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Nutrition, Hydration, and Dysphagia: Overview of Risks and Problems

presented by Pamela Masters-Farrell, MSN, RN, CRRN and Cindy Nehe, MS, CCC-SLP

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Disclosure Statement:

Financial: Cindy Nehe and Pamela Masters-Farrell receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Cindy Nehe and Pamela Masters-Farrell has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 40 Minutes; Learning Assessment Runtime: 31 Minutes

Nutrition and hydration have a significant impact on a person's recovery and ability to participate in the rehabilitation process. When dysphagia is also present, the impact on nutrition and hydration may be even more critical to the patient's ability to fully participate in the rehabilitation process. This course gives students an overview of nutrition and hydration issues that commonly occur in persons with rehabilitation needs and addresses the impact that dysphagia has on those problems. This course is applicable to nurses who work with rehabilitation patients in acute care, acute inpatient rehab, long-term care, or home health care settings.

Meet Your Instructors

Pamela Masters-Farrell, MSN, RN, CRRN

Pam Farrell has worked, educated, and participated in research in nursing, particularly rehabilitation nursing, since 1975. She has been responsible for management and staff development for rehabilitation facilities from 1985 to the present and is currently designing and publishing multimedia computer-based training programs for rehabilitation professionals and working as a Clinical Educator for Rehab ClassWorks,…

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Cindy Nehe, MS, CCC-SLP

Cindy Nehe has been a Speech Therapist since 2002. She has worked in a variety of settings including education, skilled nursing, outpatient, home health, acute inpatient rehabilitation, and acute care. Cindy is currently in management for an acute care hospital that specializes in cardiac and trauma care. Evaluating and treating patients with dysphagia is a…

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Chapters & Learning Objectives

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1. Why Do You Care About Nutrition and Hydration?

Nurses need to recognize the importance of nutrition and hydration during recovery and rehabilitation care. Next to restful sleep, nutrition and hydration are important and cost effective interventions that enable patients to optimize recovery, fully participate in therapy, and learn new skills. This chapter reviews the impact of injury/trauma on metabolic systems.

2. Impact of Inadequate Nutrition and Hydration

This chapter continues the review of the impact of inadequate nutrition and hydration on rehabilitation process, function, and health. Reasons why rehabilitation nurses should attend to recognizing and actively preventing nutrition and hydration problems are discussed.

3. Impact of Dysphagia

Interventions for persons with dysphagia often include restrictions in types of food and prescribed consistency of liquids. While necessary for respiratory health, these restrictions can have negative impacts on overall ability to participate in care. This chapter identifies the potential impact of these restrictions on health and function and proposes options for reducing that risk.

4. Role of the Rehabilitation Nurse

Nurses are the team members who spend the most time with the patient and are, therefore, most influential in preventing nutrition and hydration problems, particularly in patients with dysphagia. But, in order to do this, they must closely coordinate their work with other members of the team. In this chapter, participants will review how to work more effectively with those team members.

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