Table 1
Guideline recommendations for screening and assessment of dysphagia*
| Screening |
|---|
| 1 All stroke patients will have their swallowing function screened within 24 hrs of admission to identify those with swallowing difficulties. (B) |
| 2 Screening will be via a validated water swallowing tool, with pre-screen checks for conscious level, oromotor and laryngeal function, and signs of respiratory aspiration. (B) |
| 3 Detection of abnormalities in swallowing function will be followed by immediate referral for full clinical swallowing assessment by an appropriately trained speech and language therapist (SLT). (B) |
| Assessment |
|---|
| *Letters in parentheses refer to strength of recommendation, in light of underpinning evidence.13 |
| 1 Patients presenting with features indicating dysphagia and/ or risk of pulmonary aspiration will receive a full clinical assessment of swallowing by an appropriately trained speech and language therapist. (B) |
| 2 SLT assessment will be initiated within 2 working days of referral. (C) |
| 3 SLT assessment will take place within 72 hours of admission, where required. (C) |
