Stroke Circulatory System
Conditions
Interventions
There are four stages of the research project.
Stage 1: Developmental work to inform national stakeholder co-design workshops
The preparatory work will combine quantitative and qualitative methods and
Sponsors
Sheffield Teaching Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Patients with acute stroke (ischaemic or haemorrhagic) who: 1. Are a patient on the Acute Stroke Unit, Royal Hallamshire, Sheffield Teaching Hospitals NHS Foundation Trust (STHFT). 2. Have had a clinical bedside swallowing evaluation by a Speech and Language Therapist (SLT) or equivalent trained health professional and who are considered at risk of aspiration with thin liquids (Level 0 Thin Fluids). 3. Have been on their swallowing recommendations (thickened fluids or NBM) for 72 hours. 4. Have extreme impulsivity or excessive coughing will have water under supervision. 5. Can sit out in a chair (minimum mobility hoist to chair). 6. Can engage with eating (even if they require assistance). 7. Can give written consent in English, Urdu or Arabic to enter the study or consultee of the patient either a family member or the medical team who gives written consent for the patient to participate on their behalf. 8. Are over 18 years of age.
Exclusion criteria
Exclusion criteria: Patients with acute stroke (ischaemic or haemorrhagic) who: 1. Have a pre-existing dysphagia and are recommended to drink thickened fluids pre-stroke. 2. Are fully dependent for feeding. 3. Have an active pneumonia, acute exacerbation of Chronic Obstructive Pulmonary Disease or active asthma with symptoms. 4. Have a degenerative neurological condition (e.g., Parkinson’s Disease, Multiple Sclerosis). 5. Have severe kidney disease (CKD 4/ requiring dialysis). 6. Are enrolled in other intervention studies related to dysphagia. 7. Experience extreme coughing to the point of discomfort with thin fluids. 8. Have severe oral stage dysphagia such that the majority of the water bolus is lost anteriorly. 9. Have an oral or dental infection, including lesions associated with head and neck cancer treatment. 10. Have an absent pharyngeal swallow response. 11. Are for imminent discharge i.e. within the next 7 days or for palliation.
Countries
England, United Kingdom
Contacts
Public ContactSarah Wilkinson
Outcome results
None listed