When should a patient exhibiting symptoms of dizziness or lightheadedness be screened for swallow?

Screening for swallow in a patient exhibiting symptoms of dizziness or lightheadedness is essential whenever there is suspicion of stroke. This is because dizziness and lightheadedness can be early indicators of a stroke, particularly a transient ischemic attack (TIA) or an acute stroke event. Dysphagia, or difficulties swallowing, commonly occurs after a stroke due to impaired motor function or coordination, which can lead to an increased risk of aspiration and subsequent complications like pneumonia.

Recognizing the signs and symptoms of stroke early and initiating a swallow screening can ensure the timely management of the patient's condition, including possible interventions to prevent aspiration and ensure safe feeding. This proactive approach is aligned with the stroke protocol guidelines, emphasizing the importance of assessing swallowing ability promptly when stroke symptoms are present, as timely intervention can significantly impact recovery and patient safety.