Clinical Swallowing Evaluation for Adults

Course Number

This course is FREE for ALL members of, unlimited memberships start at $89/year: Become a Member

Presenter:  Dr. Rik Lemoncello
This course will present current best information to help clinicians learn about conducting and interpreting a clinical swallowing evaluation for adults in typical medical settings. This course will not discuss specific diagnoses or complex conditions such as tracheostomy/ventilator dependence. This course is ideal for clinicians who need a refresher on the purpose, procedures, observable signs/symptoms, and nature of recommendations that result from a clinical swallowing evaluation for adult clients in medical settings. Information covered will include differences between screening and the clinical evaluation, procedures to conduct the clinical swallowing evaluation, observable signs/symptoms of dysphagia, language for documenting dysphagia in medical reports, diagnostic (ICD-10) codes for dysphagia, and recommendations that result from the clinical evaluation. Special emphasis will be placed on the nature of the clinical evaluation, risks for aspiration and aspiration pneumonia, and proper referral for instrumental assessments (MBS, FEES) when appropriate. 

Upon completion of this course, participants will be able to:

  •  Describe screening procedures for identifying adult patients at risk for dysphagia.
  • Describe procedures to conduct a clinical swallowing evaluation for dysphagia in adults.
  • Describe signs and symptoms of dysphagia observable during the clinical swallowing evaluation.
  • Describe reasons for referral for an instrumental swallowing exam (MBS, FEES).
  • Describe nature of recommendations from the clinical swallowing evaluation.
About Rik: Rik Lemoncello, PhD, CCC-SLP is Associate Professor in the School of Communication Sciences and Disorders at Pacific University-Oregon. With 15 years of clinical experience, he specializes in adult, medical speech-language pathology. He has worked in acute, inpatient rehabilitation, skilled nursing, long-term acute care, and outpatient centers. He was trained in tracheostomy/ventilator management at Spaulding Rehabilitation Hospital in Boston, MA. His current scholarship focuses on medical SLP, evidence-based practices, graduate student education, and cognitive rehabilitation.
Additional Information

This course is offered for 0.3 ASHA CEUs (Introductory Level, Professional Area)

Course Timeline: 

5 minutes: Introduction, Disclosures, & Scope

15 minutes: Screening Purpose and Procedures 

10 minutes: Overview of the Clinical Swallowing Evaluation (purpose, scope, limitations) 

15 minutes: Risks for Aspiration & Aspiration Pneumonia

20 minutes: Nature of Medical Chart Review 

10 minutes: Overview of Texture Levels for Solids & Liquids

10 minutes: Clinical Interview for Dysphagia

20 minutes: Oral-Pharyngeal Structural and Functional Exam

15 minutes: To Present PO Trials or Not?

20 minutes: Presenting PO Trials: What, Why, and How

15 minutes: Documenting Observable Signs/Symptoms of Dysphagia

20 minutes: Diagnosis, Recommendations, & Referrals

5 minutes: Conclusions

Disclosure Statement: 

inancial: Rik Lemoncello is a speaker for and receive royalty payments.
Non Financial: No relevant nonfinancial relationship exists. 


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