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Presenter(s): Dee Adams Nikjeh, PhD, CCC-SLP; Shannon Butkus, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Coverage of and payment for SLP services for patients with complex medical conditions requires SLPs to navigate provider guidelines and payment systems related to multiple sites of service and multiple episodes of care. SLPs must also exhibit professional mastery of the principles of clinical decision-making pertaining to a continuum of care from intensive skilled treatment to maintenance intervention and termination of SLP care. This session presents critical information to support accurate payment for SLP services provided to patients with complex medical conditions. The speakers share a pediatric and an adult case scenario and provide useful resources.
Presenter(s): Tami Altschuler MA, CCC-SLP
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: Regardless of their age, patients in critical and acute care settings may experience communication difficulties due to the nature of their illness and the medical interventions they require. This session discusses augmentative and alternative communication (AAC) for these patients, including evaluation and intervention considerations, resources, and materials to support AAC service delivery.
Presenter(s): Sejal Shah, MD
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: Prolonged hospital stays can impact patients in a variety of ways, having adverse effects on physical, financial, and psychosocial health. This session explores psychosocial impacts such as demoralization and concerning psychiatric symptoms.
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): Ashwini Namasivayam-MacDonald, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: The COVID-19 pandemic has impacted our patients in unusual ways. Patients with COVID-19 can present with a variety of symptoms: from loss of taste and smell, to fatigue, shortness of breath, and coughing. This session reviews current available evidence regarding best practices for dysphagia management for patients with COVID-19 in acute care and during their rehabilitation, including working through a case study.
Presenter(s): Molly A. Knigge, MS, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Dysphagia may be caused by many underlying medical etiologies, and the hospital-based SLP must navigate a comprehensive world of medical diagnoses and be prepared to accurately evaluate and plan dysphagia treatment. This session presents a model for using medical chart review, online resources, swallow mechanism knowledge, and cultivated diagnostic and treatment skills to approach dysphagia in patients with any medical diagnosis.
Presenter(s): Lindsay R. James Riegler, PhD, CCC-SLP
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: Concrete recommendations and special considerations for adults with complex medical conditions remain sparse. This session shares big-picture strategies to consider when providing care for these patients.
Presenter(s): Sapna R. Kudchadkar, MD, PhD, FCCM; Ann Parker, MD, PhD
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Adult and pediatric survivors of critical illness commonly experience post-intensive care syndrome (PICS, or PICS-p in children), consisting of impairments in mental health (e.g., anxiety, depression, and post-traumatic stress disorder symptoms), cognition, and physical function. These impairments are associated with worse health-related quality of life and can persist for years after discharge from the intensive care unit. This session describes the incidence of and risk factors for such symptoms as well as interventions to prevent and manage these impairments.
Presenter(s): Dana Kilonsky, MA, CCC-SLP; Deadria Clarke, RRT
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session addresses rehab considerations for SLPs working with adult patients in the intensive care unit (ICU). Speakers discuss an overview of oxygen delivery methods, optimizing communication and dysphagia intervention for ICU patients, progressing patients with tracheostomy to successful decannulation, and maximizing outcomes for patients with complex medical conditions through multidisciplinary communication and collaboration.
Presenter(s): Hallie Lenker, PT, DPT; Yun Kim, MS, OTR/L; Panayiota Senekki-Florent, PhD, CCC-SLP, BCS-S,
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This session outlines the members, roles, and responsibilities of the pediatric intensive care unit (ICU) rehab team and describes areas of collaborative and independent decision-making to maximize the rehabilitative outcomes for pediatric patients across the continuum in the ICU.
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