The theoretical analysis of scientific literature sources and practice show that standardized adult assessment tools for the evaluation of adult swallowing disorders and readiness for withdrawal of the nasogastric tube (NGZ) are not uniformly used in Lithuanian health care institutions. The theoretical analysis of the assessment of swallowing disorders in adults fed by NGZ in the article showed that in the early stage of the disorder, examinations that are performed in the patient's ward and do not require radiological evaluation are sufficiently accurate. The aim of the study is to reveal the tools and methodologies for the evaluation of swallowing disorders in adults fed by NGZ in the patient's ward during the acute period of the disease. After the theoretical analysis of scientific literature sources, it can be stated that: enteral feeding improves feeding quality, but it restricts patient's movements, complicates communication, induces isolation; accurate assessment of dysphagia can be made by performing a swallowing sample in the patient’s ward; assessment of swallowing function takes into account masticatory muscle function, movements of lips, tongue and soft palate, swallowing, cough and gag reflex, oral control, oral residue, voice quality after swallowing and aspiration risk.

Background. Swallowing disorders are becoming more common in an aging society, so it is important to understand and know the phases of swallowing, including the voluntary and involuntary aspects of the swallowing process, in order to be able to apply strategies to overcome swallowing disorders. Aim. To reveal the strategies in adult dysphagia treatment. Methods. Theoretical scientific research. This method enables to reveal and analyse the concept of swallowing disorders in the context of Lithuania and foreign countries, analyzes the variety of rehabilitation strategies applied to overcome swallowing disorders, and emphasizes the importance of complex dysphagia assessment and treatment. Adult dysphagia treatment strategies are compared and summarized. Results. The analysis of Lithuanian and foreign science research showed that complex strategies are most often applied for adult dysphagia treatment. Rehabilitative dysphagia treatment strategies are used to accelerate the recovery of swallowing function, and compensatory strategies are applied to ensure patient safety during eating. Conclusion. In each case, speech therapy differs depending on individual personal and external factors that affect swallowing disorder. Adult dysphagia treatment is usually complex in Lithuania: both rehabilitative and compensatory models are applied in dysphagia treatment. Keywords: swallowing disorders, dysphagia treatment strategies, rehabilitative dysphagia treatment strategies, compensatory dysphagia treatment strategies.