Dysphagia Management in Geriatric Medicine: Clinical Perspectives and Practice Patterns

Area of Science:

• Geriatric Medicine
• Healthcare Management
• Clinical Practice

Background:

• Swallowing difficulties (dysphagia) in older adults involve multiple healthcare providers.
• The approach to dysphagia management by non-speech-language pathologist (SLP) providers is not well understood.

Purpose of the Study:

• To explore the perspectives of geriatrics-focused healthcare providers on dysphagia management.
• To identify challenges and facilitators in dysphagia screening and intervention among non-SLP providers.

Main Methods:

• A mixed-methods online survey was distributed to licensed geriatrics-focused healthcare providers (excluding SLPs).
• Data included descriptive statistics and thematic analysis of free-text responses.
• Providers were recruited through various professional networks and snowball sampling.

Main Results:

• Eighty-two providers responded, expressing confidence but a desire for more dysphagia training, particularly on interventions.
• Poor integration into clinical workflows was the main screening barrier, while perceived relevance was a facilitator.
• While most providers referred patients to SLPs, concerns were raised about a lack of person-centered approaches, especially regarding diet modifications, linked to system-level issues like limited collaboration and resources.

Conclusions:

• Improved collaboration among healthcare professionals is crucial for enhancing swallowing care in older adults.
• Structural changes in education and workplace systems are likely needed to optimize dysphagia management and interdisciplinary teamwork.