Gerontology & Geriatric Research

Abstract

The Role of the Speech-Language Pathologist in Managing Dysphagia in the Elderly

Dennis M. Ruscello

Dysphagia is a disorder of swallowing and is frequently present in the elderly. A swallowing disorder may be a function of the normal aging process or related to some disease process such as stroke or other medical issues. Patients generally exhibit different symptoms that indicate referral for an evaluation of the swallowing mechanism. The speech-language pathologist (SLP) is responsible for the diagnosis of swallowing problems and determining a course of treatment. There are a number of different treatments that may be used, but selection is a function of the specific problem. There is an evidence base to support the various treatments, but the level of evidence consists primarily of case studies and small cohort studies. The population of elderly is increasing, which means that the number of persons with dysphagia will continue to increase. Appropriate management begins with referral and leads to interdisciplinary management by a team of healthcare professionals. Professionals who work with the elderly should be aware of the potential for dysphagia and be aware of the clinical symptoms, so that an appropriate care plan may be implemented.