Do you want to provide the best evidenced-based practice to your clients but don't have access to instrumental assessment?
I CAN HELP!
It might be just penetration and effectively cleared. Or it might be reflux. Thickening fluids might not be necessary
It might be really easy for your client to compensate for their difficulties without changing their diet. Better for them, greater satisfaction in you as a therapist
So, they're aspirating. Does it happen all the time? Or just sometimes? On all mouthfuls or just when consecutive sipping? Can their cough effectively clear it? Find out the answers so your client can make an INFORMED decision about how they want to manage their swallowing difficulties
So you can give them evidence-based intervention. You can't do this without instrumental assessment
This helps you understand your clinical reasoning and makes you better at hypothesising the cause of your clients swallowing difficulties. In turn, a better dysphagia clinician.
Watching the FEES, discussing and problem-solving during the assessment with Dijana is a great way to learn more and grow as a dysphagia clinician. You will learn so much about FEES, interpretation and recommendations from collaborating during FEES.
You deserve to have the tools you need to do your job
Please reach us at dijana@sydneyswallowingdiagnostics.com.au if you cannot find an answer to your question.
FEES is done on a consultative basis. Therefore, the treating Speech Pathologist remains the treating Speech Pathologist. The FEES is done to inform the treating Speech Pathologist's practice. The treating Speech Pathologist will discuss FEES with the client before referral. Referral is then done on the website with consent from the client. Once the referral is received, Sydney Swallowing Diagnostics will call the client to discuss. A plan for the assessment is then made with the treating Speech Pathologist, who assists on the day. This is important for the ongoing treatment of the client. The recording of the assessment is then analysed by Sydney Swallowing Diagnostics and a report is written. The video is made available to the client and the treating clinician for ongoing education and feedback to the client. The client can still be referred if there is no treating Speech Pathologist.
The Sydney Swallowing Diagnostics FEES course teaches the knowledge and skills required to practice FEES. However, to be able to do FEES independently, competency in nasendoscopy for dysphagia, and FEES interpretation and reporting must be supervised and obtained and then credentialed by your company.
Yes, Sydney Swallowing Diagnostics does supervise and assess competency for nasendoscopy for dysphagia and FEES interpretation. However, this is done with your current clients and can be difficult in some settings. Please contact us for a discussion on how this could be obtained.
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