You have completed Connie’s early assessment. Here is a summary of the main outcomes:
- Connie is nil by mouth (NBM) following her swallow screen and requires a swallow assessment by SLT
- The Speech and Language Therapist will undertake a full assessment of Connie’s swallowing ability later today. This should ideally occur within 24 hours of admission and no longer than 72 hours later (NICE guidance stroke CG 128)
- Connie will require supplementary fluids given in an alternative way
- She will require a review of her medications
- She has MUST of 5 and requires referral to dietetics
- Connie and her next of kin should be kept updated and informed on a regular basis to reduce anxiety and to provide patient centred care.
From this summary is it apparent that we need to address Connie’s nutritional needs with some urgency. She is at high nutritional risk as her MUST Score is 5. As she is NBM, the Speech and Language Therapist will undertake a full swallowing assessment later today which will help to determine to the most suitable options for nutrition support?
Referrals have also been made to the Dietitian and Pharmacist.
Having identified the risks you can now go on to manage the risks.
Page last reviewed: 10 Apr 2021
