exercises When would you begin these techniques? menu Transcutaneous electrical stimulation (e.g. Vitalstim) None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Transcutaneous electrical stimulation (e.g. Vitalstim) What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Transcutaneous electrical stimulation (e.g. Vitalstim) What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Transcutaneous electrical stimulation (e.g. Vitalstim) When would you begin these techniques? menu Faucial stimulation None Rarely (1-10% of patients) Frequently (11-50% of patients) In most patients (>50%) Faucial stimulation What techniques do you use with dysphagic stroke patients in your practice? Indicate frequency below. menu None Nurses Relatives Assistants Other AHP Other (specify below) Faucial stimulation What non-SALT staff involved in this? menu 24 hours 48 hours 72 hours Within a week More Faucial stimulation When would you begin these techniques? menu Other (please specify) Question Title * 10. Do you have any comments regarding management techniques you would like to use but are unable to for various reasons? Done