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Live Webinar

Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management


Faculty:
Angela Mansolillo, MA/CCC-SLP, BCS-S
Duration:
Full Day
Product Code:
LWC020003
Brochure Code:
PWZ84590
Media Type:
Live Webinar - Also available: Digital Seminar | Live Webinar

Dates

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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. ​

Credits


CE Information Coming Soon

Continuing education credit information is coming soon for this live webcast.
 



Faculty

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

Angela Mansolillo, MA/CCC-SLP, BCS-S Related seminars and products: 8


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 currently 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. Angela is a sought-after speaker for both live and online continuing education courses as she seamlessly blends current research with clinical experience. She is a recent recipient of the Massachusetts Speech and Hearing Association’s Award for Clinical Excellence.

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. 


Alternate Dates

Additional Info

Program Information

CD/DVD

Click here to purchase the DVD recording from our product store. CE hours and approvals on products may differ from live CE approvals.


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 within one week. 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

Breathing/swallowing coordination

  • Overview of systems – anatomy/physiology
  • Breathing/Swallow coordination
  • Coordination and aspiration
  • Airway protective mechanisms
  • Reflexive cough

GASTROESOPHAGEAL SYSTEMS

The impact on feeding and swallowing

  • Esophageal function
  • Digestive functions
  • Reflux mechanisms
  • When does GER become GERD?
  • GERD signs and symptoms
  • GERD and feeding/swallowing difficulties
  • Esophageal/Pharyngeal inter-relationships

GI/RESPIRATORY RELATIONSHIPS

What’s the connection?

  • Pressure, energy, and innervation
  • Extra-esophageal reflux

ASPIRATION

How much is too much?

  • Pulmonary Clearance Mechanisms
  • Predictors of pneumonia in various populations

RESPIRATORY DISEASE PROCESSES

The impact on feeding/swallowing

  • 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

PNEUMONIAS

It’s not all aspiration

  • Pneumonia vs Pneumonitis
  • Community Acquired Pneumonia
  • Healthcare Acquired Pneumonia
  • Aspiration Pneumonia

AIRWAY MANAGEMENT

What’s the impact on swallowing?

  • Non-invasive positive pressure ventilation
  • High flow nasal cannula
  • Intubation
  • Tracheostomies

ASPIRATION ASSESSMENT

Clinical Assessment – Making the Most of your Bedside Eval

  • 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

ASPIRATION MANAGEMENT

Diet modifications – Not such a benign intervention

  • 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

REFLUX ASSESSMENT

What do these tests tell me?

  • Upper GI studies
  • Ph Monitoring
  • Esophagoscopy
  • Scintigraphy

REFLUX MANAGEMENT

What’s the dysphagia clinician to do?

  • 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

5
4
3
2
1

Overall:      4.7

Total Reviews: 600

Comments

Susan D

"Excellent course"

Norma W

"Placed on quiz. Many thanks!"

Karen T

"Very impressed that she did not just read the slides and actually expounded extensively"

Judith M

"Good current information"

Jacqueline P

"The the powerpoint could have been more clearly organized. The quiz also asked extremely specific questions rather than focusing on practical application of the material. Many of the questions seemed like trick questions and didn't reflect the aspects of the course that were most relevant to practical application of the material."

Beverly P

"very informative course!"

Karina M

"Great presenter!! Loved her explanations and examples. "

Susan J

"Angela was an amazing presenter and I would love to take more of her course. I learned SO MUCH!"

Mary M

"I appreciate being able to take this course online at my convenience."

Jennifer T

"Outstanding course that was packed to the brim with useful information. Would highly recommend"

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