Chart review: Review patient's records, including history, evaluations, conditions, medications.

Observations: Assess appearance, posture, alertness, respiratory distress signs.

Cognitive-communication status: Evaluate cognitive abilities, communication skills.

Respiratory status, trach/vent check: Assess respiratory function, tracheostomy/ventilator.

Swallowing history: Gather difficulties, treatments, feeding methods.

Oral-mechanical examination: Evaluate lip closure, tongue movement, residue, oral control.

Cranial nerve examination: Assess trigeminal, facial, glossopharyngeal, vagus, hypoglossal nerves.

Laryngeal function examination: Evaluate vocal folds, sensation, cough reflex.

Optimal posture: Position patient for swallowing.

Food placement: Determine mouth placement.

Food consistency: Select safe consistencies.

Trial swallows: Monitor laryngeal movement, vocal fold closure, coordination.

Spell: Dysphagia Lecture 3