Swallowing Quiz 2
Identifies the presence/absence of a swallowing impairment and rules out those who are NOT
at risk for dysphagia. -
Screening.
Tells the nature/etiology of an impairment.
Gives information as to what intervention is appropriate.
Generally imaging studies. -
Objective Assessment.
Gives information that the patient is at risk for dysphagia.
Alerts care provider that patient may require further evaluation of dysphagia.
Determines if patient is safe for any oral intake or if there is a need for non-oral
hydration/nutrition.
Is usually quick, non-invasive, and is relatively low risk for the patient.
Easy to use. -
What a screening does.
Give definitive information as to the nature of the impairment.
Give SLP information on what intervention is appropriate. -
What a screening does NOT do.
Who may swallow screenings be administered by? -
SLPs or nurses.
Swallow screening tools most often involve assessment of what? -
Assessment of patient readiness.
Administration of small amounts of liquids and/or solids.
Name some validated swallow screening tools. -
Bedside Swallow Assessment EATS.
Burke Dysphagia Screening Test (BDST).
Gugging Swallow Screen.
Kidd Water Test.
Massey Bedside.
Scottish Intercollegiate Guidelines Network (SIGN).
Standardized Swallow Assessment (SSA).
Timed Test.
TORBSST.
Yale Water Swallow Protocol.
Given by: SLP.
Population: Stroke.
Goal: To identify those at risk for developing pneumonia and/or upper airway obstruction.
Uses chart review and direct patient observation to identify presence and absence of B/L
hemispheric stroke, brainstem stroke, history of pneumonia, cough associated with feeding,
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, persistent failure to consume 1/2 or more of meals over 3 consecutive meals, prolonged (30+
minutes) time for feeding, non-oral means nutrition. -
Burke Dysphagia Screening Test (BDST).
Failure of any one of the criterion on the BDST results in what? -
Referral for VFSS.
Given by: Nurse.
Population: Heterogeneous (not just stroke patients).
Goal: To identify those patients who may have dysphagia (not just those at risk for
aspiration). -
Gugging Swallow Screen (GUSS).
Give by: Nurse.
Population: Stroke.
Goal: Provide nurses with a tool to assess swallow function in patients with a stroke. -
Massey Bedside Swallow Screen.
Given by: Nurses or any clinical professional trained in assessment of post-stroke patients
(neurologist, SLP)
Population: Stroke.
Goal: A screening tool to identify dysphagia in stroke survivors across the continuum of care.
-
Toronto Bedside Swallow Screening (TOR-BSST).
Name the 5 clinical tests the TOR-BSST uses in a pass/fail format. -
Assessment of pharyngeal sensation.
Tongue movement.
Kidd water swallow test (10 individual swallows of water).
"Voice before".
"Voice after".
Given by: SLP.
Population: Heterogeneous.
Goal: To identify those patients at risk for aspiration corroborated with FEES.
Protocol: Oral mechanism exam, brief cognitive screen, drinking 3 oz. (90 cc) of water from
cup/straw. -
Yale Swallow Protocol.
Given by: SLP.
Referral: If a patient demonstrates risk for dysphagia on a nurse administered swallow screen.
-
Bedside Swallow Evaluation.
The bedside swallow evaluation is a diagnostic tool for the ____ ONLY. It is a screening tool
for the ____. -
Oral cavity; pharynx.
What's in a bedside swallow evaluation? -
Chart review for any prior diagnosis of dysphagia.
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Identifies the presence/absence of a swallowing impairment and rules out those who are NOT
at risk for dysphagia. -
Screening.
Tells the nature/etiology of an impairment.
Gives information as to what intervention is appropriate.
Generally imaging studies. -
Objective Assessment.
Gives information that the patient is at risk for dysphagia.
Alerts care provider that patient may require further evaluation of dysphagia.
Determines if patient is safe for any oral intake or if there is a need for non-oral
hydration/nutrition.
Is usually quick, non-invasive, and is relatively low risk for the patient.
Easy to use. -
What a screening does.
Give definitive information as to the nature of the impairment.
Give SLP information on what intervention is appropriate. -
What a screening does NOT do.
Who may swallow screenings be administered by? -
SLPs or nurses.
Swallow screening tools most often involve assessment of what? -
Assessment of patient readiness.
Administration of small amounts of liquids and/or solids.
Name some validated swallow screening tools. -
Bedside Swallow Assessment EATS.
Burke Dysphagia Screening Test (BDST).
Gugging Swallow Screen.
Kidd Water Test.
Massey Bedside.
Scottish Intercollegiate Guidelines Network (SIGN).
Standardized Swallow Assessment (SSA).
Timed Test.
TORBSST.
Yale Water Swallow Protocol.
Given by: SLP.
Population: Stroke.
Goal: To identify those at risk for developing pneumonia and/or upper airway obstruction.
Uses chart review and direct patient observation to identify presence and absence of B/L
hemispheric stroke, brainstem stroke, history of pneumonia, cough associated with feeding,
1|Page
, persistent failure to consume 1/2 or more of meals over 3 consecutive meals, prolonged (30+
minutes) time for feeding, non-oral means nutrition. -
Burke Dysphagia Screening Test (BDST).
Failure of any one of the criterion on the BDST results in what? -
Referral for VFSS.
Given by: Nurse.
Population: Heterogeneous (not just stroke patients).
Goal: To identify those patients who may have dysphagia (not just those at risk for
aspiration). -
Gugging Swallow Screen (GUSS).
Give by: Nurse.
Population: Stroke.
Goal: Provide nurses with a tool to assess swallow function in patients with a stroke. -
Massey Bedside Swallow Screen.
Given by: Nurses or any clinical professional trained in assessment of post-stroke patients
(neurologist, SLP)
Population: Stroke.
Goal: A screening tool to identify dysphagia in stroke survivors across the continuum of care.
-
Toronto Bedside Swallow Screening (TOR-BSST).
Name the 5 clinical tests the TOR-BSST uses in a pass/fail format. -
Assessment of pharyngeal sensation.
Tongue movement.
Kidd water swallow test (10 individual swallows of water).
"Voice before".
"Voice after".
Given by: SLP.
Population: Heterogeneous.
Goal: To identify those patients at risk for aspiration corroborated with FEES.
Protocol: Oral mechanism exam, brief cognitive screen, drinking 3 oz. (90 cc) of water from
cup/straw. -
Yale Swallow Protocol.
Given by: SLP.
Referral: If a patient demonstrates risk for dysphagia on a nurse administered swallow screen.
-
Bedside Swallow Evaluation.
The bedside swallow evaluation is a diagnostic tool for the ____ ONLY. It is a screening tool
for the ____. -
Oral cavity; pharynx.
What's in a bedside swallow evaluation? -
Chart review for any prior diagnosis of dysphagia.
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