To suction or not to suction....

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Aloha all! 

I am curious if mainland hospices are using suction in the home as a standard of care for hospice pts with dysphagia. I have been a hospice nurse for 20 years and my understanding is that use of suction was more than the exception and not the rule for best practice in managing dysphagia. The organization I work for is using suction on the regular. It is a standard order. Is this the norm in your hospice and I have just missed the boat in my years of training? I find it a burden to pt and family, an infection risk, and potential for causing more harm than good. Thoughts please! Mahalo! Melissa 

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