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What is a bedside swallow exam for dysphagia? A bedside swallow exam is a test to see if you might have dysphagia, which causes trouble swallowing. Dysphagia sometimes leads to serious problems. When you swallow, food passes through your mouth and into a part of your throat called the pharynx.
On the basis of a guideline that a swallow screening should be performed in the first 24 hours after stroke33 to avoid prolonged NPO status, the team had to establish the optimal place to perform the dysphagia screening: the emergency department, stroke unit, critical care unit, or hospital-wide.
Dysphagia screening: \u201cSwallowing screening is a pass/fail procedure to identify individuals who require a comprehensive assessment of swallowing function or a referral for other professional and/or medical services.\u201d (
Videofluoroscopy (VFS), also called a modified barium swallow study, is the gold standard method for studying the oral and pharyngeal mechanisms of dysphagia and for evaluating the efficacy and safety of swallowing 7.
The 302 water swallow test is a sensitive screening tool for aspiration following stroke. 5 This test, coupled with documentation of coughing during meals, is also effective in identifying patients at greatest risk for medical complications associated with dysphagia and aspiration.
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The screening tool evaluates patients on the Glasgow Coma Scale (grading eye opening, verbal and motor response), assesses facial, tongue, and palatal asymmetry and weakness, and looks for specific signs of aspiration while drinking water.
The Gugging Swallowing Screen (GUSS) aims at reducing the risk of aspiration during the test to a minimum; it assesses the severity of aspiration risk and recommends a special diet accordingly. Methods\u2014 Fifty acute-stroke patients were assessed prospectively.
The Gugging Swallowing Screen (GUSS) aims at reducing the risk of aspiration during the test to a minimum; it assesses the severity of aspiration risk and recommends a special diet accordingly. Methods\u2014 Fifty acute-stroke patients were assessed prospectively.
The 302 water swallow test is a sensitive screening tool for aspiration following stroke. 5 This test, coupled with documentation of coughing during meals, is also effective in identifying patients at greatest risk for medical complications associated with dysphagia and aspiration.
The essential first step to ensure early detection of dysphagia, and to prevent dysphagia-related morbidity, is to screen all stroke patients for signs of swallowing impairment prior to oral intake [1].