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Presenter(s): Alicia Kim Vose, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Impairments in laryngeal vestibule closure (LVC) are a major cause of aspiration during swallowing. Accurately identifying LVC impairment is a priority in dysphagia management as aspiration can occur if LVC is absent or delayed, or duration is reduced. However, this mechanism is often overlooked and underreported in the evaluation of swallowing and in swallowing research. This session discusses methods for incorporating LVC as a primary outcome measure in dysphagia diagnosis and management to increase diagnostic accuracy and optimize dysphagia management.
Presenter(s): Nancy B. Swigert, MA, CCC-SLP, BCS-S
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: In order to select the appropriate treatment techniques for oral and pharyngeal dysphagia in adults, clinicians need to understand the physiology of swallowing. This introductory course discusses the principles of neuroplasticity and motor learning as they relate to the effects of injury to the central nervous system and the potential results of swallowing intervention. The presenter discusses examples of neuromuscular treatment for pharyngeal dysphagia and gives tips on analyzing evidence and applying a theory-driven approach.
Presenter(s): Catriona M Steele, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: SLPs who work with people with dysphagia face the challenge of identifying food textures and liquid consistencies that will optimize swallowing safety and efficiency while minimizing negative consequences on quality of life and nutrition. This session features case-based opportunities to practice the skills involved in determining when and how texture modification can be used to improve swallowing outcomes.
Presenter(s): Katie S. Allen, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: When SLPs are tasked with evaluating and treating patients who use high flow nasal cannula oxygenation systems, they may have questions about these systems' potential impact on swallowing. This session discusses the literature on swallowing and use of high flow nasal cannulas and the implications for dysphagia evaluation and treatment.
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): Amy Freeman-Sanderson, PhD, CPSP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Loss of effective communication can occur across the spectrum of critical illness and recovery, particularly with the use of artificial airways, including endotracheal and tracheostomy tubes. Patients report ongoing, long-term impacts to their psychosocial well-being and quality of life due to their lack of ability to communicate immediate care and comfort needs as well as participate in activities with a variety of communication partners. This session focuses on identifying, measuring, and supporting a patient's psychosocial well-being and quality of life as it relates to communication function.
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): 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): 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.
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