EPISODE · May 21, 2026 · 40 MIN
Eating & Drinking with Acknowledged Risk: A Panel of SLPs Get Honest
from Dysphagia Research Bites · host Dysphagia Bites
If you're a speech pathologist working in the community, particularly in Australia or with adults with developmental disabilities, this episode is for you. But if you work with risk feeding plans in any setting, including the UK, there's plenty here that will resonate too.In this episode of Dysphagia Research Bites, Chantelle hosts a panel discussion with speech pathologists: Meredith Lane, Niall Taylor, Anna Coates, and Dr Lillian Krikheli, to unpack one of the most clinically and ethically complex areas in our field: Eating and Drinking with Acknowledged Risk (EDAR). The panel explores why this practice looks so different across countries, settings, and service systems and follows on from a previous episode on the same topic, but with a guest with a medical background.In this episode we cover:The differences in terminology across countriesHow community and hospital settings approach EDAR differently — and why community SLPs often bear the brunt of overly risk-averse policiesHow supported disability accommodation settings can inadvertently remove client autonomy and de-skill individualsWhy business decisions — not clinical ones — are often driving restrictive mealtime policies in community organisationsWhat coroner's reports actually tell us about SLP accountability in dysphagia-related incidentsThe concept of dignity of risk and how to balance it with duty of careWhy risk to pleasure, social engagement, and identity deserves as much attention as aspiration riskThe problem with waivers and how they oversimplify complex clinical decisionsWhat patient-centred decision-making actually looks like in practiceAdditional Resources:You can find more information on Eating & Drinking with Acknowledged Risk here:https://www.rcslt.org/members/clinical-guidance/eating-and-drinking-with-acknowledged-risks-risk-feeding/https://www.speechpathologyaustralia.org.au/Common/Uploaded%20files/Smart%20Suite/Smart%20Library/1b67af79-1074-4a30-a9a0-61f3eccb7b2d/20200221%20Position%20Statement%20Risk%20Feeding.pdfFor clinical resources and evidence-based dysphagia education beyond the podcast, head to: www.dysphagiabites.com
What this episode covers
If you're a speech pathologist working in the community, particularly in Australia or with adults with developmental disabilities, this episode is for you. But if you work with risk feeding plans in any setting, including the UK, there's plenty here that will resonate too.In this episode of Dysphagia Research Bites, Chantelle hosts a panel discussion with speech pathologists: Meredith Lane, Niall Taylor, Anna Coates, and Dr Lillian Krikheli, to unpack one of the most clinically and ethically complex areas in our field: Eating and Drinking with Acknowledged Risk (EDAR). The panel explores why this practice looks so different across countries, settings, and service systems and follows on from a previous episode on the same topic, but with a guest with a medical background.In this episode we cover:The differences in terminology across countriesHow community and hospital settings approach EDAR differently — and why community SLPs often bear the brunt of overly risk-averse policiesHow supported disability accommodation settings can inadvertently remove client autonomy and de-skill individualsWhy business decisions — not clinical ones — are often driving restrictive mealtime policies in community organisationsWhat coroner's reports actually tell us about SLP accountability in dysphagia-related incidentsThe concept of dignity of risk and how to balance it with duty of careWhy risk to pleasure, social engagement, and identity deserves as much attention as aspiration riskThe problem with waivers and how they oversimplify complex clinical decisionsWhat patient-centred decision-making actually looks like in practiceAdditional Resources:You can find more information on Eating & Drinking with Acknowledged Risk here:https://www.rcslt.org/members/clinical-guidance/eating-and-drinking-with-acknowledged-risks-risk-feeding/https://www.speechpathologyaustralia.org.au/Common/Uploaded%20files/Smart%20Suite/Smart%20Library/1b67af79-1074-4a30-a9a0-61f3eccb7b2d/20200221%20Position%20Statement%20Risk%20Feeding.pdfFor clinical resources and evidence-based dysphagia education beyond the podcast, head to: www.dysphagiabites.com
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Eating & Drinking with Acknowledged Risk: A Panel of SLPs Get Honest
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