Dysphagia is difficulty or inability For swallow And can be classified into two main categories, namely oropharyngeal which occurs between cavity mouth And sphincter esophagus part on as well as esophageal Where happened between sphincter esophagus part on And down. 1 Dysphagia Alone impact negative on quality life And lower productivity Work. Dysphagia is 10th cause the biggest visit take care road in US in between symptom gastrointestinal with more from 600,000 visit every the year. In general global, prevalence dysphagia in the community ranges from 2% to 20%. Although some population-based efforts have been conducted, these studies are limited by the small number of respondents with dysphagia who were mostly non-Hispanic whites and performed ≥10 years ago. 2 The general population is over 50 years old, and is 16% elderly. Dysphagia, specifically dysphagia oropharyngeal, even more It is common in chronic care that up to 60% of nursing home residents experience eating difficulties including dysphagia.3