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Stroke Training and Awareness Resources (STARs)


  1. Advancing Modules
  2. 03: Nutrition, hydration and swallowing issues following stroke
  3. Case 2: Bill

Case 2: Bill

photo portrait of Bill

Bill has presented at A & E after his wife found him unsteady on his feet, complaining of double vision, and slurring his words when he got up from the breakfast table.  She recognised the FAST symptoms and phoned for an ambulance immediately. He has a history of hypertension and stopped smoking 12 months ago.

Bill’s swallowing

Page last reviewed: 29 Apr 2021

Case 2: BillBill’s swallowingNutrition and hydrationBill’s videofluoroscopyWho is suitable for NG feeding?Passing Bill’s NG tubeConfirmation of position of nasogastric tube?What if you can’t get an aspirate?Bill’s feeding regimenMonitoring and medications whilst enteral feedingConsiderations and troubleshootingBill’s care plan for oral hygieneBill’s oral healthBill’s care plan for oral hygiene (teeth)Further advice for cleaning Bill’s denture plateSaliva management4 weeks laterMyths and facts about gastrostomy tubesInsertion of gastrostomy tubeIs Bill suitable for gastrostomy?Post gastrostomy insertion and management of gastrostomy tube and site“Can I just check …”Checklist for dischargeFollow-up care2 months laterKey MessagesFurther reading
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