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Post-stroke dysphagia — DGM MCQ

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HardStroke and rehabilitationPost-stroke dysphagiaDGM

An 86-year-old woman is 2 days after an ischaemic stroke and coughs after sips of water. She has wet voice quality, oxygen saturation of 92% and right facial weakness. The ward is considering oral tablets and lunch. What is the most appropriate assessment?

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Correct answer: E — Swallow assessment before oral intake

Post-stroke dysphagia signs require swallow assessment before oral intake to reduce aspiration risk. Antiplatelet therapy is important but medication route must be safe. Wet voice, cough and desaturation are clinically significant bedside clues.

Reference: NICE NG236; NICE NG128