Dysphagia negatively impacts the quality of life of patients and may lead to malnutrition, dehydration, aspiration pneumonia and even death (Foley et al., 2009). We, as speech-language pathologists, must be aware of the experience of living with dysphagia, as “swallowing problems evoke a host of distressing psychological responses such as anxiety, shame, embarrassment, fear, and reduced self-esteem” (McHorne et al.,  2000). These distressing psychological responses may affect the overall quality of life and life satisfaction; and therefore, swallowing assessments must be completed in consideration of the direction and goals of care of the patient and family. A palliative care team is vital in this aspect; deciphering patients’ wishes via medical orders for life-sustaining treatment, while providing an extra layer of support for the patient and family. Speech-language pathologists and palliative care professionals work together to effectively provide education and counseling to patients and their families regarding the progressive nature of a disease, dysphagia, and nutritional options. Nutritional options include oral intake, comfort feeds, and/or alternate means of nutrition/hydration. Information provided must be based on current research, following evidenced based practice. This collaboration and communication foster the patients cultural, spiritual, and personal ideas, promoting overall quality of life.

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