 Endotracheal intubation may contribute to the difficulties in swallowing and subsequent oral intake. Estimated 62 of patients who had been intubated 48 hours will experience post-extubation dysphagia. Clearly, intervention is needed but studies are lacking in this regard. Thus, the objective of this pilot trial is to evaluate effects of an Oral Swallowing Care Program on swallowing and oral intake status in patients following prolonged endotracheal intubation. 