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Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management, 9/21/2021 12:00:00 AM CDT, Digital Seminar More info »
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Live Webcast

Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management


Speaker:
Angela Mansolillo, MA/CCC-SLP, BCS-S
Duration:
Full Day
Format:
Audio and Video
Product Code:
LWC020003
Brochure Code:
PLW66666
Media Type:
Live Webcast - Also available: Digital Seminar

Dates

Normal Price:      $249.99 - Now:  $49.99 - Exclusive offer when combined with this live training.

Description

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 live webcast 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 this webcast with the skills to thoroughly assess and treat the whole patient, not just their symptoms.

Credit


Registered Dietitians & Dietetic Technicians

Continuing Professional Education (Dietitians) Logo 

PESI, Inc., PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR)  (please check our website for current approval period). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This program/material is designated as LEVEL: .


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.3 contact hours.


California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 


Florida Nurses

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 6.0 contact hours. 

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 6.0 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email cepesi@pesi.com with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.


Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.0 continuing education credits.

CE Broker


Occupational Therapists & Occupational Therapy Assistants

AOTA

PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or  CEUs in the Category of . Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: .


Speech-Language Pathologists & Audiologists

This course contains 6.0 hours of live continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.


California Speech-Language Pathologists and Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 6.0 hours of continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Kansas Speech-Language Pathologists or Audiologists

Approved for 7.0 continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Other Professions

This activity qualifies for 6.0 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 



Handouts/Brochure

Speaker

Angela Mansolillo, MA/CCC-SLP, BCS-S's Profile

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 over 21 years of experience. She is a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she is involved in evaluation, treatment, and program planning for adults and children with dysphagia.

Ms. Mansolillo received her Bachelor of Arts degree in communication from Rhode Island College and earned her Master of Arts in speech-language pathology from the University of Connecticut.

 

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 Education Resources, Inc., HomeCEUconnection.com, SpeechPathology.com, Medbridge, Respiratorytherapy.com, ContinuEd. 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 Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation. 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. A more detailed schedule is available upon request.


Objectives

  1. 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.
  2. 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.
  3. Design effective treatment plans for clients with respiratory and GI disease processes including COPD, respiratory failure, and GERD.
  4. Prepare your diagnostic tool box to include cough testing, water screenings, pulse oximetry, respiratory muscle strength testing, and other evidence-based tools.
  5. Develop successful treatment plans by identifying reflux disease and its impact on swallowing function in your clients.
  6. 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
  • 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
  • When does GER become GERD?
  • Reflux, feeding and swallowing behaviors
  • Relationship to dysphagia
GI/Respiratory Relationships
  • Pressure relationships and their effect
  • 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
Respiration Disease Processes
  • Infant Respiratory Distress Syndrome (IRDS)
  • Bronchopulmonary Dysplasia (BPD)
  • Respiratory Syncytial 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
  • Understand 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

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

5
4
3
2
1

Overall:      4.9

Total Reviews: 35

Comments

Michele D

"This was the best continuing education class I've ever taken - just amazing!! I want to take more from Ms. Mansolillo now!"

Kathleen L

"Excellent training! Thank you."

Alexa P

"Extremely useful, plan to share course with all my colleagues. Thank you!!!"

Alison K

"Great presentation! Information was organized and thorough per topic."

Pamela D

"Best course in my 40 years experience!!"

Amy H

"This was a great course. Very informative and presenter was knowledgeable. Highly recommend"

Lori G

"Excellent Course!"

Nelia G

"This was the best course EVER! Very informative and Mrs. Mansolillo demonstrated to be very knowledgeable of the topics."

Susan D

"Excellent course"

Norma W

"Placed on quiz. Many thanks!"

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