Feeding & Swallowing Support for Older Adults

Feeding & swallowing support for older adults with dysphagia, disability‑related feeding needs or other mealtime challenges in Newcastle & the Hunter Region

As we age, changes in swallowing, oral‑motor function, cognition, mobility and health conditions can make eating and drinking more difficult. THRIVE provides specialist swallowing (dysphagia) and feeding assessment for older adults across Newcastle, Lake Macquarie and the Hunter Region.

Our Speech Pathologists specialise in dysphagia assessment, mealtime safety and practical recommendations for older adults experiencing age‑related changes, neurological conditions, disability, dementia or unexplained swallowing difficulties. Our multidisciplinary team also supports older adults with sensory‑based feeding challenges, mealtime anxiety, eating‑related behavioural responses and participation difficulties.

What we support

Swallowing (Dysphagia)

Coughing or choking during meals
Difficulty swallowing food, fluids or medications
Recurrent chest infections
Wet or gurgly voice after eating or drinking
Food getting stuck or frequent throat clearing
Weight loss related to swallowing difficulties
Age‑related swallowing changes
Dysphagia associated with neurological conditions
Older adult drinking water indoors, representing hydration and everyday mealtime routines.

Who we support

We support older adults with feeding, swallowing and mealtime participation needs, including people living with:

Swallowing difficulties (dysphagia)
Dementia‑related feeding or swallowing changes
Parkinson’s Disease
Stroke‑related swallowing changes
Progressive neurological conditions
Cerebral palsy
Intellectual disability
Autism
Head and neck conditions affecting eating or swallowing
Older adult eating a meal in a care setting, representing mealtime participation in supported environments.

We support older adults who live in home care, community settings, aged‑care facilities, supported independent living, day programs and NDIS environments.

Our approach

Feeding and swallowing support for older adults at THRIVE is Speech‑Pathology‑led, with Occupational Therapy, Psychology and Behaviour Support involved when sensory, emotional or behavioural factors are contributing.

Our goal is to provide practical, evidence‑based recommendations that improve safety, comfort and quality of life.

We explore:

Swallowing safety
Oral‑motor skills
Mealtime routines and support needs
Sensory preferences
Emotional and behavioural responses to food
Environmental and postural supports
Participation in home, community and aged‑care settings
Older adults sitting together at a café table, enjoying drinks and pastries, representing social eating and community participation.

Signs an older adult may benefit from a swallowing or feeding assessment

Coughing or choking during meals
Difficulty swallowing food, fluids or medications
Avoiding certain textures
Weight loss or reduced intake
Recurrent chest infections
Difficulty chewing
Sensory sensitivities to food
Mealtime anxiety or distress
Behavioural changes during meals
Feeding challenges linked to dementia or neurological conditions
Older adult eating a meal at a table, representing independent eating and mealtime participation.

What to expect

Teal icon of documents with a magnifying glass representing assessment and review.

Comprehensive swallowing assessment

A detailed assessment exploring swallowing safety, oral‑motor function, mealtime behaviours and medical history.

Teal icon showing a clipboard with a checklist and pencil, representing Thrive’s individualised feeding plans.

Dysphagia management plan

Clear recommendations for textures, pacing, positioning and mealtime safety.

Simple plate with knife and fork icon representing adult feeding and mealtime participation.

Feeding & mealtime support

Strategies for sensory needs, participation, independence and comfort.

Hand cupping a cog with a tick, representing support worker training and skill development.

Carer & staff training

Practical training to support safe, consistent mealtime care across environments.

Icon representing multidisciplinary feeding and swallowing care at Thrive Feeding Clinic

Multidisciplinary input

OT, Psychology and Behaviour Support involvement when sensory, emotional or behavioural factors are contributing.

Telehealth for older adults

Some aspects of feeding therapy — such as strategy sessions and carer training — can be delivered via telehealth. However, swallowing assessments cannot be completed via telehealth for safety reasons and must be done in person.

Two older adults sitting at a table using a tablet, representing telehealth feeding support.

Ready to book a swallowing or feeding assessment?

We provide safe, evidence‑based support for older adults across Newcastle and the Hunter Region.


Frequently Asked Questions

Yes — we support adults with a wide range of disabilities and support needs.

Yes — we support feeding and swallowing needs associated with dementia and cognitive decline.

Yes — we provide swallowing assessments, mealtime recommendations and staff training.

Yes — we work alongside GPs, specialists and allied health providers.

No. You can contact us directly to arrange an appointment. Referrals from GPs or other health professionals are welcome but not required.

You’ll receive clear information about the findings, along with practical strategies and recommendations tailored to your goals and routines. If further support or collaboration with other health professionals is helpful, we will discuss this with you.

We are based in Newcastle, NSW, and support families across the Hunter region and Central Coast, including Lake Macquarie, Maitland, and Port Stephens.

Yes — we support self‑managed, plan‑managed and NDIA‑managed participants.

Yes — we are able to take bookings for Flexible Endoscopic Assessments (FEA) from August.

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