Table 2.

Exemplary part of the documentation form: therapeutic maneuvers tried and their effect

Therapeutic maneuvers tried and their effect
Alterations in bolus mode	□ None	□ Liquid	__________
		□ Semi-solid	__________
		□ Solid	__________
Alterations in mode of delivery	□ None	□ Syringe	□ Spoon
		□ Straw	□ Cup
		□ Little portions	□ Slow rate of delivery
Effective postural changes
Dry swallow	□ None	□ Chin tuck:	□ Retroflection
		□ Head turn:	□ Left	□ Right
		□ Prone:	□ Left	□ Right
		□ Side lying:	□ Left	□ Right
Liquid	□ None	□ Chin tuck:	□ Retroflection
		□ Head turn:	□ Left	□ Right
		□ Prone:	□ Left	□ Right
		□ Side lying:	□ Left	□ Right
Semi-solid	□ None	Zl Chin tuck:	□ Retroflection
		□ Head turn:	□ Left	□ Right
		□ Prone:	□ Left	□ Right
		□ Side lying:	□ Left	□ Right
Solid	□ None	□ Chin tuck:	□ Retroflection
		□ Head turn:	□ Left	□ Right
		□ Prone:	□ Left	□ Right
		□ Side lying:	□ Left	□ Right

Effective maneuvers
Dry swallow	□ None	□ Additional dry swallow, number: __________
		□ Supraglottic
		□ Supersupraglottic
		□ Effortful swallow
		□ Mendelsohn maneuver
		□ 3-step (controlled) swallow
		□ Other maneuver
Liquid	□ None	□ Additional dry swallow, number: __________
		□ Supraglottic
		□ Supersupraglottic
		□ Effortful swallow
		□ Mendelsohn maneuver
		□ 3-step (controlled) swallow
		□ Other maneuver
Semi-solid	□ None	□ Additional dry swallow, number: __________
		□ Supraglottic
		□ Supersupraglottic
		□ Effortful swallow
		□ Mendelsohn maneuver
		□ 3-step (controlled) swallow
		□ Other maneuver
Solid	□ None	□ Additional dry swallow, number: __________
		□ Supraglottic
		□ Supersupraglottic
		□ Effortful swallow
		□ Mendelsohn maneuver
		□ 3-step (controlled) swallow
		□ Other maneuver