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SAFE: Swallowing Ability and Function Evaluation

SAFE: Swallowing Ability and Function Evaluation | Special Education

SAFE: Swallowing Ability and Function Evaluation

  • Publisher: Pro-Ed Inc
  • Grade Level: All
  • Item #: 10325

Price: $165.00   SRP: $165.00


Ages: Adolescents and AdultsTesting Time: VariesAdministration: Individual

SAFE provides clinicians with a carefully standardized, efficient, and
comprehensive way to evaluate swallowing. This test is based on the
findings of the latest research in swallowing disorders and the
practical needs of therapists conducting such assessments. It is
designed to assist in providing a definitive diagnosis or label of
dysphagia. Its results help generate treatment plans or suggest the need
for referral to other professionals for further assessment. The final
diagnosis of dysphagia is usually made after careful review of the
patient's medical chart and history, results of the SAFE, and any other
recommended testing.

The SAFE's primary focus is on the oral and
pharyngeal phases of the swallow. Before administering the SAFE, you
should obtain a case history and interview the patient and /or

The Three Stages of the SAFE

  1. Evaluation of General Information Related to Swallowing Ability In the
    first stage, observations are made regarding pertinent cognitive and
    behavioral factors that could impact the patient's ability to safely and
    efficiently manage the swallow. These observations are used to judge
    whether the patient's cognition and/or behavior impacts his or her
    ability to effectively manage oral intake. A patient's cognitive status
    and behavior have an impact on the determination of appropriate
    therapeutic interventions, and have been included in the SAFE for that
  2. Physical Examination of the Oropharyngeal Mechanism
    In the second stage, the patient's oropharyngeal mechanism is evaluated
    using a series of prescribed movements. Diagnostic observations
    regarding the structural integrity and sensory acuity of the
    oropharyngeal mechanism are also made during this stage.
  3. Functional Analysis of Swallowing

the third stage, the patient's ability to efficiently, effectively, and
safely manage the oral preparation phase, oral phase and pharyngeal
phase of the swallow is evaluated. The diagnostic observations made
during this stage are to determine whether the patient's tolerance for
various food and liquid consistencies is within normal limits or

Uses of the SAFE

has four principal uses: (1) to identify specific problems occurring
during the oral and pharyngeal stages of swallowing, (2) to develop
recommendations regarding treatment plans, (3) to make periodic
reevaluations and assessments of progress in therapy, and (4) to serve
as a research tool. Secondarily, its results can also be used to
determine the effectiveness of various interventions on test

The SAFE provides qualified health care
professionals with a standardized protocol for the clinical or bedside
assessment of dysphagia. Examiners using the SAFE should already be
familiar with and skilled in evaluation, management, and safety
precautions relative to patients with swallowing disorders. This
instrument can be administered quickly, yet it provides a comprehensive
picture of a patient's current level of swallowing ability.

Complete SAFE Kit Includes: Examiner's Manual, Treatment and Resource Manual, and 50 Profile/Examiner Record Forms, all in a storage box. (2003)