Which patients should receive a swallow screen?

The correct answer is that all suspected stroke patients should receive a swallow screen because swallowing difficulties, known as dysphagia, are common following a stroke. Assessing the ability of a patient to swallow safely is crucial, as it helps prevent aspiration, which can lead to pneumonia and other complications.

In the context of stroke care, swallowing dysfunction can occur due to altered neurological control of the swallowing mechanism. By conducting a swallow screen, healthcare providers can identify patients who may be at risk and implement necessary dietary modifications or further evaluations with a speech-language pathologist. This screening is vital, as some patients may not exhibit symptoms of dysphagia until they attempt to eat or drink.

The focus on all suspected stroke patients, rather than limiting the screen to specific groups, emphasizes the importance of early identification of swallowing difficulties, regardless of the severity of the stroke or transient ischemic attack (TIA). It ensures that all patients who may experience dysphagia receive the appropriate assessment and intervention to enhance their safety and recovery.