What Does a Swallowing Assessment Involve Before Therapy?

Swallowing is a complex process that requires coordination between the mouth, throat, and oesophagus. A swallowing assessment is essential before therapy if you or a loved one has difficulty swallowing. This evaluation helps healthcare professionals understand the issue, identify its causes, and determine the best treatment plan. This article explores the role of a swallowing assessment in shaping effective treatment.

What happens during a swallowing assessment

A swallowing assessment is a thorough evaluation to understand the difficulties you may be experiencing when swallowing. During the assessment, a specialist will examine your swallowing function, often through a series of tests, observations, and a detailed discussion about your symptoms. Here’s a quick overview of what typically happens:

• Medical history review: The healthcare experts will ask about your medical history, any existing health conditions, medications, and recent incidents that might be related to swallowing problems.
• Physical exam: A physical examination of your mouth, throat, and neck may be conducted to check for abnormalities.
• Swallowing tests: Various tests, such as modified barium swallow or fibre-optic endoscopic evaluation of swallowing (FEES), might be used to see how food or liquid moves through your mouth and throat.
• Observation: You may be asked to swallow different consistencies of food or liquid to see how well you can manage them.

A swallowing assessment is critical in identifying the cause of swallowing difficulties and providing a clear treatment plan. It involves reviewing your medical history, performing physical exams, conducting swallowing tests, and observing your ability to swallow.

When should someone get a swallowing assessment?

It’s important to seek a swallowing assessment if you or someone you care for is experiencing any of the following symptoms:

• Choking or coughing during meals: If you frequently cough or choke while eating or drinking, it could be a sign of a swallowing problem.
• Feeling like food is stuck: If you constantly feel like food is lodged in your throat, it’s time for an evaluation.
• Frequent throat clearing: Constantly clearing your throat after eating or drinking could signal swallowing issues.
• Unexplained weight loss: Difficulty swallowing might result in reduced food intake, leading to unintentional weight loss.

If you’re experiencing symptoms like choking, difficulty swallowing, or weight loss, it’s important to schedule a swallowing assessment to determine the cause and take action. This is also crucial in understanding how swallowing therapy can help you manage or improve your condition.

Can anyone get a swallowing assessment?

Swallowing difficulties, or dysphagia, can affect people of all ages. Whether due to neurological conditions, injuries, or other health factors, anyone experiencing difficulty swallowing may benefit from a swallowing assessment. This evaluation helps healthcare professionals diagnose the problem and plan an effective treatment strategy. But who is eligible for a swallowing assessment

A swallowing assessment is beneficial for anyone experiencing difficulty swallowing, including children, adults, and older people. It’s especially useful for individuals with neurological conditions, disabilities, or age-related changes. 

Who conducts an evaluation for swallowing problems?

A swallowing assessment is typically conducted by a speech-language pathologist (SLP), but other specialists may also be involved based on the individual’s needs:

• Speech-language pathologists (SLPs): Primary professionals who conduct swallowing assessments and design therapy plans.
• Doctors: May refer to an SLP or conduct tests to rule out other medical conditions.
• Occupational therapists: Assist when swallowing difficulties impact daily activities.
• Physiotherapists: Evaluate the role of posture or muscle control in swallowing difficulties.

A speech-language pathologist (SLP) typically leads the swallowing assessment, often working alongside doctors, occupational therapists, or physiotherapists, depending on your specific needs.

Are swallowing assessments safe and comfortable?

Swallowing assessments are generally safe and designed to be as comfortable as possible. While some tests may sound intimidating, such as a modified barium swallow, they are non-invasive and intended to provide valuable insights into your swallowing function. Here’s what you can expect during a swallowing assessment:

• Minimal discomfort: Any discomfort during the process is usually mild, such as a temporary sensation when swallowing contrast material for imaging.
• Non-invasive nature: Most assessments are non-invasive, meaning they don’t require surgery or invasive procedures.
• Comfortable environment: The assessment is typically conducted in a comfortable setting, where you can ask questions and feel at ease.

Swallowing assessments are generally safe and non-invasive. They are designed to be as comfortable as possible, with minimal discomfort. You will also be provided with information on dysphagia and its management during the process, which can help you navigate the next steps in therapy.

Does NDIS funding cover this type of service?

Yes, in many cases, NDIS (National Disability Insurance Scheme) funding can cover swallowing assessments and therapy, depending on your individual eligibility and needs. If you’re eligible, these assessments may fall under therapeutic supports, such as speech therapy or allied health services. To make sure you’re covered, follow these steps:

• Speak with your NDIS plan manager: Ask whether your current plan includes swallowing assessments and therapy.

• Request a referral: You may need a referral to access these services.

• Choose an NDIS-registered provider: Ensure that your chosen service provider is NDIS-registered.

Swallowing assessments and treatment solutions for swallowing issues in older adults may be covered by NDIS funding, provided you are eligible. It’s essential to consult your NDIS plan manager and ensure the service provider is NDIS-registered.

Conclusion

Swallowing assessments are an essential first step in addressing swallowing difficulties. Identifying the underlying cause of the issue makes it possible to develop a personalised approach to improve your swallowing function and overall quality of life. If you’re struggling with swallowing, it’s important to recognise that early assessment can significantly affect your ability to manage and overcome these challenges.

If you’re experiencing swallowing difficulties, understanding the underlying causes and exploring available support options can be key to improving your quality of life. Discover how Australian Disability Services can help you manage these challenges with tailored support and therapies.