Aged Care Facilities


Hastings Macleay Speech Pathology works closely with older people in Residential Aged Care Facilities (RACF). As many people age, they experience changes to their swallowing and communication. Please see other fact sheets for information about swallowing and communication more specifically.


Swallowing difficulties affects nearly 40-50% of residents in RACF’s and can result in adverse outcomes including:

  • Aspiration pneumonia

  • Dehydration

  • Malnutrition

  • Poor quality of life

  • Prolonged and increased rates of hospitalisation


It is important to request an assessment by a speech pathologist when a resident demonstrates difficulty with eating or drinking. An urgent referral should be made if signs of aspiration are present. This can include:

  • Coughing when eating and drinking

  • A wet sounding/gurgly voice

  • Choking on food or drink​

Smiling Senior Woman



Up to 96% of residents living in a RACF’s have a communication disorder. Communicating effectively is a fundamental part of someone’s life. Hastings Macleay Speech Pathology can provide individual or group intervention to residents and education to staff and families.


We provide education to catering, nursing staff, residents and carers on a range of different topics. This might include, but not limited to:

  • Texture modified diets and fluids

  • Dysphagia and swallowing disorders

  • How to manage dysphagia

  • Communication disorders

  • How to manage and assist with communication disorders

  • Communication-partner training