Especially in the mild to moderate stages of dementia, the symptoms are characterized by inappropriate eating, indifference to food and eating, choking, and aspiration.Therefore, it will be difficult to assess dysphagia early on and precisely in older adults with dementia.It is essential for older adults with dementia in nursing homes to have their swallowing function assessed systematically and to be provided with proper management, such as referral for further evaluation, changing the meal order and so on.