Swallowing Ability and Function Evaluation (SAFE)
[DY 4665]

The 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 Three Stages of the SAFE are:
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.

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) In 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 problematic.

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.

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