practice applications Business of Dietetics| Volume 110, ISSUE 9, P1293, September 2010

Registered Dietitians and Speech-Language Pathologists: An Important Partnership in Dysphagia Management

      Swallowing difficulties, termed dysphagia, result in unsafe swallowing, and thus increase risk for inadequate food and fluid intake, aspiration pneumonia, and decreased cognitive and internal organ function. Swallowing is a complex process that relies on a series of well-timed and coordinated neuromuscular events. Initiation of swallowing is voluntary, but it is completed reflexively. Swallowing difficulties result from the delay, misdirection, or miscoordination of food and/or liquid as the material is transferred from the mouth to the stomach (
      • Crary M.A.
      • Groher M.E.
      Introduction to Adult Swallowing Disorders.
      • Leonard R.
      • Kendall K.
      Dysphagia Assessment and Treatment Planning: A Team Approach.
      • Arvedson J.C.
      • Brodsky L.
      Pediatric Swallowing and Feeding: Assessment and Management.
      ). Eating often requires increased time and effort for the patient with dysphagia. Difficulties may result in a fear of eating or drinking, which in turn can limit food intake and lead to malnutrition, dehydration, and general decline.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Crary M.A.
        • Groher M.E.
        Introduction to Adult Swallowing Disorders.
        Elsevier Science, St Louis, MO2003
        • Leonard R.
        • Kendall K.
        Dysphagia Assessment and Treatment Planning: A Team Approach.
        Plural Publishing, Inc, San Diego, CA2008
        • Arvedson J.C.
        • Brodsky L.
        Pediatric Swallowing and Feeding: Assessment and Management.
        Singular Publishing Group, Albany, NY2002
      1. American Speech-Language-Hearing Association. 2008 Standards for Accreditation of Graduate Education Programs in Audiology and Speech-Language Pathology. Rockville, MD; 2007.

      2. Leonard R. Graduate SLP programs—Generalists or specialists? Presentation at the Council on Graduate Programs in Communication Sciences and Disorders. Newport, CA; 2009.

        • Grantham-McGregor S.M.
        • Fernald L.C.
        • Sethuraman K.
        Effects of health and nutrition on cognitive and behavioral development in children in the first three years of life.
        Food Nutr Bull. 1999; 20: 53-75
        • Fairfield K.
        • Fletcher R.
        Vitamins for chronic disease prevention in adults: scientific review.
        JAMA. 2002; 287: 3116-3126
        • Fletcher R.
        • Fairfield K.
        Vitamins for chronic disease prevention in adults: Clinical applications.
        JAMA. 2002; 287: 3127-3129
      3. American Speech-Language-Hearing Association. 2007 Omnibus Survey Caseload Report: SLP. Rockville, MD; 2007.

        • McNeilly L.G.
        • Sheppard J.J.
        Managing dysphagia in the schools.
        Language, Speech, and Hearing Services in Schools. 2008; 39: 273-274
      4. Owre DW. Dysphagia management in schools: Survey results—Issues and barriers. Perspectives on Swallowing and Swallowing Disorders: Dysphagia. 2006;13:27-32.

        • Dollaghan C.A.
        The Handbook for Evidence-Based Practice in Communication Disorders.
        Paul. H. Brookes Publishing Co, Baltimore, MD2007
      5. National Dysphagia Diet Task Force. National Dysphagia Diet: Standardization for Optimal Care. Chicago, IL: American Dietetic Association; 2002.

        • Glenn N.H.
        • Araya T.B.
        • Jones K.G.
        • Lijjefors J.
        A therapeutic feeding team in the rehabilitation setting.
        Holistic Nurs Pract. 1993; 7: 73-81
        • Swauger K.
        • Tomlin C.
        BEST CARE for the elderly at Forsyth Medical Center.
        Geriatr Nurs. 2002; 23: 145-150
        • Wooster D.M.
        • Brady N.R.
        • Mitchell A.
        • Grizzle M.H.
        • Barnes M.
        Pediatric feeding: A transdisciplinary team's perspective.
        Top Lang Disord. 1998; 18: 34-51
      6. Austin M, Garbarino W, Murphy K. Developing a collaborative interagency approach to feeding and swallowing problems in school-aged children. California Speech-Language-Hearing Association Magazine. 2002;Fall:12-15.

        • Meyers S.
        • Ott M.J.
        Mindful eating as a clinical intervention for survivors of head and neck cancer: Interdisciplinary collaboration and strategies to improve oral intake.
        Top Clin Nutr. 2008; 23: 340-346
        • Scott-Smith J.L.
        • Greenhouse P.K.
        Transforming Care at the Beside: Patient-Controlled Liberalized Diet.
        The Robert Wood Johnson Foundation, Princeton, NJ2009