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Digital Seminar

Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management


Faculty:
Angela Mansolillo, MA/CCC-SLP, BCS-S,
Duration:
5 Hours 57 Minutes
Format:
Audio and Video
Copyright:
Dec 30, 2015
Product Code:
WDS020003
Brochure Code:
WDPTSWAL3 (P)
Media Type:
Digital Seminar
Access:
Never expires.


Description

Assessing the Interrelationships Between the Respiratory and Gastroesophageal Systems
The American Speech-Language-Hearing Association estimates that more than 15 million people in the United States have dysphagia. With dysphagia being that common, the need for an effective treatment plan is considerable. Furthermore, dysphagia is often correlated with many other medical conditions, including gastrointestinal conditions, nervous system disorders and respiratory disorders. These medical conditions can exacerbate the patient's dysphagia and complicate the assessment process. Clinicians who fail to recognize the interrelationships between the respiratory and gastroesophageal systems may be under-treating the patient's condition.

This recording will help give clinicians a clearer picture of the respiratory and gastrointestinal systems, their relationship to each other, and their impact on dysphagia management. Disease processes, with particular emphasis on aspiration pneumonia and gastroesophageal reflux disease, will be discussed along with strategies for clinical management. Participants will leave the seminar with the skills to do a thorough assessment and treat the whole patient, not just their symptoms.

Credits


Occupational Therapists, Occupational Therapy Assistants - Florida

is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 6 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.


Other Professions

This educational offering qualifies for 6 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 



Handouts

Faculty

Angela Mansolillo, MA/CCC-SLP, BCS-S, Related seminars and products


ANGELA MANSOLILLO, MA/CCC-SLP, BCS-S, is a Speech-Language Pathologist and Board Recognized Specialist in Swallowing Disorders with more than 20 years of experience. She is currently a senior Speech-Language Pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts, where she provides evaluation and treatment servicesfor adults and children with dysphagia and is involved in program planning and development for inpatient and outpatient programming including quality improvement initiatives, patient education, and clinical policies and protocols. In addition, she is an adjunct faculty member at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts. Over the course of her career, she has worked in a variety of clinical settings, provided numerous regional and national presentations, and lectured at several colleges and universities throughout Massachusetts.

Ms. Mansolillo received her Bachelor of Arts degree in Communication from Rhode Island College in 1983 and earned her Master of Arts in Speech-Language Pathology in 1985 from the University of Connecticut. She is a member of the American Speech-Language-Hearing Association and is a member of Special Interest Division 13, which focuses on swallowing and swallowing disorders.

Disclosure:
Finacial- Receives a speaking honorarium from Vyne, LLC.
Nonfinancial-No relevant nonfinacial relationship exists.


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

Speech Therapists, Speech Therapy Assistants, Occupational Therapists, Certified Occupational Therapy Assistants, Rehab Managers, Directors of Nursing, Nurses, Restorative Nursing Staff, Dietitians, Dietary Managers, Nursing Assistants, Respiratory Therapists  

Objectives

  1. Discuss the development and interrelationships between the respiratory and gastroesophageal systems
  2. Assess the impact of respiratory and gastrointestinal functioning on swallowing
  3. Identify respiratory and gastroesophageal disease processes for which dysphagia is a symptom
  4. Assess the evidence to support various clinical assessment tools such as reflex cough testing, pulse oximetry, blue dye testing and cervical auscultation
  5. Identify common indicators of reflux and how they impact the treatment process
  6. Recognize which patients are most at risk for developing aspiration pneumonia
  7. Determine when GER is actually GERD
  8. Compare and contrast the use of various airway management techniques
  9. Evaluate the evidence for specific dysphagia management strategies and discuss their effectiveness

Outline

RESPIRATORY SYSTEMS
  • Overview of systems - anatomy/physiology
  • Breathing/Swallowing coordination
  • The apneic signal
  • The relationship of coordination to aspiration
  • Laryngeal Chemical Responses (LCRs)
  • Reflexive cough
GASTROESOPHAGEAL SYSTEMS
  • esophageal function 
  • Barriers to reflux
  • Saliva swallows
  • Digestive acids
  • Reflux mechanisms  
  • Relationship to feeding disorders  
  • GERD signs and symptoms u
  • When does GER become GERD?
  • Reflux, feeding and swallowing behaviors
  •  Relationship to dysphagia
GI/RESPIRATORY RELATIONSHIPS
  • Pressure relationships and their effect u
  • Asthma/gastroesophageal reflux connection
  • Laryngopharyngeal Reflux (LPR)
ASPIRATION
  • Pulmonary Clearance Mechanisms
  • Aspiration in infancy
  • How much is too much?
  • Predictors of pneumonia in various populations
  • Aspiration and oral hygiene
RESPIRATORY DISEASE PROCESSES
  • Infant Respiratory Distress Syndrome (IRDS)
  • Bronchopulmonary Dysplasia (BPD)
  • Respiratory Synctial Virus (RSV)
  • Congenital Heart defects
  • Obstructive Sleep Apnea (OSA) and dysphagia
  • Congestive Heart Failure (CHF)
  • Obstructive Conditions
  • Restrictive Conditions
  • Pneumonia vs Pneumonitis
  • Community Acquired Pneumonia
  • Healthcare Acquired Pneumonia
  • Aspiration Pneumonia
AIRWAY MANAGEMENT
  • Non-invasive positive pressure ventilation
  • High flow nasal cannula
  • Intubation
  • Post-extubation dysphagia
  • Tracheostomies
  • Physiological changes associated with tracheotomy
ASPIRATION ASSESSMENT
  • Clinical assessment – what are we looking for?
  • Cognitive assessment
  • Pitch elevation
  • Serial swallows
  • Oral mechanism
  • Respiratory factors
  • Cough
  • Respiratory muscle strength
  • Instrumental assessment
  • Modified Barium Swallow studies
  • Fiberoptic Endoscopic Evaluation of Swallowing
  • 3 ounce water tests
  • Understanding lab values
ASPIRATION MANAGEMENT
  • Diet modifications
  • Implications of dietary changes
  • Compliance issues
  • Thick liquids
  • Complicating factors associated with thickening
  • Water protocols
  • Compensatory strategies
  • Sensory interventions
  • Principles of exercise physiology
  • Lingual strengthening
  • Effortful swallow
  • Mendolsohn maneuver
  • Masako maneuver
  • Shaker head lift
  • Chin tuck against resistance
  • Head extension exercise
  • Jaw opening exercise
  • Tongue pull back
  • Effortful pitch glide
  • Expiratory muscle strength training
REFLUX ASSESSMENT
  • Upper GI studies
  • Ph Monitoring
  • Esophagoscopy
  • Scintigraphy
REFLUX MANAGEMENT
  • Lifestyle modifications
  • Positioning
  • Diet modifications
  • Medications
  • Effects of acid suppression
  • Surgical interventions
  • New directions in reflux management
  • Endoscopic procedures
  • Melatonin
  • Acupuncture
  • Magnetic Sphincter Augmentation

Reviews

5
4
3
2
1

Overall:      4.6

Total Reviews: 19

Comments

Cynthia A

"I would highly recommend this course to all ST's who treat dysphagia across a variety of settings. Very informative!"

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