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Presenter(s): Kimberly M Morris, MS, CCC-SLP, BCS-S, IBCLC; Louisa N Ferrara, PhD, CCC-SLP, BCS-S, CNT, NTMCT
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Medically complex neonates often face many challenges as they learn to feed and along the path of transitioning from tube to oral feedings. One of the most perplexing is how to progress oral feedings while the infant is still receiving positive pressure support for respiratory needs. This session explores different approaches to this challenge based on literature, clinical expertise, and multidisciplinary frameworks.
Presenter(s): Andrea Martinez-Fisher, MS, CCC-SLP; Taite Winter, MS, CCC-SLP; Phyllis M Palmer, PhD, CCC-SLP; Shauna Murray, MS, CCC-SLP; Aaron Henry Padilla, MS, CCC-SLP, BCS-S
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This course presents a project that investigated the effect of lower temporal resolutions on assessment of videofluoroscopic evaluation of swallowing (VFES) in adult and infant populations.
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): 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): 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: 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.
Presenter(s): Carolyn Dolby, MS, CCC-SLP
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This session explores strategies to maximize the efficacy of dysphagia treatment activities, shares relevant resources, and highlights the benefits of implementing a centralized approach for addressing the dynamic needs of elementary-age students who require dysphagia services in the school setting. This course is a recorded session from the 2020/2021 online conference “Practical Solutions for Elementary Assessment, Treatment, and Collaboration."
Presenter(s): Jo Puntil, MS, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session discusses how initiating speech-language pathology services at the onset of illness can ensure patient-centered care and result in better post-ICU outcomes. The presenter addresses the SLP's role in evaluating and treating medically fragile patients in the ICU as well as the benefits of early communication, cognition, and swallowing evaluations and novel treatments for medically fragile patients.
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.
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