The overall purpose of this project is to develop effective dysphagia rehabilitative interventions for patients with Alzheimer's Disease and related dementias at risk for pneumonia development.
Inclusion criteria (patients): * Age 50-99 * English speaking * Diagnosis of dementia or cognitive impairment or memory loss * Clinical Dementia Rating (CDR) scale score between 0.5 and 2.0 * Actively involved caregiver * Resides at home, assisted living facility, or long-term care facility Inclusion criteria (caregivers) * English speaking * Age 18 and older * Contact with patient at least 1 time a week * Has access to a working telephone Exclusion criteria (patients): * Dementia due to cerebrovascular disease as primary cause * History of head and neck cancer or other structural deformity that can affect swallowing * Allergy to barium * Currently breastfeed or pregnant or planning to become pregnant Exclusion criteria (caregivers): * Lacks ability to give consent