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Presenter(s): Kendrea Layne Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: This session explores the strengths and limitations for interpreting clinical swallow examination (CSE) results, including implications for dysphagia management in adult populations across clinical settings. The speaker contrasts CSEs with instrumental swallow examinations and shares resources to maximize clinical usefulness of the clinical swallow exam.
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): Gail M Van Tatenhove, MS, CCC-SLP; Vicki L Haddix, MS, CCC-SLP; Kevin Williams, ; Carole Zangari, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This recorded dialogue features two speech-language pathologists and an AAC user, who discuss collaboration and language intervention using AAC.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: These SIG 12 Perspectives articles provide information on current issues associated with visual processing of augmentative and alternative communication (AAC) displays for people with traumatic brain injury, assessment of the expressive language abilities of Spanish-speaking children who rely on AAC, and culturally sensitive approaches to aided language modeling. Readers will be more adept at designing effective AAC displays for adults with traumatic brain injury and at providing AAC services to children from multilingual and multicultural backgrounds.
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): Marianne E Gellert-Jones, MA, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session is designed for school-based SLPs who support children with complex oral feeding and swallowing needs. The speaker discusses the components of a robust assessment-and how that assessment informs decisions surrounding a student's feeding needs. The session examines effective and realistic goal development to address feeding needs within an IEP.
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: 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): Jenny E Reynolds, MS, CCC-SLP, CLC, CNT, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session describes the value of interprofessional practice (IPP) on a pediatric FEES (flexible [or fiberoptic] endoscopic evaluation of swallowing) team. The presenter shares FEES case studies that illustrate this collaborative model for dysphagia management; describes the successes and challenges encountered by the IPP team during pediatric FEES; and reviews current FEES literature in the pediatric population.
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.
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