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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
• Refusing to eat and drink
• Positioning difficulties
• 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