Artwork for podcast Your Aged Care Compass
Communication and swallowing in older people
Episode 7323rd December 2025 • Your Aged Care Compass • Coral Wilkinson & Michelle Brown
00:00:00 00:19:36

Share Episode

Shownotes

In today’s episode, host Michelle sits down with hospital-based speech pathologist Cassandra Agius to explore the vital role speech pathologists play in supporting older adults. From communication challenges to swallowing difficulties, Cass shares her expertise in neurological rehabilitation and sheds light on how ageing impacts everyday functions we often take for granted.

Listeners will gain a deeper understanding of how conditions such as dementia, Parkinson’s disease, and stroke affect speech and swallowing, and how speech pathologists work alongside families and healthcare teams to improve quality of life. Cass explains the science behind swallowing, the importance of communication for independence, and the strategies that can make a real difference for older people and their carers.

In this episode:

  1. The role of speech pathologists in supporting older adults
  2. Swallowing difficulties explained
  3. Communication challenges: clarity, comprehension, and word-finding
  4. How natural ageing impacts speech, voice, and cognition
  5. The sensory experience of eating and talking
  6. Impact of dementia and Parkinson’s disease on communication and swallowing
  7. Early warning signs of swallowing difficulties
  8. Speech changes in Parkinson’s disease
  9. Cognitive communication challenges in dementia
  10. Strategies for families to assist communication
  11. Swallowing assessments
  12. Proactive steps older adults can take to maintain communication and swallowing

Connect with Cass Agius:

  1. LinkedIn


Connect with Coral Wilkinson: 

Follow See Me Aged Care Navigators:

  

More about Your Aged Care Compass podcast: 

Do you support an older loved one at home and you're ready to give up because it’s just too hard? Your Aged Care Compass is for you.

We're Coral and Michelle, the sisters behind our business, See Me Aged Care Navigators.

Coral is a registered nurse with over 30 years’ experience in both health and aged care. A former assessor with the aged care assessment team, an advocate and author, there’s not much Coral doesn’t know about Australia’s aged care system.

Michelle is a former pharmacist with over 30 years in the public health and private sectors of pharmacy. Michelle is the client care manager for our business. 

Our story started as one of supporting our parents to remain in their own home, to be as independent as possible and remain connected to their community. When we eventually needed extra support, we achieved this because we know Australia’s aged care system so well. We knew what programs could assist us and our parents.

Your Aged Care Compass podcast brings together not only our personal experience in supporting our parents but also our vast professional experience in supporting other families to keep their loved ones at home. 

We'll help you makes sense of Australia’s aged care system and bring you topics related to ageing as well. Legal, financial, health, forward planning and more.

 Your Aged Care Compass will guide you clearly and compassionately to the right support at the right time for your ageing parents and loved ones. 

Like what you hear? Please leave us a rating and review. We’d love you to share this podcast with any friends or family who have older loved ones.

Links

Chapters

Video

More from YouTube

More Episodes
73. Communication and swallowing in older people
00:19:36
72. Healthy feet support healthy ageing
00:18:43
71. Dental care for older people
00:37:38
70. Pharmacists as partners in healthy ageing
00:35:21
69. How digital platforms enable support
00:27:25
68. VillageLocal - a community of learning and support
00:50:28
67. Support at Home Q&A with Paul Sadler
00:43:33
66. Optimising communication, compliance and efficiency with Conpago
00:22:07
65. OT driving assessments explained
00:19:26
64. Hold on to independence with hand therapy
00:23:44
63. Occupational therapy in rural Australia
00:21:41
62. The role of the occupational therapist
00:30:06
61. What is the PAS?
00:15:51
60. What is a dementia doula?
00:29:18
59. What is cognitive stimulation therapy?
00:25:03
58. Dementia, delirium and depression
00:30:55
57. Dementia care with Dovida
00:25:54
56. Loneliness - what the research reveals
00:30:49
55. The Aged Care Volunteer Visitors Scheme
00:42:08
54. What is social prescribing?
00:23:35
53. Pharmacy addressing loneliness and social isolation
00:47:02
52. Support at Home - the consumer's voice
00:37:51
51. The Care-Finder Program with Kate Kleemann
00:16:43
50. Self-managing a Home Care Package
00:16:33
49. Our Town Cares with David Melloy & Lesley Bryce
00:51:17
48. Meet home care provider Trilogy Care
00:24:46
47. Ask me more about SaH
00:10:33
46. Ask me anything about SaH
00:21:46
45. SaH for the non-grandfathered participants
00:38:34
44. How GPs support older people
00:43:01
43. Preparing for Support at Home with Flexi Care
00:56:27
42. Meet home care provider Flexi Care
01:03:32
41. Grandfathering under SaH - What it means for you
00:49:17
40. How your support plan informs your care plan
00:13:04
39. How you're assessed for in-home-support
00:38:26
38. Understanding Support at Home with Dovida
01:12:05
37. Meet home care provider Dovida
00:49:47
36. Aged care essentials 2025
00:19:02
35. Christmas with your older loved one
00:11:37
34. What is Support at Home?
00:16:29
33. When should my loved one move into aged care?
00:39:16
32. The role of an occupational therapist in dementia support (part 2)
00:40:15
31. The role of an Occupational Therapist in dementia support (part 1)
00:42:20
30. Understanding dementia with Dr Kailas Roberts
00:54:18
29. How we supported Dad to die at home
00:25:13
28. Bringing Dad home from hospital
00:26:02
27. After Dad's Diagnosis of Dementia
00:17:21
26. Ask Me Anything #2
00:19:18
25. Dad's diagnosis of dementia
00:15:26
24. What's the difference between a support plan and a care plan?
00:19:12
23. Our comments on Nine News's article about Home Care
00:16:13
22. What's the difference between CHSP and HCP?
00:30:30
21. Ask Me Anything #1
00:17:16
20. Amina's story with Amina Schipp
00:23:32
19. The truth about after-death administration with Danielle Phillips
00:31:57
18. Estate planning with Joshua Auld
00:27:35
17. What is a care plan?
00:13:34
16. How long do I have to wait for my Home Care Package?
00:14:31
15. Susan's story with Susan Day
00:29:01
14. Elder Abuse with MaryAnn De Mestre and Nick Donnelly
00:27:04
13. Downsizing your home with Melissa Freasier
00:27:22
12. Granny flat arrangements with Nick Donnelly
00:29:01
11. Package management options
00:15:11
10. Dementia and cognition supplement funding
00:21:50
9. A reablement approach to living well at home
00:19:26
8. How to prepare for assessments
00:19:50
7. Home care packages
00:48:23
6. Transition Care Program
00:15:39
5. Discussion with a former ACAT assessor
00:25:09
4. How do I get help at home?
00:52:42
1. Why a podcast about aged care?
00:19:28
3. Have I been assessed by My Aged Care?
00:22:16
2. Why do we do what we do?
00:19:21
trailer Welcome to Your Aged Care Compass
00:02:03