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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): Paula Leslie, PhD, MA Bioethics, FRCSLT, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: SLPs’ work with patients with complex medical conditions and their families, and the focus is often on the initial or acute stages of conditions that affect eating, drinking, and swallowing. This session addresses how SLPs can ensure best practice in the longer-term. The speaker addresses the importance of understanding how a patient’s dysphagia fits into the bigger medical and quality-of-life picture, backed by bioethical considerations and evidence. The session discusses how SLPs are not just one cog in a complex, interprofessional machine, but often the linchpin for optimal care of the patient and their family.
Presenter(s): Rinki Varindani Desai, MS, CCC-SLP, CBIS, CDP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session shares preferred practices for selecting, conducting, and interpreting instrumental swallow exams. The speaker discusses strengths and limitations of different instrumental exams, along with clinical applications to promote more accurate dysphagia diagnosis, targeted treatment planning, and positive patient outcomes. The session includes tips for critical thinking and current evidence supporting the use of instrumental exams to optimize the safety and quality of life of those living with swallowing disorders.
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 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.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: This assemblage of articles provides information on interesting topics encountered in adult dysphagia practice. Aarthi Madhavan, Nicole Shuman, Claire Snyder, and Nicole Etter provide insight on the comparative consistency of the Eating Assessment Tool and Sydney Swallow Questionnaire scores for self-reported swallowing difficulties in a group of community-dwelling older adults completing both questionnaires. Georgina Papadopoulos-Nydam, Jana Maureen Rieger, and Gabriela Constantinescu evaluate the usability of a mobile health (mHealth) system designed for dysphagia exercise in persons with a history of stroke. Renata Mancopes, Fernanda Borowsky da Rosa, Lidia Lis Tomasi, Adriane S. Pasqualoto, and Catriona M. Steele demonstrate concern for people with chronic obstructive pulmonary disease (COPD) and share information regarding dysphagia in people with COPD, synthesizing knowledge both from the literature and from studies performed in the context of a multidisciplinary clinical pulmonary rehabilitation program abroad. Additionally, Talia H. Schwartz brings to light the importance and utility of the clinical swallow evaluation while caring for patients with COVID-19.
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.
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): Georgia A. Malandraki, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: The use of telepractice for dysphagia management has increased dramatically due to the challenges of in-person practice during the COVID-19 pandemic. In this on demand webinar, the presenter will share step-by-step, evidence-based guidelines for the safe and reliable use of telehealth for dysphagia management in both pediatric and adult patients. The speaker will discuss legal safeguards, privacy and confidentiality considerations, technology infrastructure, clinician training and skills, facilitator training, and patient candidacy considerations. The webinar will include video case examples, problem-solving activities, and demonstrations of telepractice adaptations for clinical (bedside) swallowing evaluations and treatment sessions. During the webinar, the speaker will guide participants in the creation of a practical roadmap to implement telepractice with their patients with dysphagia.
Credit(s): PDHs: 6.0, ASHA CEUs*: 0.6
Summary: This collection of articles presents clinicians with evidence on a variety of topics in dysphagia that can be utilized in practice immediately. Alaina Martens and Emily Zimmerman offer insight regarding changes to feeding patterns in infants diagnosed with bronchopulmonary dysplasia after prolonged oxygen therapy in the newborn intensive care unit. Paula Leslie and colleagues provide a framework of health and illness and how food and drink are much more. They stress the importance of clinician appreciation as a cultural guest in our patients’ lives. Bonnie Martin-Harris and colleagues stress the importance of instrumentation with a thorough review of available practice guidelines and appropriateness criteria issued to date, revealing a deficit of up-to-date, comprehensive, evidence-based information on the diagnosis and evaluation of oropharyngeal dysphagia. Specifically, a lack of quality guidance on the ordering, performance, and reporting of the modified barium swallow study has hindered efforts to improve standardization and ensure quality continuity of care. Naomi Gurevich and colleagues stress the need to clarify guidelines and increase interprofessional education between both professions to improve patient care. George Barnes and Nancy Toms highlight speech-language pathologists’ need for a solid foundation of knowledge when it comes to patients with highly complex disease processes and care plans. Deirdre Muldoon and colleagues conduct a review of published literature regarding management of feeding difficulties at the oral phase of feeding in children with autism spectrum disorder and/or developmental disability. Finally, Paul M. Evitts and colleagues reveal a potential way to track aspiration in healthy adults using an app.
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