This session will address common trends in the dysphagia management in relation to what we now know about presbyphagia, or the aging swallow. Clinical findings and protocols will be discussed in the context of common etiologies for dysphagia and their impact on physiology. In addition, etiologies that are not usually discussed, such as urinary tract infections, will be related to their role in temporary oropharyngeal dysphagia. Timing and common findings during the instrumental examination, videofluoroscopy in particular, will be discussed. Focus on cultural sensitivity will be highlighted throughout the session, as needed to address ethnicity, aging, lifestyle and other cultural factors as clinicians make decisions regarding assessment and treatment. The audience will be engaged in problem-solving activities. Evidence for all decision-making will be sought and provided as available. Decision-making in a variety of settings will be highlighted throughout the session.