Adult Dysphagia Clinical Reasoning and Decision-Making Guide

First Edition

Yvette M. McCoy, Ed M. Bice

Details: 131 pages, B&W, Softcover, 6" x 9"

ISBN13: 978-1-63550-692-1

© 2025 | Available


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Adult Dysphagia Clinical Reasoning and Decision-Making Guide is the ideal resource for assessing and treating swallowing disorders. Readily accessible for day-to-day evaluation, this one-of-a-kind text gives clinicians quick access to key clinical information to help them think critically and provide actionable solutions for their patients. With a focus on the clinical process and implementing sound, clinical reasoning skills to inform decision-making, this resource aids speech-language pathologists in developing situation-based assessment and treatment plans. 

Compact and easy to use, this professional guide can be leveraged as a practical tool by clinicians to facilitate positive, actionable patient outcomes for treating dysphagia in adults. Utilizing case studies with clinically relevant charts, diagrams, and flow sheets, this text helps speech-language pathologists develop a clinical process that involves critical thinking. With essential, evidence-based material for swallowing assessment and treatment, as well as alternate treatment solutions to implement in their clinical caseload, clinicians will acquire informed clinical reasoning and decision-making skills.

The PluralPlus companion website for this text includes interactive case studies. Recognizing that there are many possible solutions to treating a particular problem, the interactive case studies expand on information within the resource with case analysis and alternate solutions. Immediate feedback for choices will suggest further considerations and additional options to guide clinicians to think critically about how clinical decisions are made.

Key Features

  • Case studies 
  • Simple diagrams to describe complex, abstract concepts
  • Features “Deeper Dive” opportunities to go beyond the essential material 
  • Inclusion of clinical notes and boxed focal points for practical application 

PluralPlus Online Ancillary Materials

Clinicians: Case studies


Chapter 1. Screening and Assessment: The Diagnostic Process 
The Purpose of Screening and Assessments: What Is the Difference, and Why Should Clinicians Care?
Clinical Swallow Evaluation (CSE) 
Sensory Testing During the CSE 
Imaging Assessment Tools 
Choosing the Test 

Chapter 2. Introduction to Analysis
Clinical Swallow Evaluation (CSE) Analysis 
Methods for Analyzing MBSS 
The Dynamic Grade of Swallow Toxicity (DIGEST) 
Analysis of Swallowing Physiology: Events, Kinematics, and Timing for Use in Clinical Practice (ASPEKT-C)
Methods for Analyzing FEES 
Visual Analysis of Safety and Efficiency (VASES) 
Timing Measures 

Chapter 3. Collecting and Interpreting Data
Assessment and Differential Diagnosis 
Individualized Treatment Planning 
Baseline Assessment 
Establishing Attainable Goals 
Measuring Progress
Providing Evidence of Efficacy 
Interdisciplinary Planning 
Documentation and Legal Considerations 
Investigation and Enhancement of Quality 
Education for the Patient 
Deciding What Data to Collect 
Documentation and Interpretation of Data 
Collecting Anecdotal Evidence to Build Experience 

Chapter 4. Creating a Plan
Putting the Patient in the Center 
Supporting Patient-Centered Care 
Ethical Considerations 
Selecting the Appropriate Intervention 
Understanding Anatomy and Physiology 
Motor Learning 
Examining the Research and Evaluating Interventions 

Chapter 5. Implementation 
Establishing Therapy Goals 
Therapy Tools 
Intervention Dosage 


Yvette M. McCoy

Yvette M. McCoy, MS, CCC-SLP, BCS-S, is an Assistant Clinical Professor of Speech-Language Pathology in the College of Health at Moravian University. She currently holds her board certification in swallowing disorders.  Ms. McCoy has numerous peer-reviewed publications and serves on the American Board of Swallowing and Swallowing Disorders Executive Committee as Secretary and the Pennsylvania Speech-Hearing Association as Vice President of Membership and Ethics. She has volunteered her time on various committees for the American Speech-Language-Hearing Association, Dysphagia Research Society, and has been invited to present her work at both state and national conferences. 

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Ed M. Bice

Ed M. Bice, MEd, CCC-SLP, is a Clinical Consultant for IOPI Medical and works clinically at a nonprofit speech and hearing clinic. He has experience in various settings, including acute care, outpatient, home health, and skilled nursing. Mr. Bice has held various leadership positions, including Vice President of Clinical Services and Chief Operating Officer.  He has been a guest on national and international dysphagia podcasts and has published numerous articles in peer-reviewed journals. Mr. Bice teaches swallowing courses at the University of Maryland, has served as an expert witness, and has been an invited speaker for universities, state, national, and international conventions.

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Adult Dysphagia Clinical Reasoning and Decision-Making Guide, First Edition comes with access to supplementary student and instructor resources on a PluralPlus companion website.

The companion website is located at:


The resources include case studies.

To access the student resources, you must register on the companion website and log in using the access code located in the front of your textbook.

*Note for students: If you have purchased this textbook used or have rented it, your access code will not work if it was already redeemed by the original buyer of the book. Plural Publishing does not offer replacement access codes for used or rented textbooks.

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