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Live Webcast

Breathing, Digestion, & Swallowing: Best Practices in Dysphagia Management


Faculty:
Angela Mansolillo, MA/CCC-SLP, BCS-S,
Duration:
7 Hours 30 Minutes
Format:
Audio and Video
Product Code:
VLW020003
Brochure Code:
19290
Media Type:
Live Webcast
Access:
Access for 90 day(s) after program date.

Dates


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 one-day seminar 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 thoroughly assess and treat the whole patient, not just their symptoms.

Credits


Speech-Language Pathologists, Audiologists (General)

This educational offering qualifies for 6.0 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 Period for Live Webcast For live CE credit, you must watch the live webcast in its entirety at its scheduled time. You will have access for 90 days after the program for review.
Webcast Schedule Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion.

Target Audience

Speech-Language Pathologists, Speech-Language Pathology Assistants, Occupational Therapists, Occupational Therapy Assistants, Respiratory Therapists, Nurses, Nursing Assistants , Restorative Nursing Staff, Dietitians, Dietary Managers, Long-Term Care Professionals

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

Objectives

  1. Discuss the development and interrelationships between the respiratory and gastroesophageal systems.
  2. Describe the impact of respiratory and gastrointestinal functioning on swallowing.
  3. Identify respiratory and gastroesophageal disease processes for which dysphagia is a symptom.
  4. Describe the evidence to support various diagnostic tools such as reflex cough testing, pulse oximetry, and clinical and instrumental swallowing assessment. Identify common indicators of reflux and how they impact the treatment process.
  5. Discuss which patients are most at risk for developing aspiration pneumonia.

Reviews

5
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1

Overall:      4.8

Total Reviews: 61

Comments

Jerri W - PANAMA CITY BEACH, Florida

"Enjoyed it! Very relevant. Thank you."

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