Ethics in dysphagia Flashcards
3 concepts involved in Dysphagia ethics
Self-determination, non-maleficence, Beneficence
Describe self-determination
Decision making capacity, informed consent, informed refusal
Describe non-maleficence
Do no harm
Describe Beneficence
Do good
In order to demonstrate capacity, the patient must demonstrate:
Ability to understand condition and options
Appreciate consequences
Provide reasoning
Be able to express choice
Must have knowledge of treatment outcomes
Must have knowledge of treatment alternatives with multiple avenues to educate the patient
Responsibilities of the clinician
Job of an SLP working with dysphagia
To assess a patient’s ability and determine safest steps including determination of diet or determination of NPO status
To provide patient or guardian with risk vs. benefit to allow them to make an informed decision.
The national dysphagia diet includes:
Regular
Dysphagia advanced
Dysphagia mechanically altered
Puree
Honey thick liquids
Nectar thick liquids
Thin liquids