Understanding Swallow Assessment

Understanding Swallow Assessment 

Dysphagia can lead to malnutrition, social restrictions, anxiety, dehydration, aspiration pneumonia, acute/chronic illnesses, or even death. Difficulties swallowing are often associated with a higher mortality rate making validated and reliable assessments and the ability to interpret them a necessity in successful management. Early identification is dependent upon utilization and understanding of efficient assessment tools. This course will review the current types of swallow assessments, discuss who should receive them, who should carry them out, and how to implement them in your facility.


Hours: 1.50


Certificates provided by accrediting body (5 Match)

Florida Council of Dietetics and Nutrition


Florida Council of Dietetics and Nutrition accepts medical errors courses approved by any Board within the Division of Medical Quality Assurance of the Florida Department of Health. Relias Learning, LLC is an approved provider of continuing education in nursing by the Florida Department of Health, Board of Nursing, provider # 50-290. This course is approved for 1.50 contact hours.

Commission on Dietetic Registration


Relias LLC is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials.
This activity is approved for 1.50 Continuing Professional Education units (CPEUs).
Activity Number: 149463
Learning Need Code(s): 3050, 5210, 5300
CPE Level: Level II

Dietitians/nutritionists may submit activity evaluations directly to CDR; [email protected] or mail to: Commission on Dietetic Registration, Attn: Accredited Provider Unit, 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606-6995.

Kansas Department of Aging and Disability Services (Dietary)


Approved for 1.50 continuing education clock hours for Kansas licensed dietitians by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-D1058. This activity is approved for 1.50 contact hours.

Kansas Health Department of Aging and Disability Services (Speech)


Approved for 1.50 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.50 contact hours.

American Speech-Language-Hearing Association


This course is offered for 0.15 ASHA CEUs (Introductory Level; Professional Area).

Course Details

Course Code: REL-RTS-0-USA
Hours: 1.5
Type: Online Course
Content Expiration Date: 6/30/2022
Learning Objectives:
Describe the incidence and outcomes of dysphagia and aspiration.
Define and describe the differences between aspiration, aspiration pneumonia, and aspiration pneumonitis.
Identify the need for efficient dysphagia assessment tools.
Identify assessment tools to detect dysphagia and describe the difference between a screen, clinical swallow exam, and instrumental exam.


Section 1: Introduction

About This Course

Learning Objectives

Section 2: Dysphagia and Aspiration

Topic Introduction

The Need for Reliable Swallow Screens and Assessments

Prevalence of Dysphagia

Impact of Dysphagia and Aspiration



Section 3: Swallow Assessments

Topic Introduction

Types of Swallow Assessments

Swallow Screens

Diagnostic Evaluations

Clinical Swallow Examination

Instrumental Evaluation

Screens vs. Diagnostic Exams

Informal Assessments



Section 4: Standardized Swallow Screens

Understanding the Research

Swallow Screens

The Yale Swallow Protocol

Toronto Bedside Swallowing Screening Test (TOR - BSST)

Modified Mann Assessment of Swallowing Ability (MASA)

Burke Swallow Test

Gugging Swallow Screen

Eating Assessment Tool (EAT)

The Nursing Bedside Swallow Screen



Section 5: A Closer Look at Diagnostic Evaluations

Diagnostic Evaluations

Components of The Clinical Swallow Exam

Videofluoroscopy or Modified Barium Swallow Study

The Fiberoptic Endoscopic Evaluation of Swallowing

Videofluoroscopy vs. Fiberoptic Endoscopic Evaluation of Swallowing

Penetration - Aspiration Scale




Section 6: Conclusion


Course Contributors


Instructor: Amy Reinstein, MS, CCC – SLP
Amy Reinstein, M.S., CCC – SLP has been practicing speech language pathology for 8 years focusing on the dysphagia and neurogenic communication adult population. Amy has worked in various New York City acute care hospitals, skilled nursing facilities, short term rehabilitation centers, home health care, and outpatient private practice. She has extensive experience in performing and evaluating Modified Barium Swallow Studies. Her teaching experience includes supervising Clinical Fellows to attain their certification, as well as certified speech–language pathologists in home health and skilled nursing facilities. Amy has also worked extensively with the New York City Board of Education K- 12 and Special Education schools. Special projects include publishing various articles for trade magazines and blogs, contributing to CEU courses, publishing of a live website, and creating clinical assessments and evaluations. She is currently authoring a speech and language textbook and conducting a research study in dysphagia. Disclosure: Amy Reinstein, MS, CCC – SLP has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Introductory level Speech and Language Pathologists; Level II level Dietitians; in the following settings: Rehabilitation Settings.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.