Identifying dysphagia in residents in care homes The Patients Association’s Care Home Charter is an evidence-based and expert-led tool to help improve medication practices for people living in care homes across the UK. You can download the Charter in full here. This list is not exhaustive but is designed to help care home staff identify those symptoms which may be due to swallowing problems. What to look for Why Routine chewing of medicines before swallowing Resident potentially concerned about bolus size and choking or aspiration and coughing Gurgly or wet voice after swallow Liquid in lungs can cause this and therefore can be a sign of aspiration Resident taking longer than usual to swallow food, liquid or medicines May be due to problems with preparing the bolus before swallowing, concerns about choking or coughing or food sticking on swallowing Regular chest infections May be due to unidentified aspiration where food or liquids are regularly passing into the lungs and causing infection Coughing or choking after swallow May be due to aspiration or inability to prepare the bolus safely for swallow Unexplained weight loss May be due to residents routinely not completing meals due to swallowing problems Download the Charter here. Read more about the Care Home Charter here. Get involved: Do you work in or manage a care home and want to adopt the Care Home Charter? We can support you to do just that – email [email protected] to express your interest.