Patient
Care provider/family
Medical Staff
Previous therapists
Employeers
History and physical report
Discharge report
CT scans
Chest x-rays
Ever had treatment or swallowing problems before?
Does food get stuck in throat/mouth? Where?
When does the problem typically happen?
Coughing/choking when eating?
Coughing/choking when sleeping?
Problems drooling?
Types of foods/liquids that cause problems?
History of GERD/LPR (heartburn), currently on meds?
Does food get stuck in throat/mouth? Where?
Location where they typically eat?
When does the problem typically happen?
Option4
When does the problem typically happen?
When did the problem start?
When is it hard to swallow
Option4
Who typically eats with the patient?
Must the patient be fed by someone else?
Diet modification already in place? ST or patient modified?
Option4
Facial droop
Drooling
Food on the outside of the mouth
Dry lips
Anterior spillage
Dry scalp
Labial
Jaw Control
Soft Palate
Protective mechanism assessment
Dry Swallow with laryngeal palpation
Laryngeal palpation
Cervial Ausculation
Purse and retraction
Alternating range of motion
Dry lips
Option4
Lateralization of the tongue- ROM
Elevation and depression -ROM
Tongue click on the roof of mouth to assess tongue base
Protrusion of the tongue- does it deviate to one side.
Retraction and resistance
Range of motion (it should be 3 fingers width minimum)
Pain with opening?
Chewing should not be assessed during p,o trials
Chewing is assessed during p.o trials
Phonation is it strong or weak
Volitional cough is it strong or weak
Volitional clear is it strong or weak
Dry Swallow
Symmetry at rest with a flashlight
Gag reflux
Nasality present (indicates a poor velopharyngeal swallow)
Pain in opening
See if they can initiate dry swallow
Palpate is the larynx elevating and protracting
Is there elevation with or without protraction
Option4
Elevation with or without protraction
Rate of elevation is it sluggish or fast
Fluid: is the movement uninterupted (how efficient is the pharyngeal phase)
Option4
True
False
Place stethoscope on the side of the neck and listen to breathing on each side
Listen for gurgling
Have patient clear
If not cleared gurgling is still there
Gurguly wet vocal quality
Loss of voice
Watering Eyes
Running nose
Delayed cough
Nectar
Honey
Pudding
Water
Pudding
Water
Nectar
Thin
When we want to slow down the swallow
When there is a fear that there may be aspiration
Poor oral control of the bolus with manipulation
Option4
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