1. Reference: Sayadi, R., & Herskowitz, J. (2010). Swallow Safely. Retrieved November 2, 2014, from http://www.brainline.org/content/2010/08/swallow-safely_pageall.html
2. Mental and Physical State
   1. Frustrated/Mad/Sad
   2. Disoriented
   3. Tired
   4. Weak
   5. Out of Breath
3. Setting
   1. Reduce Distractions
   2. Relaxing Setting
   3. Limit Traffic
   4. Limit Conversation
   5. Do Not Promote Laughter
4. Positioning
   1. Sit Upright
      1. Do Not Slouch
      2. Do Not Tilt Back
   2. Leg Support
5. Food Preparation
   1. Patient Involvement In Food Preparation
   2. Temperature
   3. Tasty And Appropriate Consistency
   4. Difficult To Swallow Foods
   5. Crumbly, Flaky Foods
   6. Carbonated Beverages
   7. Mixed Consistencies
   8. Foods That Melt
   9. Prior Difficulty With Foods
   10. Thicken Liquids If Needed
   11. Modify Diet Consistency
6. Mealtime Strategies
   1. Timing
   2. Portion Sizes
      1. Smaller Bites
      2. Smaller Sips
   3. Chew Thoroughly
   4. Don't Talk And Eat
   5. Follow Appropriate Maneuvers
      1. Chin Tuck
      2. Supraglottic Swallow
      3. Super-Supraglottic Swallow
      4. Mendelsohn Maneuver
   6. Finish Swallowing Before Taking In More Food
      1. Clear The Mouth Out If Needed
   7. Alternate Liquids And Solids
   8. Watch For Fatigue
      1. Finish Meal Later
      2. Arrange For Smaller, More Frequent Meals
   9. Note Any Signs of Aspiration Or Discomfort
      1. Do Not Slap Back
      2. Be Prepared To Perform The Heimlich
      3. Follow Individual Until Resolved
7. Taking Medication
   1. Stay Calm
   2. Sit Upright
   3. Take One At A Time
   4. Use Plenty Of Liquids
   5. Use Applesauce
   6. Change Sizes And/Or Consistency As Approved By Pharmacists
   7. Use Specialized Cup
   8. Take Them Early In The Day
   9. Remain Upright For 30 Minutes After
   10. Use Maneuvers As Needed
8. After Meals
   1. Do Not Lie Down For 30-45 Minutes
   2. Walk If Possible/Allowed
   3. Clean Teeth and Gums
   4. Use Mouth Wash As Permitted
   5. Moisturize And Lubricate The Mouth
   6. Suction Pooled Saliva
9. Between Meals
   1. Watch For Chest Pain, Voice Changes, Or Respiratory Difficulty
   2. Perform Swallow/Breathing Exercises
   3. Work On Fitness, Posture, Strength
   4. Keep Mind And Body Active
   5. Elevate The Head Of The Bed 30 Degrees
10. Education
    1. Family
    2. Cafeteria Workers
    3. Staff/Caretakers
       1. Nurses
       2. OT
       3. PT
       4. Dietician
       5. Aides
    4. Patient