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Ensuring safer practice for adults with learning disabilities who have dysphagia

Ensuring safer practice for adults with learning disabilities who have dysphagia
Reference number
0500
Issue date01 July 2007
TypeGuidance
This guidance document aims to ensure safer practice for adults with learning disabilities who have difficulty in swallowing (dysphagia). It highlights best practice and provides resource materials to give practical help. The tools can be adapted for local use and for any adult who has dysphagia.


Dysphagia is a serious problem for some adults with learning disabilities and, in serious instances, has led to death.


Since 2004, the NPSA has received 605 reports of choking-related incidents involving adults with learning disabilities between 30 April 2004 and 30 April 2007.


The majority of these incidents (58 per cent) took place at mealtimes. Incidents occurring in residential care homes accounted for 41 per cent of incidents and 58 per cent took place within inpatient and assessment services. The remainder occurred in public places.


The document sets out best practice for healthcare organisations, including:

  • Putting in place a local policy on dysphagia care.
  • Providing information about dysphagia management.
  • Putting systems in place for the accurate reporting of patient safety incidents.
  • Ensuring that carers and staff know that a change in a clients medication could produce side effects that may worsen their condition.
  • Considering the designation of a lead clinician with overall responsibility for dysphagia services.
  • Providing care by trained staff, and ensuring that they know how to deal with choking incidents.

Dysphagia problems swallowing booklet healthcare- Dysphagia
Dysphagia problems swallowing booklet healthcare- Dysphagia - 511 KB 0500 - Dysphagia problems swallowing booklet healthcare- Dysphagia - 2007-07 - V1
Dysphagia problems swallowing clients and carers booklet - Dysphagia
Dysphagia problems swallowing clients and carers booklet - Dysphagia - 529 KB 0500A - Dysphagia problems swallowing clients and carers booklet - Dysphagia - 2007-07 - V1
Dysphagia Mealtime information sheet
Dysphagia Mealtime information sheet - 500 KB 0500 M | Dysphagia Mealtime information sheet | 2007-07
Dysphagia Mealtime information sheet Welsh
Dysphagia Mealtime information sheet Welsh - 174 KB Gwybodaeth am brydau bwyd
Dysphagia Mealtime information sheet photo
Dysphagia Mealtime information sheet photo - 305 KB 0500 K | Dysphagia Mealtime information sheet photo | 2007-07
Dysphagia Mealtime information sheet photo Welsh
Dysphagia Mealtime information sheet photo Welsh - 309 KB Gwybodaeth am brydau bwyd
Dysphagia Eating drinking swallowing care plan
Dysphagia Eating drinking swallowing care plan - 82 KB 0500 H |Dysphagia Eating drinking swallowing care plan | 2007-07
Dysphagia Specific high-risk care plan
Dysphagia Specific high-risk care plan - 82 KB 0500 P | Dysphagia Specific high-risk care plan | 2007-07
Dysphagia Learning disabilities protocol GPs
Dysphagia Learning disabilities protocol GPs - 163 KB 0500 S | Dysphagia Learning disabilities protocol GPs | 2007-07
Dysphagia interim mealtime information sheet
Dysphagia interim mealtime information sheet - 207 KB 0500 Q | Dysphagia Interim mealtime information sheet | 2007-07
Dysphagia interim mealtime information sheet Welsh
Dysphagia interim mealtime information sheet Welsh - 94 KB Gwybodaeth am brydau bwyd (interim)
Dysphagia report
Dysphagia report - 83 KB 0500 G | Dysphagia report | 2007-07
Dysphagia negative health consequences
Dysphagia negative health consequences - 230 KB 0500 F | Dysphagia negative health consequences | 2007-07
Dysphagia Consent form
Dysphagia Consent form - 5.33 MB 0500 D | Dysphagia Consent form |2007-07
Dysphagia Consent form Welsh
Dysphagia Consent form Welsh - 5.06 MB Ffurflen gydsynio ar gyfer asesu problemau bwyta, yfed neu lyncu
Dysphagia risk assessment form
Dysphagia risk assessment form - 117 KB 0500 C | Dysphagia risk assessment form
Dysphagia example mealtime information form
Dysphagia example mealtime information form - 493 KB Dysphagia example mealtime information form. Chris’s mealtime information.
Dysphagia example mealtime information form Welsh
Dysphagia example mealtime information form Welsh - 179 KB Dysphagia example mealtime | Welsh. Chris Gwybodaeth am brydau bwyd