Data Collection
The water swallowing test was conducted, unless a resident was suffering from severe dysphagia (known from hospital diagnosis). Ambulatory patients were seated in a chair; bed-bound patients were seated upright in bed. The 3-ounce water swallowing test, a widely used method of screening individuals who are at risk of oropharyngeal dysphagia and aspiration, was used. Although the test has a low specificity and a high false-positive rate, it is a valuable screening instrument (Suiter & Leder, 2008). Criteria for reference to further assessment of swallowing include the inability to complete the task, coughing, choking or a wet-hoarse vocal quality exhibited either during the test or within 1 minute after test completion. In such cases, the speech-language therapists determined risk of aspiration existed.
Data Collection The water swallowing test was conducted, unless a resident was suffering from severe dysphagia (known from hospital diagnosis). Ambulatory patients were seated in a chair; bed-bound patients were seated upright in bed. The 3-ounce water swallowing test, a widely used method of screening individuals who are at risk of oropharyngeal dysphagia and aspiration, was used. Although the test has a low specificity and a high false-positive rate, it is a valuable screening instrument (Suiter & Leder, 2008). Criteria for reference to further assessment of swallowing include the inability to complete the task, coughing, choking or a wet-hoarse vocal quality exhibited either during the test or within 1 minute after test completion. In such cases, the speech-language therapists determined risk of aspiration existed.
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