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Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management
- Average Rating:
- 35
- Faculty:
- Angela Mansolillo, MA/CCC-SLP, BCS-S
- Duration:
- 6 Hours 10 Minutes
- Copyright:
-
Jul 17, 2020
- Publisher:
- PESI Inc.
- Product Code:
- RNV020003
- Media Type:
- DVD
Description
What’s the safest diet? Is he aspirating? Can she swallow these pills? He hates the pureed food – what else can we do? She’s refusing the thick liquids! Is he going to get pneumonia? Does he need a feeding tube?
These are issues that we face every day in our work with children and adults with dysphagia. How do we keep our clients safe, while making sure they’re well hydrated and well nourished, and normalize eating as much as possible?
Sometimes, it’s about more than just swallowing.
This course will examine the inter-relationships between respiration, gastrointestinal function, and swallowing to allow clinicians to better identify the underlying causes of their client’s swallowing difficulties. We’ll look at specific respiratory and GI diagnoses and their impact on what, when, how much, and how safely our clients eat. Using clinical case studies, we’ll examine the evidence to provide you with the tools you need to perform a thorough assessment and implement a comprehensive treatment plan that takes into account all of the potential contributing factors.
Credit
Handouts
| File type | File name | Number of pages | |
|---|---|---|---|
| Manual - Breathing, Digestion & Swallowing (4.02 MB) | 185 Pages | Available after Purchase | |
| Instructions for ASHA credit - Self-Study Only (64.4 KB) | Available after Purchase | ||
| CE Test – 020003 – Paper Option (258 KB) | Available after Purchase | ||
| Attention Registered Dietitians (287.8 KB) | Available after Purchase |
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-certified specialist in swallowing disorders with more than 30 years of experience. She is a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she provides evaluation and treatment services for adults and children with dysphagia and is involved in program planning and development including quality improvement initiatives, patient education, and clinical policies and protocols. She is also adjunct faculty at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts and a guest lecturer in the Department of Communication Disorders at the University of Massachusetts. Over the course of her career, she has worked in a variety of clinical settings with children and adult populations with a career-long focus on feeding and swallowing disorders. Recently, she authored Let’s Eat!: A Clinical Guide to the Management of Complex Pediatric Feeding and Swallowing Disorders. Angela is a recent recipient of the Massachusetts Speech and Hearing Association’s Award for Clinical Excellence and is a sought-after speaker for both live and online continuing education courses as she seamlessly blends current research with clinical experience.
Speaker Disclosures:
Financial: Angela Mansolillo has an employment relationship with Elms College and Cooley Dickinson Hospital. She is a consultant with Dysphagia Services and receives speaking honorarium from ContinuEd, Medbridge, Advantage CE, and Dilgem Continuing Education. Angela Mansolillo receives a speaking honorarium, recording, and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Angela Mansolillo is a member of ASHA.
Additional Info
Access for Self-Study (Non-Interactive)Access never expires for this product.
Objectives
- Use your understanding of the interrelationships between the respiratory and gastrointestinal systems to identify and treat the causes and not just the symptoms of dysphagia in your pediatric and adult clients.
- Evaluate the impact of respiratory and gastrointestinal functions on swallowing systems in order to choose targeted interventions and increase your effectiveness in reducing aspiration risk.
- Design effective treatment plans for clients with respiratory and GI disease processes including COPD, respiratory failure, and GERD.
- Prepare your diagnostic tool box to include cough testing, water screenings, pulse oximetry, respiratory muscle strength testing, and other evidence-based tools.
- Develop successful treatment plans by identifying reflux disease and its impact on swallowing function in your clients.
- Design assessment strategies that allow you to identify those clients who are more likely or less likely to get sick as a result of aspiration.
Outline
RESPIRATORY SYSTEMS: Breathing/swallowing coordination- Overview of systems – anatomy/physiology
- Breathing/Swallow coordination
- Coordination and aspiration
- Airway protective mechanisms
- Reflexive cough
- Esophageal function
- Digestive functions
- Reflux mechanisms
- When does GER become GERD?
- GERD signs and symptoms
- GERD and feeding/swallowing difficulties
- Esophageal/Pharyngeal inter-relationships
- Pressure, energy, and innervation
- Extra-esophageal reflux
- Pulmonary Clearance Mechanisms
- Predictors of pneumonia in various populations
- Pediatric:
- Infant Respiratory Distress Syndrome (IRDS)
- Bronchopulmonary Dysplasia (BPD)
- Respiratory Synctial Virus (RSV)
- Congenital Heart defects
- Adult:
- 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
- Non-invasive positive pressure ventilation
- High flow nasal cannula
- Intubation
- Tracheostomies
- Cognitive assessment
- Pitch elevation
- Serial swallows
- Oral mechanism
- Respiratory factors
- Cough
- Respiratory muscle strength
- 3 oz water tests
- Understanding lab values
- Pulse Oximetry
Instrumental assessment – Which type and when?
- Modified Barium Swallow studies
- Fiberoptic Endoscopic Evaluation of Swallowing
- Implications of dietary changes
- Compliance issues
- Thick liquids – pros and cons
- Water protocols
Strategies and Exercises – What does the evidence tell us?
- Compensation
- Sensory interventions
- Principles of exercise physiology
- Lingual strengthening
- Pharyngeal strengthening
- Expiratory muscle strength training
- Upper GI studies
- Ph Monitoring
- Esophagoscopy
- Scintigraphy
- Lifestyle modifications
- Positioning
- Diet modifications
- Medications
- Effects of acid suppression
- Surgical interventions
- New directions in reflux management
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
Reviews
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Overall: 4.9
Total Reviews: 35
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