What type of swallowing assessment is performed post-stroke?

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The dysphagia assessment is specifically focused on evaluating a patient’s ability to swallow safely and effectively, which is crucial in the post-stroke population. Many stroke survivors experience swallowing difficulties due to impaired motor control or sensory feedback, placing them at risk for aspiration, malnutrition, and dehydration.

Performing a thorough dysphagia assessment involves observing the patient’s swallowing mechanics, assessing their food and liquid tolerances, and identifying any signs of aspiration. This assessment helps determine the appropriate diet modifications, feeding strategies, and necessary interventions, such as the referral to a speech-language pathologist for further therapy if indicated.

While a speech therapy evaluation may include parts of a swallowing assessment, particularly when assessing for dysphagia, it is too broad of a term to capture the specificity needed for addressing swallowing issues post-stroke. Cognitive function assessments and functional independence assessments are not specific to swallowing issues; rather, they address different aspects of post-stroke recovery, focusing on the patient’s cognitive abilities and overall independence, respectively.

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