title: Compliance with dysphagia recommendations by carers of adults with intellectual impairment.
abstract: Health risks associated with dysphagia in adults with intellectual impairment are well documented. There is little research into compliance with dysphagia recommendations in environments where care is provided for adults with intellectual impairment. This is a pilot study into carer compliance with Speech-Language Pathology recommendations. We aimed to investigate the level of compliance with dysphagia recommendations in day centers and the factors that might affect compliance using a questionnaire. Twenty-seven clients were observed. Results showed an overall high level of compliance with recommendations (82%), with figures ranging from 64% compliance with appropriate utensils to 100% with direct support recommendations. Areas of noncompliance were evident, with level of dependence of clients and training of carers being key issues. Implications for practitioners are discussed.
authors: Tees, Esk and Wear Valleys NHS Trust, Freeman Hospital, Newcastle upon Tyne, UK. hannah.crawford@cddps.nhs.uk
authors: Hannah
authors: H
authors: Crawford
authors: Paula
authors: P
authors: Leslie
authors: Michael J
authors: MJ
authors: Drinnan
mesh_terms: D000328:Adult; D000368:Aged; D001037:Aphasia / Q000517:prevention & control*; D017028:Caregivers; D003679:Deglutition / Q000502:physiology*; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010865:Pilot Projects; D012307:Risk Factors; D011795:Surveys and Questionnaires
references: Allergy. 2002;57 Suppl 74:42-7
references: 12371912
references: J Intellect Disabil Res. 2003 Feb;47(Pt 2):134-45
references: 12542579
references: Am J Ment Retard. 2003 May;108(3):202-11
references: 12691599
references: Arch Dis Child. 2002 Oct;87(4):302-5
references: 12244002
references: Br Dent J. 2003 Mar 8;194(5):271-7; discussion 262
references: 12658304
references: N Engl J Med. 1990 Aug 30;323(9):584-9
references: 2143270
references: Clin Rehabil. 2002 Sep;16(6):604-8
references: 12392334
references: J Adv Nurs. 2003 Jan;41(2):147-53
references: 12519273
references: Am J Ment Retard. 1994 Jan;98 (4):490-8
references: 8148125
references: Res Dev Disabil. 1998 Jan-Feb;19(1):73-87
references: 9472136
references: J Intellect Disabil Res. 2000 Feb;44 ( Pt 1):45-52
references: 10711649
references: Gastroenterology. 1999 Feb;116(2):455-78
references: 9922328
references: Am J Ment Retard. 1995 May;99(6):595-604
references: 7632427
references: Br J Dermatol. 2003 Sep;149(3):582-9
references: 14510993
references: Eye (Lond). 2002 Mar;16(2):150-5
references: 11988815
references: J Adv Nurs. 2000 Mar;31(3):548-57
references: 10718873
references: Int J Lang Commun Disord. 2002 Jul-Sep;37(3):345-57
references: 12201982