Bedside clinical examinations have been proven to be either over-restrictive or under-restrictive in their recommendations 70% of the time.
Warranting an instrumental examination to assess a patient’s swallow pathophysiology and determine the least restrictive diet. A Fiberoptic Endoscopic Evaluation of Swallowing (FEES) and a VFSS both are identified as a gold standard in dysphagia diagnostics. We know that one may be preferred over the other in certain situations. So, when should FEES be performed over a VFSS?
THE SCOPED ADVANTAGE
A mobile FEES service provides evidence-based, cost effective, live video of the swallow function in the patient’s current living environment, eating their favorite foods in their natural seated position. It proves medical necessity as well as assists the treating SLP to confidently determine the most appropriate evidence-based treatment approach to provide the fastest return to previous level of functioning. It also allows for the treating speech pathologist to take part of the assessment as well as provide the “true picture” to nursing caregivers and family members.
LIVE VIDEO OF:
- The patient’s anatomy, physiology of structures in view
- The patient’s ability to safely swallow food, liquid
- The patient’s response to swallow and compensatory strategies.
This is an important aspect of the evaluation as the treating SLP can communicate recommendations and/or strategies the patient will just not comply with. No matter how perfectly the stars align, the patient adamantly declines to consume the recommended foods or follow a specific compensatory strategy. It is at this point during the evaluation that together we would trial all consistencies and strategies to prove the safest and most appropriate strategy, while providing the patient and their family members the justification for said recommendations. The recordings and pictures taken during the assessment will assist the SLP with selecting both patient specific and evidence-based treatment.