Feeding and Oral Care Guidelines for Certified Nursing Assistants Working with Patients with Head and Neck Cancer
Notice bibliographique
Résumé
Feeding and Oral Care in Head and Neck Cancer 2 This project was developed after participating in a clinical experience that required graduate speech-language pathology students to assist with feeding elderly patients in a skilled nursing facility .These patients are typically fed by certified nursing assistants (CNA) with reduced training during their educational course on proper feeding for patients with specific swallowing-related disorders.This guided the purpose of the project which was to research the current licensure requirements in the state of Illinois for programs that train CNA's, obtain CNA perceptions for providing feeding and administering oral care to subpopulations at a higher risk of a medical diagnosis of dysphagia, and develop a resource based on a deficit observed in the survey.For this project, an online survey was created and distributed through social media platforms that asked CNA's to indicate how long they have worked as a CNA, the state they work in, a text box to list what they currently know about best feeding practices, a yes/no response to identification of 3-4 signs and symptoms of dysphagia, and six yes/no responses regarding perceptions that their CNA program adequately prepared them to feed and provide oral care to the following subpopulations: stroke, dementia, and individuals with head and neck cancer.The survey yielded responses from 73 participants across the United States representing 26 states and 2 participants from Canada.Based upon results of the survey, 77% of CNA's that participated felt that their education program for obtaining a CNA license did not adequately prepare them to provide oral care to patients with head and neck cancer.Similarly, 79% of participants did not feel adequately prepared to feed individuals with head and neck cancer.Full survey questions and results can be found in the appendix.As a result of the survey responses, this project will consist of a brochure that will inform CNAs proper feeding guidelines and oral care considerations for providing care to patients with head and neck cancer.Feeding and Oral Care in Head and Neck Cancer 3 This brochure is intended to be a resource for certified nursing assistants to recognize clinical signs and symptoms of aspiration during meal times and provide proper feeding and oral care based on considerations of this pathology.This brochure will be beneficial in educating CNA's on feeding and oral care guidelines based upon the current available research in this field that may result in an increase in patient nutrition, reduce the risk of aspiration and severity of associated medical diagnoses, improve oral health care, and improve overall quality of life for patients with head and neck cancer.Background A certified nursing assistant (CNA) certification is regulated by the state in which a person resides and must follow guidelines set by federal government.For the state of Illinois, CNA licensure is regulated by the Illinois Department of Public Health under CFR Title 42 section 483.152."Under this regulation, programs that train CNAs must require a minimum of 75 hours of clock training and only a minimum of 16 hours of training before contact with a resident in the areas of communication and interpersonal skills, infection control, safety/emergency procedures, promoting residents' independence, and respecting residents rights" (42 CFR 483.152 n.d., n.p.).CNA curriculums encompass six core areas and require demonstration of competency in each of the areas as part of the minimum 75 hours of clock training.These areas are basic nursing skills, personal care skills, mental health and social service needs, care of cognitively impaired residents, basic restorative services, and residents rights.Basic nursing skills includes five subcomponents with proper obtainment of vitals as an example of a subcomponent.Personal care skills is most important for patient health as it includes eight subcomponents such as bathing, grooming, oral care, proper feeding, and
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».