Measuring Outcomes for Success…..What are You Using?

Measuring Outcomes for Success…..What are You Using?

The Dysphagia Toolbox I have written about the Dysphagia Toolbox before.    The Dysphagia Toolbox used to be a website that offered links to standardized and reliable tools that you can use in dysphagia assessment and with reassessment.                                       [...]

Oral Care

Oral Care

The First Thing.... When I assess a patient with dysphagia, my first plan of attack is to teach the patient about oral care and start an oral care plan with that patient! Aspiration Aspiration is defined as the inhalation of either oropharyngeal or gastric contents into the lower airways, that is, the act of taking [...]

FEES Following Extubation

FEES Following Extubation

The 1998 Paper Leder, Cohn and Moller investigated the incidence of aspiration following extubation in critically ill trauma patients. The study looked at 20 patients who required oropharyngeal intubation for at least 48 hours.   All FEES were completed around 24 hours following extubation. Remember, aspiration is when the bolus enters the airway, below the level [...]

Why the Dye?

Why the Dye?

The many colors of FEES You've maybe witnessed a FEES exam.   It can sometimes be quite colorful. Often, green food coloring is used during the exam.   This helps to make the bolus "stand out" in the pharynx.   You may also see blue food coloring used or even white food coloring or naturally white foods such [...]

FEEST or Famine…..

FEEST or Famine…..

You know about FEES.... You've more than likely heard about FEES (Flexible Endoscopic Evaluation of Swallowing) by this time.  If not, take a look around this blog because I have been blogging about FEES all month! But have you heard about FEEST? Have you heard of FEEST?  Flexible Endoscopic Evaluation of Swallowing with Sensory Testing [...]

Myths of FEES Part 3

Myths of FEES Part 3

You don't use FEES.  Maybe you don't believe in FEES because you've heard somewhere that it's dangerous. Myth #3........FEES is too dangerous for my patients. I'm pretty sure that if FEES were that dangerous, it wouldn't still be a thing.  I mean, if we're doing harm to patients with use of a procedure, it would [...]