FEES stands for Fiberoptic Endoscopic Evaluation of Swallowing. It is when we place an endoscope and pass it through the nose, and position it just right up above the laryngeal vestibule. We are looking primarily at the pharynx. It allows us to visualize how a patient manages secretions. One of the nice things is that we get to use real food and it is an untimed test. Keeping in mind the idea that swallowing and eating a meal is an endurance task, you could put the FEES scope in place and watch a patient eat an entire meal. Certainly we could not do that with MBS.
Kim Winter, MA CCC-SLP, has been employed as a speech-language pathologist since 1996, working exclusively with adult neurogenic populations. Her areas of expertise include dysphagia, aphasia, AAC and management of speech and swallowing disorders associated with neuromuscular diseases.
Kim Winter, M.A., CCC-SLP
Kim Winter, MA CCC-SLP, has been employed as a speech-language pathologist since 1996, working exclusively with adult neurogenic populations. Her areas of expertise include dysphagia, aphasia, AAC and management of speech and swallowing disorders associated with neuromuscular diseases. Kim has been a guest lecturer at the University of Connecticut’s dysphagia classes, and was a co-presenter at the 2011 ASHA National Convention – “Assessment and Management of Swallowing in Patients with ALS”. In 2013, she presented a course entitled, “Topics, Issues and Controversies in Dysphagia Management” at the Connecticut Speech-Language Hearing Association’s Spring Conference. Kim is a member of ASHA’s Special Interest Group: Swallowing and Swallowing Disorders, and was a recent recipient of an ASHA ACE Award for Continuing Education.
Related Courses
1https://www.speechpathology.com/slp-ceus/course/dysphagia-in-neurodegenerative-disease-9732Dysphagia in Neurodegenerative DiseaseDysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.auditory, textual, visual
Dysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.
2https://www.speechpathology.com/slp-ceus/course/treating-in-gray-zone-post-10066Treating in the Gray Zone: Post-Acute Care ConsiderationsThis course helps post-acute care clinicians better understand how to approach treatment when things aren’t black and white. It addresses scenarios such as geriatric frailty/weight loss and diet modification, the paradigm shift to a patient-choice model, legal considerations regarding diet waivers, and the care plan process. The SLP's role on the post-acute interdisciplinary team is also discussed.auditory, textual, visual
This course helps post-acute care clinicians better understand how to approach treatment when things aren’t black and white. It addresses scenarios such as geriatric frailty/weight loss and diet modification, the paradigm shift to a patient-choice model, legal considerations regarding diet waivers, and the care plan process. The SLP's role on the post-acute interdisciplinary team is also discussed.
3https://www.speechpathology.com/slp-ceus/course/decision-making-for-alternate-nutrition-9581Decision Making for Alternate Nutrition and Hydration - Part 1This is Part 1 of a two-part series about alternate nutrition and hydration (ANH). This course reviews patient and family concerns that impact the ANH decision-making process, including religious beliefs and culture. Advance directives are discussed and resources for patients/families are provided.auditory, textual, visual
This is Part 1 of a two-part series about alternate nutrition and hydration (ANH). This course reviews patient and family concerns that impact the ANH decision-making process, including religious beliefs and culture. Advance directives are discussed and resources for patients/families are provided.
4https://www.speechpathology.com/slp-ceus/course/dysphagia-after-traumatic-brain-injury-8815Dysphagia after Traumatic Brain Injury: Etiology and EvaluationThis is Part 1 of a two-part series. This course discussed dysphagia following traumatic brain injury (TBI). Specifically, etiology, characteristics, and assessment of dysphagia following TBI are addressed.auditory, textual, visual
This is Part 1 of a two-part series. This course discussed dysphagia following traumatic brain injury (TBI). Specifically, etiology, characteristics, and assessment of dysphagia following TBI are addressed.
5https://www.speechpathology.com/slp-ceus/course/neurogenic-dysphagia-case-studies-across-9185Neurogenic Dysphagia in Older Adults with Motor Disorders: Part 1This is Part 1 of a two-part series demonstrating the evidence related to neurogenic dysphagia resulting from various motor disorders in older adults. The bodily systems involved in dysphagia will be elucidated and advice for applying these concepts to clinical practice will be provided. Case studies of individuals with Huntington's Disease, Parkinson's and Lewy Body Dementia will be presented.auditory, textual, visual
This is Part 1 of a two-part series demonstrating the evidence related to neurogenic dysphagia resulting from various motor disorders in older adults. The bodily systems involved in dysphagia will be elucidated and advice for applying these concepts to clinical practice will be provided. Case studies of individuals with Huntington's Disease, Parkinson's and Lewy Body Dementia will be presented.
