Scoping and scaling

Author: Kirsty Hydes & Paula Leslie
Magazine issue: Autumn 09
Page numbers: 4-6
Date: 31 August 2009
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While the endoscopy swallow assessment is within the scope of practice for speech and language therapists with expertise and specialist training in dysphagia, the profession lacks an endoscopy rating scale. Such a scale, based on clinical practice and supported by robust evidence, is needed to measure and improve reliability of the procedure. The authors explain how they developed and piloted a rating form by drawing on published reports and research about what can be seen during endoscopy and the relative advantages of different types of scaling, as well as expert peer review. The scale itself is available in the members’ area.