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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.
Presenter(s): Amy Freeman-Sanderson, PhD, CPSP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Loss of effective communication can occur across the spectrum of critical illness and recovery, particularly with the use of artificial airways, including endotracheal and tracheostomy tubes. Patients report ongoing, long-term impacts to their psychosocial well-being and quality of life due to their lack of ability to communicate immediate care and comfort needs as well as participate in activities with a variety of communication partners. This session focuses on identifying, measuring, and supporting a patient's psychosocial well-being and quality of life as it relates to communication function.
Presenter(s): Thomas Devlin, BS, RRT, ACCS
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: In this session, a respiratory therapist with advanced pulmonary and critical care knowledge and skill discusses the two primary forms of ventilation that SLPs typically encounter when working with patients with respiratory failure or pulmonary disease. The presenter addresses noninvasive and mechanical ventilation, including external features of a ventilator, common modes of ventilation, ventilator settings, alarms, and associated terminology (FiO2, PEEP).
Presenter(s): Rachel S Barrocas, MS, CCC-SLP
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: Patients in the intensive care unit (ICU) often use medical devices and equipment that can affect participation in SLP interventions and care planning. This course reviews lines, tubes, drains, and other medical devices that SLPs may encounter in the ICU. The presenter discusses how medical equipment can impact patient care.
Presenter(s): Madeline Weber, MA, CCC-SLP
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: Clinical care in the intensive care unit (ICU) is exceptionally dynamic; patients may present differently day to day, or even hour by hour, and so their lab values and medication needs may fluctuate often. SLPs need to remain extraordinarily aware of changes in these lab values and medications to inform their ongoing assessment and treatment. This course examines classes of medications and lab values, their effects on a patient's presentation, and how they may influence SLP assessment and treatment as well as interprofessional decision-making.
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): Debra M Suiter, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Often, SLPs working with individuals with dysphagia struggle with knowing when it is appropriate to discharge their patient. The decision to discharge is multifactorial, including both patient- and clinician-driven factors. This session explores practical strategies and evidence-based practices for determining when it is appropriate to discharge a patient from dysphagia treatment.
Presenter(s): Katie S. Allen, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: When SLPs are tasked with evaluating and treating patients who use high flow nasal cannula oxygenation systems, they may have questions about these systems' potential impact on swallowing. This session discusses the literature on swallowing and use of high flow nasal cannulas and the implications for dysphagia evaluation and treatment.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This SIG 13 collection of astute articles provides information regarding managing and treating dysphagia in the hospital for both adult and pediatric patients. Nalia GurgelJuarez and colleagues explore the frequency of oral care based on staff adherence to oral care policies. Rebecca Smith et al. investigate the quality-of-life impacts of dysphagia and its interventions on mealtimes using the Swallowing Quality of Life Questionnaire and the Eating Assessment Tool. Jessica L. Rice and Maureen A. LeftonGreif review high-flow nasal cannula mechanisms of action, its use in specific populations and settings, and what is known about initiation of feeding during this therapy. Finally, Donna Edwards and colleagues explore the impact of COVID-19 on modifications in clinical practice related to pediatric feeding disorders and dysphagia via telehealth.
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.
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