Feeding and Oral Care Guidelines for Certified Nursing Assistants Working with Patients with Head and Neck Cancer
Bibliographic record
Abstract
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
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.002 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".