Swallowing in Older Adults: Perceptions of Technical Directors in Residential Care Homes.

This study analyzed technical directors' perceptions of swallowing in Residential Care Homes for Older Adults (ERPI). A qualitative study was conducted with 27 directors through semi-structured interviews addressing dysphagia knowledge, warning signs, risks, and management strategies. Data were thematically analyzed using ATLAS.ti. Participants recognized swallowing as clinically relevant for residents' health and safety but showed limited technical knowledge and resources for structured dysphagia management. Although risk awareness was evident, the absence of standardized protocols, multidisciplinary support, and continuous training constrained effective practice. Findings highlight the need for targeted training and organizational strategies to improve dysphagia care and support safer, higher-quality aging in residential settings.