FEES: Normal vs. Abnormal Swallow Function

Presented by Gerrita Morris

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Video Runtime: 42 Minutes, Learning Assessments: 27 Minutes

In recent years, due to technological advances and increased accessibility, FEES has become more prevalent and respected in the instrumental evaluation of swallowing. Recent research has shown that FEES is an excellent tool for not only detecting aspiration and residue but also in determining effective treatment. Determining the cause of dysphagia allows for effective and efficient treatment potentially reducing length of stays and diminishing the costs of altered diets and alternate feeding sources. However, there is limited training and education available with focus on FEES. At the end of this course, clinicians will understand the difference between normal variants of swallowing function and deficits in swallowing function that require treatment or modifications in diet, and they will know the presentation or technique to recommend appropriate diets and ensure they are not over or under treating to achieve optimal outcomes for patients. Clinicians will be able to identify normal (or functional) vs. abnormal swallowing results and proceed with appropriate diet recommendations and treatment protocol. Speech-language pathologists who work in or plan to work in any medical setting (acute care hospitals, private practice, skilled nursing facilities, inpatient rehabilitation facilities, long-term care, long-term acute care hospitals, rehab hospitals, specialty hospitals, etc.) would benefit from this course.

Meet your instructor

Gerrita Morris

Gerrita Morris is the president of Dysphagia Solutions Inc. and is based in Wesley Chapel, Florida. She earned her bachelor’s and master’s degrees in communication sciences and disorders from the University of Florida in Gainesville in 1991 and 1993, respectively. Ms. Morris has been a speech-language pathologist for 28 years…

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Chapters & learning objectives

Normal Swallowing

1. Normal Swallowing

Normal swallowing, including “functional” swallowing, will be visualized during a FEES exam. Clinicians will distinguish what makes the swallow “normal.”

Abnormal Swallow

2. Abnormal Swallow

Clinicians will view abnormal swallowing function as seen with FEES. Clinicians will distinguish and describe abnormalities of swallow function that are visualized.

Pass or Fail

3. Pass or Fail

Abnormal swallowing during FEES will be viewed, and clinicians will plan appropriate treatment techniques. Additionally, appropriate nutritional recommendations will be discussed based on patient history and results of FEES.