- Patients should be screened for swallowing deficits as soon as they are alert and ready for trialing oral intake (e.g. medications, food, liquid) using a valid screening tool by an appropriately trained professional [Evidence Level B]. Refer to Appendix Table 3: Canadian Stroke Best Practices Swallow Screening and Assessment Tools for more information.
- Abnormal results from the initial or ongoing swallowing screens should prompt a referral to a professional experienced in dysphagia assessment, treatment and management, ideally a Speech-Language Pathologist, for more detailed bedside swallowing assessment and management of swallowing [Evidence Level B].
- If a Speech-Language Pathologist is not available, then referral should be made to an occupational therapist, dietitian, or other trained dysphagia clinician [Evidence Level C].
- An individualized management plan should be developed to address therapy for dysphagia, dietary needs, and specialized nutrition plans [Evidence Level B].
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