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Swallow screening is usually performed by registered nurses. swallowing function that consists of an extensive cranial nerve evaluation and direct examination of swallowing using food and liquids of various textures and consistencies. Swallow evaluations are performed by speech language pathologists (SLP).
First a dry swallow of the saliva in the person's mouth. Approximately 1/2 teaspoon of cracker. Check on efficiency of chewing. Tell the person when to swallow. Approximately 1/2 teaspoon of apple sauce. Approximately 1/2 teaspoon of water that you release from a straw.
The swallowing assessment generally includes an examination of the patient's history related to swallowing problems: a detailed evaluation of oral, pharyngeal, and laryngeal anatomy; sensory and motor function; behavioral, cognitive, and language abilities; and a feeding trial [12].
The Speech Language Pathologist's (SLP's) perspective Increased saliva production/drooling. Indifference or resistance to eating. Changes in taste. Vocal changes (gurgly) Shortness of breath. Unanticipated weight loss. Mental status changes.
The Mann Assessment of Swallowing Ability (MASA) is an instrument that was designed for bedside evaluations for patients referred for swallowing function assessment.

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Speech-language pathology clinical swallow evaluation: A speech-language pathologist (SLP) will review your medical history and symptoms, then test the muscles of your face and mouth to evaluate muscle strength and function.
A videofluoroscopy assesses your swallowing ability. It takes place in the X-ray department and provides a moving image of your swallowing in real time. You'll be asked to swallow different types of food and drink of different consistencies, mixed with a non-toxic liquid called barium that shows up on X-rays.
The MASA score is measured using a 5-point to 10-point rating scale. The total score of the MASA is 200 points, and the cutoff value is 177 points. The results of the MASA are interpreted as no abnormality (\u2265178), mild dysphagia (168\u2013177), moderate dysphagia (139\u2013167), and severe dysphagia (\u2264138).
During the exam, the SLP will carefully evaluate your teeth, lips, jaws, tongue, cheeks and soft palate. You may need to perform movements like smacking your lips together or sticking out your jaw, and you might be asked to make sounds such as coughing or clearing your throat.
Typically bedside/office swallowing assessment involves gathering preparatory information regarding patients' case history and symptoms and should identify medical diagnosis, medical and swallowing history nutritional status, tube feeding, and patient's awareness of swallowing difficulties.

bedside swallow evaluation form pdf