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Table 1 Dysphagia assessment

From: To adopt, to adapt, or to contextualise? The big question in clinical practice guideline development

Context considerations Minimum standard care of practice Additional standard care of practice
Diagnostic tools Water swallow test
Standardized clinical bedside assessment
Pulse oximetry
Videofluroscopy-modified barium swallow test (VMBS) and/or fiberoptic endoscopic evaluation of swallowing (FEES)
Equipment Water, food of different consistencies (pudding and buscuits-deleted), spoon, cup, stethoscope (see Appendix 11)
Pulse oximeter
Videofluroscopy machine
Fiberoptic endoscopy machine
Workforce Physiatrist
Occupational therapist
Nurse
Radiologist
Otorlaryngologist
Speech pathologist
Resources Protocol for water swallow test (Appendices 8 and 9)
Protocol for standardized clinical bedside assessment (Appendix 10)
Protocol for barium swallow and FEES when it is considered to be pathological
Training Training needed for water swallow and standardized clinical bedside assessment Specialist training in tertiary hospital
When is it done As screening tool for aspiration
Before nasogastric tube is removed or anything to be given by mouth
Done after a failed water swallow test, or presence of signs and symptoms of aspiration
  1. Context points of minimum and additional standard care of practice for dysphagia, Table 64) [28])
  2. Used with permission from PARM
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