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Presenter(s): Kendrea L. (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This session—a recorded session from ASHA’s 2020 Health Care Connect online conference—explores typical variations in the adult swallow, with a specific focus on changes observed in older adults. The speaker discusses the influence of additional factors (e.g., medications, lab values) on swallowing function as well as shares MBSS videos/images.
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: In the rising digital era, and especially since the pandemic, implementation of telehealth and provision of auditory rehabilitation (AR) using digital platforms have notably increased. This has changed the outlook of service provision by audiologists and speech-language pathologists alike. Digital platforms have the potential to positively impact AR practices by improving accessibility of rehabilitation services as well as by facilitating a more effective way to share resources with both professionals and end users. This SIG 7 activity includes two articles about the accessibility and effectiveness of digital platforms to provide AR services for both adults and children with hearing difficulties. The first article discusses the differences in the distribution strategy, users’ experience, and satisfaction for two digital platforms (a static website and an active blog) offering AR materials for professionals. Their study concludes that social media–focused active distribution is effective because it results in more total traffic, a greater number of users, more frequent access, and an overall high level of satisfaction with the quality of information and resources. The second article discusses the details of a Zoom-based telepractice initial evaluation protocol used by speech-language pathologists serving children who are hard of hearing and their families. This clinical protocol was designed to synchronously share resources and questionnaires with family members of children who are hard of hearing. Authors suggest that providing AR services through telepractice facilitates high-quality diagnostics and counseling to the same extent as that of in-person diagnostic sessions.
Presenter(s): Adamantia Prachali; Fatema Nasser; Aaron Thrush
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This session shares findings from a tertiary care hospital at the center of the COVID-19 pandemic response in Abu Dhabi, United Arab Emirates, and provides an opportunity to compare and contrast findings with global patterns and local experiences. This investigation summarizes the clinical conditions, management, and functional outcomes of adults admitted to the hospital with COVID-19 and dysphagia, and offers insights into risk factors and clinical predictions of favorable swallowing outcomes.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This collection of SIG 13 articles addresses popular topics in dysphagia care throughout the life span regarding thickening practices, family-centered care, and early intervention. Jane Mertz Garcia, Edgar Chambers IV, and Anna Boyer utilized a survey to re-examine practice patterns for thickened liquids and provided a comparison of past practices with current to provide insight into contemporary themes that have previously not been considered. Doreen Benson and George Barnes explore the utility of a mathematical prediction model (Bayes theorem) in dysphagia management. Samantha E. Shune, Deanna Linville, and Ashwini Namasivayam-MacDonald address maximizing treatment effectiveness by using an approach with family resiliency and adaptation. Drawing from the principles of family systems theory and the biopsychosocial-spiritual framework, they use a case study as a tutorial to explore the application of family-centered care models to dysphagia management. Stephanie C. Cohen and Karen Dilfer focus on the definition of pediatric feeding disorder (PFD) and the multifaceted needs of families and children in early intervention, support for use of responsive feeding in treatment of PFD, alignment of responsive feeding strategies with early intervention principles, and barriers limiting access to consistent, high-quality early intervention services for children with PFD.
Presenter(s): Molly A. Knigge, MS, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Dysphagia may be caused by many underlying medical etiologies, and the hospital-based SLP must navigate a comprehensive world of medical diagnoses and be prepared to accurately evaluate and plan dysphagia treatment. This session presents a model for using medical chart review, online resources, swallow mechanism knowledge, and cultivated diagnostic and treatment skills to approach dysphagia in patients with any medical diagnosis.
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 unique factions of dysphagia intervention. Sophia Werden Abrams, Harmonie S. J. Chan, Jasmeet Sikand, Heather Wilkie, and Kim Smith raise awareness for the importance of neurodegenerative disorder research involving dysphagia caused by oculopharyngeal muscular dystrophy. Michela Jean Mir and Karen Wheeler Hegland aim to shed light on the subjective use of cough assessment and the importance and interest in formal clinical cough assessment training. Kendrea L. (Focht) Garand, Mary Catherine Reilly, Dahye Choi, Rajarshi Dey, Julie Estis, and Grayson Hill evaluate community dwelling adults using Modified Barium Swallow Impairment Profile components for bolus hold type to assist in defining typical swallowing behaviors.
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.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: These SIG 13 articles underscore the importance of being up to date of dysphagia intervention as the diagnosis has many complexities in assessment and treatment. Larsen et al. surmise that current characteristics and physiological rationale may overestimate the skills required for gelatin-based desserts and inappropriately classify them as nontransitional foods. Therefore, as with all products, individual gelatin-based desserts should be tested at the time of presentation to the patient. Mancopes et al. discuss the importance of strategies for facilitating safe and functional bottle feeding in children with dysphagia include selecting nipples that reduce flow rate, pacing, altered positioning, and thickening liquid consistencies. Their study aims to determine the impact of slightly thick liquids on swallowing through retrospective review of a convenience sample of clinical videofluoroscopies (VFSS) from 60 bottle-fed children (21 male, mean age 9.9 months) referred due to suspected aspiration. Garand et al. perform a retrospective analysis of persons with amyotrophic lateral sclerosis using modified barium swallow studies and recommend use of functional scales to help evaluate and treat this special population.
Credit(s): PDHs: 11.5, ASHA CEUs*: 1.15
Summary: This journal self-study course is composed of papers from the 7th Aging and Speech Communication Conference (April 2019). The articles cover a range of topics about speech processing in normal aging, including changes in auditory pathways and cortical structures in older adults with and without hearing loss; the relationship between cognitive skills and hearing performance in older adults; speech perception of older and younger adults when certain linguistic factors are manipulated; and age-related effects of processing accented speech in native and non-native speakers.
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