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Implement FEES successfully into your practice! In the 10 years since Dr. Langmore pioneered and described endoscopic technique for evaluating pharyngeal swallowing function, the use of FEES (flexible endoscopy) has grown exponentially. The procedure is used throughout the world, with workshops held to sold-out attendance; demand for training materials continues unabated. Now there is one book that comprehensively covers the role of endoscopy in the assessment and treatment of oropharyngeal dysphagia. Written in step-by-step detail by the creator of the technique, the book gives you all the information you need to implement FEES in your practice. It offers valuable comparisons to other imaging tools, especially fluoroscopy, showing how this portable technique is the most efficient and cost-effective for patients who cannot easily be transported to a hospital. Highlights of the book: Comprehensive review of anatomy/physiology of oral & pharyngeal musculature Provides FEES protocol sheets for complete how-to instruction Shows how to score a FEES examination & possible abnormal findings Demonstrates the use of endoscopy in a wide range of populations infants, children, and geriatric patients, and those with head and neck cancer Lays out rehabilitative & compensatory techniques for each dysphagia problem Summarizes safety data from the three largest clinical studies ever undertaken Includes dozens of "best practice" case studies
Implement FEES successfully into your practice! In the 10 years since Dr. Langmore pioneered and described endoscopic technique for evaluating pharyngeal swallowing function, the use of FEES (flexible endoscopy) has grown exponentially. The procedure is used throughout the world, with workshops held to sold-out attendance; demand for training materials continues unabated. Now there is one book that comprehensively covers the role of endoscopy in the assessment and treatment of oropharyngeal dysphagia. Written in step-by-step detail by the creator of the technique, the book gives you all the information you need to implement FEES in your practice. It offers valuable comparisons to other imaging tools, especially fluoroscopy, showing how this portable technique is the most efficient and cost-effective for patients who cannot easily be transported to a hospital. Highlights of the book: Comprehensive review of anatomy/physiology of oral & pharyngeal musculature Provides FEES protocol sheets for complete how-to instruction Shows how to score a FEES examination & possible abnormal findings Demonstrates the use of endoscopy in a wide range of populations infants, children, and geriatric patients, and those with head and neck cancer Lays out rehabilitative & compensatory techniques for each dysphagia problem Summarizes safety data from the three largest clinical studies ever undertaken Includes dozens of "best practice" case studies
Written in step-by-step detail by the creator of the technique, the book gives you all the information you need to implement FEES in your practice. It offers valuable comparisons to other imaging tools, especially fluoroscopy, showing how this portable technique is n the most efficient and cost-effective for patients who cannot easily be transported to a hospital
This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.
FEESST enables Otolaryngologists, gastroenterologists, and pulmonologists to raise the level of care for their patients with swallowing problems. This is an essential text for all physicians, clinicians and speech pathologists that treat swallowing disorders. For the first time this new examination allows direct assessment of both the motor and sensory aspects of the swallow, enabling physicians to precisely guide the dietary and behavioral management of patients to decrease the risk of aspiration pneumonia. The authors provide readers with a science behind the instrumentation, the protocols for its use, and detailed case studies demonstrating its value in evaluating and managing diverse groups including: Patients with a history of reflux; Recent stroke patients experiencing difficulty swallowing, throat clearing, or choking during meals; Patients with a difficulty related to an underlying diagnosis of Parkinson's Disease; cerebral palsy, multiple sclerosis, ALS, or dementia; Patients with a history of upper respiratory infections, unexplained fevers, aspiration pneumonia, or asthma; Patients who complain about trouble swallowing liquid, food, or medications; Patients receiving nutrition via G-tube or NGT who are candidates for improved function and ability to tolerate oral feedings; Patients with a Tracheotomy.
The definitive educational guide on the diagnosis and management of dysphagia across the full age continuum Dysphagia presentation and treatment differs at various stages of life. Assessing and Treating Dysphagia: A Lifespan Perspective reflects significant knowledge and pearls from esteemed adult and pediatric swallowing disorders experts. Debra Suiter and Memorie Gosa have compiled a book of unique depth and breadth with contributions from communication science experts including speech-language pathologists and physicians. The textbook provides comprehensive coverage of swallowing disorders from birth to old age, including clinical, professional, and cultural ethical considerations. Key Highlights Anatomy and physiology of swallowing, and compensatory, postural, and rehabilitation strategies Adult and pediatric specific chapters on swallow screenings, clinical evaluations, and technologies such as videofluroscopic, fiberoptic endoscopic, and high-resolution manometry Pediatric-specific dysphagia related to premature birth, craniofacial syndromes, congenital heart disease, and cerebral palsy Adult-specific dysphagia related to neurodegenerative disease, stroke, traumatic brain injury, head and neck cancer, esophageal disease, pulmonary disease, and end of life This is the only textbook on the market featuring complete coverage of the diagnosis and management of dysphagia across the lifespan. With content following Master's-level course curriculum, this is essential reading for graduate students as well as practicing clinicians in the fields of otolaryngology and speech language pathology.
"Comprehensive Management of Swallowing Disorders, Second Edition has been revised with new authors and expanded information on the clinical evaluations made by dysphagia specialists and with state-of-the-art medical, behavioral, and surgical treatment options. The editors have selected specialists in every swallowing-related discipline to bring this edition to a true "state-of-the-art" comprehensive text on dysphagia. The text meets the needs of students, scientists, and practitioners who are involved daily with the complex issues of dysphagia."--Publisher's description.
So you’re having trouble swallowing. You feel anxiety during mealtime or avoid eating in public. Maybe you’ve been told that you need a feeding tube, will never eat or drink again, or can only consume thick liquids and chopped up foods. Guess what? You’re not alone. Far from it. It’s estimated that over ten million Americans are evaluated for swallowing disorders (dysphagia) each year. But if this is so common, why does it feel so lonely, scary, and frustrating? So You’re Having Trouble Swallowing dives into the facts and frustrations of dysphagia and dysphagia therapy. Theresa Richard, author and dysphagia expert, is a speech-language pathologist who is board certified in swallowing and swallowing disorders. She is also a life-long advocate for her son who lives with a swallowing disorder. After years of clinical practice and fighting for her family, she realized a common thread in the world of swallowing disorders: a large gap exists between research and clinical practice. This gap is harming patients. Using her frustrations and expertise to fuel the flame, Theresa decided to change the way people receive care for their dysphagia by writing this book for you- the patient or caregiver. This book will teach you the essential information about swallowing, testing, treatment options, and how to advocate for the best care available. Dysphagia is far more than “just a disorder.” It’s a life-altering diagnosis that impacts social gatherings, holidays, family meals, and freedom. It can lead to hospitalizations, high medical costs, and depression. It steals a part of your identity and robs you of one of life’s greatest joys. But it doesn’t have to. Use this book to guide your questions. Find the right information to charge your advocacy. Most importantly, learn through Theresa’s expertise and personal journey to get several steps closer to enjoying meals with your family once again.