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Presenter(s): Pamela A Smith, PhD, CCC-SLP; Mary L Casper, MA, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session addresses fully engaging the patient and decision-makers in the process of informed consent around diet consistency modification, particularly in the SNF setting. Presenters discuss relating the results of instrumental assessment of swallowing to the structure and function of the swallowing mechanism, allowing for critical thinking about risks and benefits of all the possible diet consistencies as one component of the overall plan of treatment for dysphagia.
Presenter(s): Marie Ireland,Med,CCC-SLP,BCS-CL; Cynthia O’Donoghue, PhD, CCC-SLP, FNAP; Sarah Szynkiewicz, PhD, CCC-SLP; Julian White, MS, CCC-SLP, CLC
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This course provides a framework to guide school-based SLPs who support child and adolescent feeding and swallowing needs during the COVID-19 pandemic. The presenters provide a foundation of best practices for school-based dysphagia management, review regulatory requirements and processes, discuss approaches to challenging service delivery scenarios, and share resources for continued professional development to strengthen this necessary, yet often less supported, area of practice. This course – part of the SIGnature Series – was developed by SIG 13: Swallowing and Swallowing Disorders (Dysphagia).
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: This trio of SIG 13 articles provides information regarding managing and treating dysphagia with adult patients. First, Abrams and co-authors underscore the importance of hydration and discovered that individuals consuming thickened liquids are often at risk for dehydration. Factors to increase fluid intake through different strategies are discussed. Next, Arguello and Kerr discuss the mechanism of a facial burn injury and how it may cause functional impairments that can be directly impacted through early intervention utilizing speech-language pathology services. Finally, Warner and colleagues completed a pilot study investigating the prevalence of pretreatment dysphagia in oncologic patients and individual factors influencing post treatment dysphagia.
Presenter(s): Gintas Krisciunas, MPH, MA; Susan L Langmore, PhD, CCC-SLP, BCS-S; Renee Speyer, PhD
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session reviews what it means for a measure to be objective, subjective, and/or valid and applies these concepts to fiberoptic endoscopic evaluation of swallowing (FEES). The presenters also discuss other, equally important, criteria to consider when evaluating a patient for dysphagia: accuracy, meaningfulness, and relevancy.
Presenter(s): Luis F Riquelme, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Modifying diet consistencies is one of the more common approaches to dysphagia care. However, much controversy remains regarding how SLPs tackle decision-making and about the actual modification and measurement of liquids and foods in terms of nutrition and safety as primary goals of dysphagia treatment. This session addresses the complexities in both processes, with a focus on achieving the best outcomes for each patient.
Presenter(s): Bonnie J Martin-Harris, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session introduces technological, procedural, and analysis factors that optimize objectivity and reproducibility of clinically valid videofluoroscopic measurements made from modified barium swallow (MBS) studies. The speaker addresses the importance and preferred practices for learning, training, and measurement skill calibration and demonstrates positive and negative influences of clinical bias on VFSS measurement and interpretation.
Presenter(s): Rinki Varindani Desai, MS, CCC-SLP, CBIS, CDP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session shares preferred practices for selecting, conducting, and interpreting instrumental swallow exams. The speaker discusses strengths and limitations of different instrumental exams, along with clinical applications to promote more accurate dysphagia diagnosis, targeted treatment planning, and positive patient outcomes. The session includes tips for critical thinking and current evidence supporting the use of instrumental exams to optimize the safety and quality of life of those living with swallowing disorders.
Presenter(s): Laura B Brooks, MEd, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Clinicians working with infants and young children need to understand how the oral, pharyngeal, and esophageal phases of swallowing impact feeding. This session focuses on disorders that impact the esophageal phase of swallowing, and how the clinician can identify and help manage these disorders.
Presenter(s): Alicia Kim Vose, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Impairments in laryngeal vestibule closure (LVC) are a major cause of aspiration during swallowing. Accurately identifying LVC impairment is a priority in dysphagia management as aspiration can occur if LVC is absent or delayed, or duration is reduced. However, this mechanism is often overlooked and underreported in the evaluation of swallowing and in swallowing research. This session discusses methods for incorporating LVC as a primary outcome measure in dysphagia diagnosis and management to increase diagnostic accuracy and optimize dysphagia management.
Presenter(s): Rory S O'Bryan, MS, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session provides the framework required to evaluate and treat swallowing difficulties for patients who require high flow nasal cannula oxygen therapy. The presenter reviews typical breathing and swallowing relationships, highlighting the impact altered respiratory conditions have on the swallow. The session also includes extensive discussion of high flow nasal cannula, its impact on the upper aerodigestive tract, and potential effects on physiologic swallowing.
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