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Results 91 - 100 of 143
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): 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): 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): Erin S Ross, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session explores the challenges presented by the different perspectives on infant feeding among the caregiving team in the neonatal intensive care unit (NICU). The speaker discusses the evidence-based recommendations related to feeding, eating, and nutrition that were recently published by the First Consensus Conference on Standards, Competencies and Best Practices for Infant and Family-Centered Developmental Care in the Intensive Care Unit.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: How can audiologists enhance patient-centered communication, even during the COVID-19 pandemic? This self-study is from the journal, Perspectives of the ASHA Special Interest Groups, SIG 7: Auditory Rehabilitation and Its Instrumentation. It features two articles focused on patient-centered strategies for effective communication, from initial consultations to prioritizing follow-up care, during COVID-19. It also includes the article that won the 2021 ASHA Journals Editor’s Award for Perspectives (for SIGs 6, 7, 8, and 9) by Davidson and Marrone. The first article is, “How to Provide Accessible Hearing Health Information to Promote Patient-Centered Care.” Kelly-Campbell and Manchaiah review the literature within audiology on patient-provider communication. They focus on research studies of communication during initial audiology consultation sessions. Through a summary of themes in the literature, they categorize important research findings that provide insight into communication between patients and their audiologists. Finally, they identify five key strategies for effective patient-centered communication. Each strategy is then reviewed in detail, with clinical examples and specific recommendations that can be immediately implemented in practice. The second article is, “A Clinically Valuable Interaction in the Midst of COVID-19 and Beyond: A Viewpoint on the Importance of Patient-Centered Outcomes in Rehabilitative Audiology.” Davidson and Marrone discuss patient-centered communication following hearing aid device fittings. They identify challenges facing patients and audiologists related to follow-up hearing aid services as a result of the COVID-19 pandemic. Based on a literature review and their own recent research, they developed a decision-tree algorithm to help audiologists prioritize clinical activities following hearing aid fittings, including remote formats for care. The algorithm was based on use of a patient-centered outcome measure, the Measure of Audiologic Rehabilitation Self-Efficacy. Patient-centered outcomes measurement is suggested as an engagement strategy for continued communication with patients during the COVID-19 pandemic and beyond.
Presenter(s): Laura B Brooks, MEd, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session reviews prenatal airway development and abnormalities that can impact communication and swallowing. The speaker reviews different levels of respiratory support from low-flow nasal cannula to mechanical ventilation and speaking valve application for patients who are tracheostomy dependent with or without ventilator dependence. The goal of this session is to expand understanding of anatomy and physiology as well as the impact of anomalies on communication and swallowing.
Presenter(s): Joan C Arvedson, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session discusses challenges for the future as a combination of art and science as well as highlights areas of consensus and controversy in the many facets of practice that encompass pediatric feeding and swallowing.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: These three articles center on aspects of audiology and speech-language pathology providers in pediatric hearing loss. First, “eHealth Coaching: Counseling Characteristics of Coaches Used With Parents” centers on identifying clinician communication behaviors and missed opportunities during an eHealth intervention. Themes were identified within each category. Trends included greater use of close-ended questions over open-ended questions, frequent responses to parent emotions, and engagement in a shared process through providing information and exploring progress on parent goals. Missed opportunities occurred within each category. Coaches' communication behaviors demonstrated support for parent learning that was positively received. Joint planning to address parent challenges was a missed opportunity to support parent behavior changes regarding hearing-aid routines. The aim of “Listening and Spoken Language Specialist Auditory–Verbal Certification: Self-Perceived Benefits and Barriers to Inform Change” was to explore the professional's viewpoint on the path to the Listening and Spoken Language Specialist (LSLS) certification. There were 295 participants from different parts of the world: certified LSLSs, mentees pursuing certification, and professionals interested in certification. The study addressed motivation, self-perceived gains, challenges, and barriers in an international cohort. The purpose of the study was to guide future changes within the certification system. Several indicators pointed to the need for more awareness of significant gains LSLS certification can bring to professionals. There is also a need to address, minimize, and overcome perceived barriers in the process. Similarly, research is warranted to explore obtaining LSLS certification outside English-speaking countries and with a larger, more population-based sample. In the closing article, “Comfort Levels of Providers Serving Children Who are Deaf/Hard of Hearing: Discrepancies and Opportunities,” Blaiser and Mahshie discuss that while best practice outlines specific skills and expertise from highly qualified providers, in reality, many lack confidence related to hearing technology and resources related to serving children who are deaf/hard of hearing (DHH). The study surveyed 459 professionals in ASHA serving children who are DHH. The intent was to compare differences in confidence, training, and using resources between providers who have a self-selected interest in working with children who are DHH (membership in SIG 9) and those who serve children who are DHH and are not part of the hearing-related SIG. The results indicate that there is limited provider confidence in working with this population. These conclusions provide graduate training programs opportunities to explore provision of more intensive, comprehensive experience to better serve children who are DHH.
Presenter(s): Katlyn E. McGrattan, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session describes the evidence to assist in answering questions like: Is a swallow that initiates in the pyriform sinuses "delayed" and the source of a child's impairment? Is coughing during a feed a clear sign of aspiration that warrants instrumental assessment and conservative management? What is the significance of stress cues during a feed?
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Presenter(s): Elizabeth S Norberg, MS, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Endotracheal intubation can have a significant impact on both swallow function and laryngeal integrity. When consulted after extubation, SLPs may have questions such as: How long after extubation should the assessment occur? What can I learn from a bedside swallow exam and is it enough? What findings should prompt an ENT referral? This session will examine current research to inform clinical decision-making and discuss the early utilization of flexible endoscopic evaluation of swallowing (FEES) to identify deficits and guide clinicians to make appropriate referrals.
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