FEES and treatmetn
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ASHA recommends fiberoptic endospcopic evaluation of swallowing "genric identifier" | show 🗑
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If upper airway sensory tseting is added to FEES it is? | show 🗑
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show | Because the SLP is in control (no radiologist) and there is no x-ray
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show | FALSE, not the ONLY goal: also evaluate phsyiology of swallow, identify patterns of impairments, identify consequences of four phases, how does disorganized tongue affect etc. Predict outcome,determine whether and why pt is aspirating
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show | Motivation, cognitive status, if phsiology will allow it, if pt is stimulable for correct or improved behavior.
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show | FALSE. Opposite is true If you want to assess phases in action chose: MBS. IF you want to assess impact of swallow and therapy chose FEES.
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Differences between MBS and FEES include: | show 🗑
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show | TRUE, gives direction info about upper airway sensitivity by blowing puff of air into larynx
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show | Vasovagal reaction, if this happens during FEES stop activity
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T/F The endoscope used for FEES is the same used for assessment of voice? | show 🗑
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T/F a camera is required and always used with FEES | show 🗑
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What are some specific goals of FEES? | show 🗑
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show | TRUE
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T/F Patient instruction is important so pt. realized the scope will be int he nose for awhile | show 🗑
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T/F an SLP can administer anesthetic without medical supervision | show 🗑
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show | Speed
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show | Bilaterality, color, size, position, snesory testing (FEEST)
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show | Humming can get velum to drop
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show | Falsetto, throat clearing, cough, valsalva maneuver, voicing, sniffing (maximal abduction) breath holds.
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show | FALSE. WE describe but we DON'T DIAGNOSE.
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T/F. There is only one procedure for doing a FEES you always start with liquids | show 🗑
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T/F FEES allows observation of secretion management better then MBS | show 🗑
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What is observed when you blow air into larynx? | show 🗑
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show | FALSE. MBS can see aspiration as it is happening, FEES only see the affect of aspiration
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show | purpose, what are the details, what is the impact on swallowing, this allows us to give rationale
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Management is _______ while rehabilitation is _______ | show 🗑
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What are some therapy techniques? | show 🗑
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show | Compensatory teechnique (management)
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show | entire body or just head/shoulders, may redirect the swallow, may increase speed of swallow, no single posture change will help all patients
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show | Body posture change, supine position will bypass the oral cavity. Side lying will decrease space in paralyzed vocal chord.
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Head posture changes have 3 major changes: | show 🗑
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show | FALSE. Thickening liquids does decease aspiration, but not always, furthermore decreasing aspiration of water does not decrease chances of pneumonia
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show | free water protocol
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show | TRUE
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show | TRUE, research shows we are overly restrictive with patients, modified diets need to be monitored and re-evaluated at regular intervals
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T/F. Oral motor exercices should be used to strengthen artiulation muscles and are beneficial for children with apraxia of speech | show 🗑
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What type of patients could benefit form OME's? | show 🗑
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What are goals of OME's? | show 🗑
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What two types of treatment methods are there? | show 🗑
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show | Indirect treatment
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Oral motor exercises, stimulation of the swallowing reflex and improving closure of airway are the three main types of _______ treatment | show 🗑
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This type of direct treatment includes oral motor exercises, range of motion, coordingation, compensatory maneuvars, sensory stimulation, bolus modification, and devices | show 🗑
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show | Improving stimulation of the swallowing reflex
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Valsalva maneuvars, high-pitched vocalizations and effortful swallos all _________ and are a direct therapy | show 🗑
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show | Postional compensations
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show | TRUE
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show | Sends food to good side, gravity assists.
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show | Double swallows, effortful swallow, supraglottic swallow, super-surpaglottic swallow, mendelssohn maneuvar.
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This compensatory maneuver is indicated for patient who cannot attain laryngeal closure prior to,during or aftera a swlalow, exertion of voluntary control over otherwise involuntary swallowing events, may cause increased feeding time | show 🗑
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show | Super-Supraglottic Swallow
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show | Efffortful swallow
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show | double swallow
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show | Mendelssohn Maneuver
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Modifciations to bolus, can have definite affect on onset and duration of swallow events | show 🗑
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shayc09