The DST is a Good Clinical Decision!

 See how you can provide quality Dysphagia Management in your facility, that is supported by cutting edge instrumentation and comprehensive evaluation!


Utilizing DMS is a Good Rehabilitation Therapy Clinical Decision!

▪  Dysphagia among individuals >50yrs ranges from 16-22%. 

    (Barer et al., 1989; Bloom et al., 1990; Gordon et al., 2010; Winchester & Winchester, 2015)

▪  Up to 60% of nursing home residents have feeding difficulties.

    (Barer et al., 1989; Bloom et al., 1990; Gordon et al., 2010; Winchester & Winchester, 2015)

▪  A substantial proportion of residents are troubled by oral or pharyngeal dysphagia as opposed to esophageal dysphagia. 

   (Barer et al., 1989; Bloom et al., 1990; Gordon et al., 2010; Winchester & Winchester, 2015)

▪  Consequences of having dysphagia can be severe: dehydration, malnutrition, choking, pneumonia and death.

   (Barer et al., 1989; Gordon et al., 2010)

▪  Residents with dysphagia and aspiration have a 45% mortality rate after 1 year, with many episodes of complications if left untreated.

    (Croghan et al., 1994)

▪  COPD, Emphysema, chronic bronchitis, pulmonary edema, CHF, asthma/allergies, respiratory and pneumonia complications from MRSA infections, pleural effusion, and GERD, have a secondary risk factor of Dysphagia that may be undiagnosed and untreated.

     (Winchester & Winchester, 2015)

▪  COPD patients have a 30 day repeat hospitalization of 22.6% with 2/3 of those cases identified as being preventable.

(Martinez et al., 2013)

▪  The risk of aspiration across all diseases is believed to be related to the increased incidence of dysphagia, Gastro-esophageal reflux, and stroke, as well as poor oral care in this age group.

    (Marik, 2001)

▪  Dysphagia accounts for between 13 and 48% of all infections in a SNF. 

   (Langmore et al., 1998)

▪  Dysphagia Management Systems’ DST is designed for ongoing professional collaboration with the Rehab Staff, to better identify and reduce the risks associated with the patient’s dysphagia, for more positive clinical outcomes.

▪  Dysphagia Management Systems offers an immediate in-person or on-line inservice for any new staff member to introduce the DMS process of risk predicting and appropriate establishment of medical necessity for referral.

▪ Dysphagia Management Systems offers in-person and online courses as part of their standard contract, to better serve the Rehab Staff in understanding dysphagia risk and management.


Utilizing DMS is a good Facility Clinical Decision!

▪Individualized objective evaluation with instrumentation eliminates costly guess-work in establishing a Care Plan that   considers all Dysphagia risk factors when the Five Systems of Dysphagia are considered.

   (Winchester & Winchester, 2015)

▪  Stabilizing the Patient within the first two weeks of admission can reduce repeat hospitalizations up to 62% with an individualized Patient risk profile.

     (DMS,Literature Review, Newsletter, April 2015,

▪  Effectively managing dysphagia can reduce 1/3 of infections commonly found in residents, which in a 200 bed SNF could potentially prevent up to 66 Patients from unnecessary complications from infection.

   (Langmore et al, 1998)

Approximately 14% of older Patients experience dysphagia during oral medication administration.  In a 200 bed SNF, accurate identification of risk and proper management could prevent up to 28 Patients from experiencing dysphagia complications.

  (Gillicuddy et al., 2016)

▪ Dysphagia Management System’s DST provides an onsite detailed report of the individual Patient’s needs including food, liquid, medication presentation, positioning, respiratory risks, cognitive cooperation risks, potential therapy and Physician interventions, G-Codes at time of service, and potential for remediation.

▪  DMS provides FREE in-person and online ‘Anytime Inservices’ to Facility staff, including Nursing, Administration, Rehabilitation Therapy Staff, and Nurses Aides, to assist with Facility clinical initiatives as part of the standard contract.