"I think speech has taken over."
I wonder why. How long have you been practising, Chris? If not long do you
know any 'old' OTs that you can ask about this? Was dysphasia addressed in
your training? Is swallowing a potential issue with any of your clients? Do
you assess for swallowing problems? Do you have any friends who are speech
paths? How does swallowing figure in their practice?
Adult speech pathology is in short supply here. The dysphasia team is
Dietician, OT and Speech Pathology. Followup is Dietician for diet and OT
for positioning, staff and family training. All may do family and discharge
support. 
Joan
 

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