Breathing, Digestion and Swallowing: Best Practices in Dysphagia Manag
Live Webcast

Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management


Faculty:
Angela Mansolillo
Duration:
Full Day
Product Code:
LWC020003
Brochure Code:
PLW66666
Media Type:
Live Webcast


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.

Credits

NURSES - CALIFORNIA

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 13305 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 


NURSES - FLORIDA

CE Broker

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

**Florida Participants Only: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com to have your Florida credits reported to CE Broker. You will need to provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email.


NURSES - IOWA

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.


NURSES/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS - ANCC

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

Nurses in full attendance will earn 6.3 contact hours.


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 .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. 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: Intermediate.


OCCUPATIONAL THERAPISTS & OCCUPATIONAL THERAPY ASSISTANTS - FLORIDA

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number BAP #77. This course qualifies for 6.0 continuing education credits.

** Florida Particpants Only: To automatically be reported to CE Broker, after completing and passing the online post-test/evaluation, please contact cepesi@pesi.com to have your Florida credits reported to CE Broker. You will need to provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email.


REGISTERED DIETITIANS & DIETETIC TECHNICIANS, REGISTERED

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: 2.


SPEECH-LANGUAGE PATHOLOGISTS - KANSAS

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


SPEECH-LANGUAGE PATHOLOGISTS & AUDIOLOGISTS - CALIFORNIA

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.


SPEECH-LANGUAGE PATHOLOGISTS & AUDIOLOGISTS - ASHA

ASHA

This course is offered for .6 live ASHA CEUs (Intermediate level, Professional area).

** Please note that Speech-Language Pathologists  & Audiologists who participate in the live webcast will be required to complete additional steps if they want their participation submitted to the ASHA CE Registry. Detailed instructions will be provided the day of the program under the Handouts section of the online program.


Θ OTHER PROFESSIONS

This activity qualifies for 6.0 continuing education clock hours 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. 


Faculty

Angela Mansolillo Related seminars and products: 2

MA/CCC-SLP, BCS-S


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 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 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.

Speaker Disclosures:

Financial: Angela Mansolillo has an employment relationship with Cooley Dickinson Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Angela Mansolillo is board certified specialist, Swallowing and Swallowing Disorders of the American-Speech-Language-Hearing Association.


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD recording from our product store.


Additional Resources

To order the book, Fundamental Sequences for the Medical Setting, please visit our product store.

To order the book, Tai Chi for Rehabilitation, please visit our product store.


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. 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.
  5. Identify common indicators of reflux and how they impact the treatment process.
  6. Discuss which patients are most at risk for developing aspiration pneumonia.

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

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