At QEF’s Care and Rehabilitation Centre, we support clients with acquired brain injury, stroke, incomplete spinal injury and other neurological conditions.

Swallowing impairments (dysphagia) are a significant issue faced by some of our clients, due to impaired oropharyngeal function, cognitive deficits and/or behavioural problems. The management of dysphagia is complex and requires specialist training and a multi-disciplinary approach.

The Speech and Language Therapy (SLT) team not only provides varied communication treatment for clients with speech and language difficulties, but the other important part of our role is supporting clients with dysphagia – providing comprehensive assessment, guidelines and therapy. Treatment options include:

- Changes to positioning, supported by physiotherapy

- Providing adaptive equipment, supported by occupational therapy

- Providing behavioural guidelines, supported by psychology

- Modifying diet and fluid to promote safe swallowing

- Working on swallow rehabilitation exercises to increase strength

The SLT team are also widely supported by dietitians, for advice on nutrition and hydration in modified diets and the catering team who provide nutritional meals in line with national IDDSI framework and recommendations set by SLTs. Carers and rehabilitation staff also follow swallowing guidelines set by the team, promote independence during mealtimes and provide hands-on support where necessary.

Dysphagia after brain-injury can have serious consequences, dehydration and malnutrition, aspiration pneumonia and choking. So careful management of dysphagia is an essential part of rehabilitation.

Watch Alena Jobson, QEF's Lead Speech and Language Therapist explain more: