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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.
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.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: Three SIG 13 articles discuss dysphagia intervention. One article is about the use of gelatin-based desserts; a second article is about safe and functional bottle feeding for children with dysphagia; and a third articles is about using modified barium swallow studies for individuals with ALS.
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): 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): 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.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: These SIG 13 articles provide helpful information in dysphagia practice. Tasia Gibbons, Sophia Werden Abrams, Nazia Mohsin, Rebekah Guastella, Stefania Oppedisano, and Ashwini Namasivayam-MacDonald endeavor to validate a new device to measure lingual strengthening and swallow function. Kelsey Thompson, Cara McComish, and Suzanne Thoyre’s work aims to introduce dynamic systems theory to pediatric feeding clinicians. Margaret Wright and Justin Sleffel demonstrate the importance of a multidisciplinary team approach and the vital role of speech-language pathologists in the evaluation and treatment of dysphagia of unknown etiology. Hollie-Ann Lee Shortland, Gwendalyn Webb, Anne E. Vertigan, and Sally Hewat aim to explore the use of myofunctional devices and how speech-language pathologists gain better understanding of this modality.
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): Ashwini Namasivayam-MacDonald, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: The COVID-19 pandemic has impacted our patients in unusual ways. Patients with COVID-19 can present with a variety of symptoms: from loss of taste and smell, to fatigue, shortness of breath, and coughing. This session reviews current available evidence regarding best practices for dysphagia management for patients with COVID-19 in acute care and during their rehabilitation, including working through a case study.
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