1st Edition

Working with Adults with Eating, Drinking and Swallowing Needs A Holistic Approach

By Sophie MacKenzie Copyright 2024
    226 Pages 10 B/W Illustrations
    by Speechmark

    226 Pages 10 B/W Illustrations
    by Speechmark

    This practical guide encourages clinicians to treat eating, drinking and swallowing in a holistic way, keeping the client at the forefront of management by considering cultural, ethical and societal infl uences on the eating and drinking process. It draws on contemporary evidence to critically evaluate assessment and management strategies.

    Closely aligning to the 20 RCSLT newly qualified practitioner eating, drinking and swallowing competencies, this book will provide clinicians with the theory that underpins the statutory completion of these standards, and the guidance to put that theory into practice. This book:

    • Is clear and easy to follow with information broken down into a digestible format.
    • Includes regular questions to help the reader consolidate their knowledge.
    • Highlights in each chapter the knowledge required to achieve the RCSLT competencies.
    • Contains a wealth of case studies SLTs may encounter in different settings, followed by suggested approaches.
    • Provides helpful resources that can be downloaded and printed for use in daily practice.

    Working with Adults with Eating, Drinking and Swallowing Needs provides an up-to-date, clinically relevant resource. With an emphasis on clinical decision-making, holistic practice and provision of practical materials, this is an essential text for both student and qualified SLT practitioners.



    Chapter 1: The typical swallow

    Chapter 2:  Signs and consequences of an unsafe swallow

    Chapter 3: Causes of adult eating, drinking and swallowing needs: aetiologies and symptoms 

    Chapter 4: Clinical assessment

    Chapter 5: Instrumental assessment

    Chapter 6: Management of eating, drinking and swallowing needs in adults 

    Chapter 7: Psychosocial, spiritual and cultural aspects 

    Chapter 8: Ethical, legal, safety and professional considerations

    Chapter 9: The team around the client with EDS needs

    Chapter 10: Advanced practice in working with adults with EDS needs

    Chapter 11: Case studies

    Test your knowledge: Indicative answers

    Appendix 1: Templates for photocopying and aides mémoire

    Appendix 2: Glossary and abbreviations

    Appendix 3: RCSLT knowledge and competency mapping


    Sophie MacKenzie graduated from City, University of London in 1990 and has practised as a speech and language therapist in both acute and rehabilitation settings. She began her first academic role in 2007, combining clinical management of the acute SLT team at Maidstone and Tunbridge Wells NHS Trust with teaching at the University of Greenwich and Canterbury Christ Church University on their PGDip pre-registration programme. She moved into fulltime academia in 2010 and has taught eating, drinking and swallowing to both undergraduate and postgraduate preregistration students, as well as post-registration Masters students at City, University of London.

    In 2017 she completed her PhD which focussed on exploring spirituality with people with expressive aphasia. Person-centred and holistic care remain her passion, as well as the nurturing of future clinicians.

    Sophie is currently a senior lecturer in SLT at AECC University College in Dorset, UK.