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- Aspiration pneumonia or recurrent chest infections (3 or more in the last year)
- Eating and drinking difficulties due to a baseline respiratory condition
- Chewing difficulties
- Choking (complete obstruction of the airway which required back slaps/Heimlich manoeuvre)
- Coughing when eating
- Coughing when drinking
- Drowsiness: not alert enough to eat and drink safely
- Fast rate of eating and drinking/cramming
- Food residue seen in mouth after eating
- Medications: difficulty swallowing tablets
- Positioning difficulties
- Refusing to eat and drink
- Regurgitation of food or fluids or symptoms of reflux in the absence of swallowing difficulties
- Improvement in swallow. Resident has been placed on thickened fluids, is tolerating these well and their general condition has improved
- Resident is struggling on current diet texture
- Saliva Management: Thick saliva and/or dry mouth
- Saliva Management: excess thin/watery saliva
- Weight loss due to significant reduction in fluid/food intake
- Wet Voice after eating or drinking
- Referral flowchart
- Referral Process
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