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Dysphagia Management for People With Intellectual Disabilities: Practitioner Identified Processes, Barriers, and Solutions
Author(s) -
Chadwick Darren D.
Publication year - 2017
Publication title -
journal of policy and practice in intellectual disabilities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.592
H-Index - 30
eISSN - 1741-1130
pISSN - 1741-1122
DOI - 10.1111/jppi.12216
Subject(s) - dysphagia , feeling , referral , stakeholder , intervention (counseling) , negotiation , medicine , psychology , nursing , medical education , public relations , sociology , social psychology , political science , social science , surgery
Dysphagia is a significant problem for adults with ID which has received sparse attention in the research literature. Little is currently documented about how dysphagia management operates and the barriers and associated strategies to address barriers utilized in practice. A brief survey containing open‐ended questions was completed by 38 practitioners about the way their service operates, the barriers they have faced in providing support around managing dysphagia, and the solutions and strategies they have found useful. The process of dysphagia management typically involved referral and assessment, development of an intervention strategy, communication and negotiation, education and training in safe dysphagia management and monitoring, evaluation, and reassessment. Barriers were numerous but stakeholder beliefs, knowledge, and feelings underpinned many of them. Solutions varied but similarly were underpinned by good communication, building relationships, person‐centered practice and responsivity, pragmatism and innovation in training, and disseminating dysphagia management information.