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this page deals primarily with the mouth and the throat phases of swallowing this vision can be one of the primary or first things you might see in somebody who has a stroke a patient who comes into the Cleveland Clinic would have a nursing swallow screening done so it's actually a screening assessment done by the nursing staff on admission to the hospital if the patient is obviously having trouble for the nurse they would tell them to remain NPO or nothing by mouth and the doctor would would consult speech pathology to do a full assessment of swallowing at the bedside once the bedside evaluation is done we could then determine what type of diet they should be on if they should be restricted in some way we may also recommend from that test some very basic compensatory strategies or things that they can do even with their head or how fast they're eating or how big of a drink they're taking just to kind of slow things down to make it a little bit safer but if we're at all concerned about

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