You are here: Home > Home > Hospital Departments > Speech Pathology > Adult Acute Care

Adult Acute Care

Speech Services

Our Services Include:
  • Swallowing Assessment and Treatment
  • MBSS (Modified Barium Swallow Study)
  • FEES (Fiberoptic Endoscopic Evaluation of Swallowing)
  • Passy Muir Speaking Valve Trials
  • Cognitive-linguistic Evaluations and Treatment
 

Modified Barium Swallow Study (MBSS)

Objective Assessment of Oropharyngeal Dysphagia

A Modified Barium Swallow Study is an objective evaluation of the oropharyngeal swallow mechanism. An x-ray video is taken while the patient swallows different consistencies of food and liquids that contain barium as a contrast material. The study allows for assessment of swallowing difficulty (dysphagia) that can include aspiration (food or liquids entering the windpipe and reaching the level below the vocal cords). A speech pathologist administers the food and liquids during the study, then reviews and interprets the video and makes diet recommendations. The patient is allowed to eat or drink before this study.

Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

Objective Assessment of Oropharyngeal Dysphagia

A Fiberoptic Endoscopic Evaluation of Swallowing is an objective evaluation of the oropharyngeal swallow mechanism. A speech pathologist passes a small scope through the patient's nose and down along the back wall of the throat. The patient is then observed swallowing different consistencies of food and liquids. The study allows for assessment of swallowing difficulty (dysphagia) that can include aspiration (food or liquids entering the windpipe and reaching the level below the vocal cords). It also lets the clinician observe basic vocal cord function. The patient is allowed to eat or drink before this study.

Passy Muir Speaking Valves   

Improved Voice and Swallow Function

A Passy Muir Speaking Valve (PMSV) is a one-way valve that fits onto the hub of a tracheostomy tube. During a speaking valve trial the speech pathologist assesses the patient's ability to tolerate the valve. Benefits of the speaking valve include a louder voice, improved swallow, stronger cough, and increased oxygenation. Passy Muir Speaking Valves can also be used in-line for ventilator-dependent patients.

 
Cognitive-Linguistic Evaluations

Assessment of patients with traumatic or acquired brain injury, including concussion, tumors, strokes, and    hypoxic/anoxic brain injury, and neurodegenerative diseases.

We perform informal and standardized testing of cognitive-linguistic functioning including attention, memory, executive functioning, and speech/language. Our test results help us generate a treatment plan and contribute to identifying appropriate discharge settings and level of supervision for patients.

 

Our Specialists:

Terra' Wiggins Bellavance, M.A., CCC-SLP

Jillian Cruz, M.Ed., CCC-SLP

Leslie W. Johnson, M.S., CCC-SLP

Betsy Rambusch, M.A., CCC-SLP

 

Contact Us:

Speech Pathology Consult Pager:
123-2682 (internal hospital pages only)
(919) 966-8044

 



 

 

Document Actions