What is the most suitable action if a patient fails the dysphagia screening?

When a patient fails the dysphagia screening, the most suitable action involves consulting speech-language pathology. This is because speech-language pathologists are specifically trained to assess and diagnose swallowing disorders. They can conduct a thorough evaluation to determine the severity of the dysphagia and suggest appropriate interventions. This might include strategies for safe swallowing, the use of modified textures, or further diagnostic tests such as a modified barium swallow study. Early and appropriate intervention can significantly reduce the risks of aspiration and improve the patient's safety and nutrition.

While other options may seem beneficial, they do not directly address the underlying problem of dysphagia. Referring to a dietician could assist with nutritional planning, but it is not the immediate priority when a swallowing issue is detected. Administering medication directly to a patient with dysphagia can pose significant risks of aspiration, and increasing fluid intake might exacerbate swallowing difficulties rather than improve them. Therefore, consulting speech-language pathology is essential for effective management and to ensure the patient receives the care necessary for their specific swallowing issues.