Exam support b) Impairment based assessment & interventions vs ICF based holistic aspects of care

Week 8 Overview

  • Exam Support

  • Impairment-based assessment & interventions vs ICF-based holistic aspects of care

Exam Overview (Page 2)

  • Date: Monday, 6th January 2025, Time: 9:30 am - 12:00 noon

  • Format: Online exam via My Beckett, submissions through Turnitin.

  • RAP or anticipatory RAP allows 25% extra time; consult academic advisor for arrangements.

  • If "not fit to sit", mitigation for a second sit opportunity available.

  • Open book exam; treat it as a normal exam preparation.

Exam Paper Format (Page 3)

  • Structure:

    • Two case scenarios: Question 1 and Question 2

    • Each question accounts for 50% of the total marks, divided into 4 sub-parts (12.5% each).

Detailed Structure of Exam Paper (Page 4)

  • Question 1:

    • Case scenario: details omitted.

    • Sub-questions: 4 parts at 12.5% each.

    • Maximum Marks = 50%

  • Question 2:

    • Case scenario: details omitted.

    • Sub-questions: 4 parts at 12.5% each.

    • Maximum Marks = 50%

Recommendations for Exam (Page 5)

  • Complete exam by 11:50 am for Turnitin submission by noon.

  • Create a timetable to allocate time effectively across answers.

  • Prepare summary file with color coding and markers; avoid excessive online searches during the exam.

Additional Exam Information (Page 6)

  • Exam paper downloaded as a Word Document; save on One Drive.

  • Academic honesty must be maintained; collusion or use of Generative AI is not permitted.

Concerns about Exam Environment (Page 7)

  • Contact Annie if worried about home exam conditions (e.g., unreliable WiFi).

  • Limited on-campus exam spaces available with light-touch invigilation.

Syllabus Overview (Page 8)

  • Exclusion: Paediatric dysphagia.

  • Learning Outcomes:

    • L5 EDS Module: Understanding processes in eating, drinking, and swallowing across the lifespan.

    • L7 Dysphagia Module: Evaluate and apply understanding of dysphagia in various contexts.

RCSLT EDS Competencies (Page 9)

  • Competencies Required:

    • Recognizing and addressing dysphagia signs/symptoms.

    • Formulating intervention plans incorporating evidence-based techniques and ethical considerations.

Sample Dysphagia Case Study (Page 10)

  • Patient: AB, 48, dysphagic post head & neck cancer surgery.

  • Key Findings: Left tongue weakness, limited jaw opening, timely swallow trigger but oral control issues leading to coughing.

Assignment Analysis Requirements (Page 11)

  • Analyze AB’s dysphagia physiology and recommend compensatory therapy.

  • Discuss potential negative aspects of chosen therapy and multidisciplinary decision factors.

Factors Impacting Swallowing (Page 12)

  • Dysphagia Symptoms and Identifying Assessments:

    • Motor and sensory dysfunction.

    • Assessments: Bedside, FEES, VF.

Impact of Respiratory Impairment (Page 13)

  • Any respiratory condition may complicate swallowing; dysphagia prevalent during acute exacerbations.

Resistance Issues in Dysphagia (Page 14)

  • Factors Affecting Resistance: Cough reflex, smoking, acuity of illness, mobility.

Oral Hygiene and Infection Control (Page 15)

  • Good oral hygiene reduces risk of aspiration pneumonia; dependent care poses a higher risk factor.

Risks of Dysphagia (Page 16)

  • Health risks: Malnutrition, dehydration, aspiration pneumonia.

  • Quality of life impact: Comfort, anxiety, and cost implications of hospital stays.

Individual Context in Care (Page 17)

  • Consider patient condition: acute, chronic, deteriorating, or palliative.

  • Assess the setting and multidisciplinary team's role.

Nutritional Risk Management (Page 18)

  • Key decisions: Oral vs non-oral feeding, diet texture, rehabilitation plans.

Nutrition Support Options (Page 19)

  • Tailored feeding methods depending on patient needs: NG, gastrostomy, etc.

Decision Matrix for Diet Management (Page 20)

  • Assess safety and sufficiency of diets.

FOOD Trial Findings (Page 21)

  • Compared tube feeding methods in dysphagic stroke patients; early feeding proposed to reduce mortality yet affect outcomes negatively.

Non-Oral Feeding Techniques (Page 22)

  • Types: TPN, NG tube, and gastrostomy options.

NICE Guidelines on Nutrition Support (Page 23-24)

  • Risk screening and nutritional support pathways detailed.

Key Factors for Nutritional Decisions (Page 25)

  • Ethical considerations in consent and decision making for nutritional support.

NG vs Gastrostomy Feedings (Page 26-28)

  • Pros and cons of each feeding option based on patient conditions and duration of need.

Aspiration Risks (Page 30)

  • Tube feeding presents aspiration risks; managing aspiration pneumonia and associated complications.

Decision-Making Influences (Page 32)

  • Factors affecting SLT reasoning include clinical info, ethical frameworks, and patient preferences.

Key Points for Dysphagia Management (Page 33)

  • Importance of respecting legal guidelines and utilizing multidisciplinary teamwork.

RCSLT Position on Thickener Use (Page 34)

  • Focus on person-centered approach in discussions regarding thickened fluids.

Complex Decisions in EDS (Page 35)

  • Guidance documents available on risk and support for adults with eating and drinking challenges.