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Launching a FEES Program (PD103036)
Presenter(s): Hannah E Allen, MS, CCC-SLP, BCS-S; Jenny E Reynolds, MS, CCC-SLP, CLC, CNT, BCS-S; Angela L Morrell, MA, CCC-SLP
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This course explores known and unseen factors that influence development of a flexible endoscopic evaluation of swallowing (FEES) program in health care settings. Experts in pediatric and adult dysphagia discuss strategies for justifying a FEES program to decision-makers, financial and logistical touch points, implementation challenges, and the importance of increasing access to FEES in specialty settings like the neonatal intensive care unit and rural adult health care facilities.
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Presenter(s): Michael J. Murphy, AuD; Theresa Y Schulz, PhD, CCC-A
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Whether you work in a clinic, academia, research lab, or other work setting, you can incorporate hearing conservation--i.e., hearing loss prevention--into your services. This on demand webinar will discuss the breadth of hearing conservation services-including risk assessment, prevention and protection, and testing and monitoring-that audiologists can use to evaluate patients for possible adverse effects of occupational and/or recreational noise exposure.
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.
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): A.U. Bankaitis, PhD
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Medical professionals who use hearing aids can face challenges when they need to perform auscultation (listening to sounds from various organs, most often with a stethoscope) as part of their job. While the options may not seem straightforward, audiologists can play a key role in helping these medical professionals find an amplified stethoscope solution. This on demand webinar will discuss key considerations, potential options, and practical steps for helping medical professionals with hearing loss obtain the best solution.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Ototoxic medications and chemical agents in the workplace can put individuals' hearing and vestibular health at risk for permanent injury. Proactive ototoxicity management (OtoM) strategies aim to minimize exposure, avoid onset of symptoms, provide ongoing monitoring, and manage auditory and vestibular changes as the clinical needs of the patient evolve. During a 2021 American Speech-Language-Hearing Association Special Interest Groups Open House, members of the International Ototoxicity Management Group discussed how best to integrate OtoM into routine clinical practice, what tools to use, and what special considerations need to be understood to best support patients and their families. Here, we have summarized their viewpoints to encourage widespread adoption of improved OtoM services for at-risk individuals. The field of audiology needs to move to a place where we better understand the full extent of ototoxicity and can agree on expanding minimum guidelines that can be implemented more universally to mitigate, detect, and manage the damage from ototoxic exposures. Only recently has our field seen a therapeutic drug that can protect against ototoxicity; however, the population served is restricted only to children receiving treatment for nonmetastatic carcinoma. This is hopefully just the beginning of future therapeutic interventions to come, but, in the meantime, ototoxicity resulting from other medications in different patient populations and chemical agents persists.
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): 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.
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): Ed M Bice, MEd, CCC-SLP; Raquel J Garcia, SLPD, CCC-SLP, CNT, BCS-S; Shawn M Lowe, SLPD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Professionals and patients face a variety of challenges that are unique to age and health care setting and that can influence outcomes in dysphagia management. In this on-demand course, a panel of experts explores both professional- and patient-related advocacy considerations that impact evidence-based practice and dysphagia management across a variety of adult and pediatric medical settings.
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