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Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: This collection of articles presents clinicians with information on some of the most timesensitive topics in dysphagia care of utmost relevance, particularly in the current COVID- 19 pandemic. Firstly, Liza Blumenfeld, Lisa Evangelista, Maggie Kuhn, Kristen Linnemeyer, Nogah Nativ-Zeltzer, and Heather Starmer provide best practice recommendations on the management of patients with head and neck cancers from the speech-language pathology perspective amid COVID-19. Authors Hema Desia and Jennifer Raminick then provide recommendations for safer feeding of infants on high flow oxygen therapy due to acute respiratory failure. Lastly, authors Grainne Brady and Justin Roe, Kellyn Hall and Leslie Johnson, and Annette Askren and Marnie Kershner discuss different aspects of clinician–patient collaborated dysphagia care delivery models and their impact on successful outcomes.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: These Perspectives (SIG 13) include a variety of topics in dysphagia across the age continuum and across the many settings that speech-language pathologists (SLPs) address dysphagia. Parker Huston, Robert Dempster, and Lauren Garbacz provide readers with an overview of common evidence-based psychological techniques used in the treatment of adolescents with feeding disorders, including motivational interviewing and cognitive behavioral techniques. The goal of this paper is to provide a high-level overview of these concepts so that providers outside of psychology may utilize some of these techniques in therapy, when referral to a behavioral specialist or psychologist is not feasible. Next, authors Lauren Madhoun and Robert Dempster discuss the psychosocial aspects of feeding in the neonatal intensive care unit NICU and immediately following NICU discharge. Joanne Patterson extends the discussion to the adult population by describing a biopsychosocial intervention that combines cognitive behavioral with dysphagia therapy, termed Cognitive-Behavioral Enhanced Swallowing Therapy (CB-EST) and its application in managing head and neck cancer patients with dysphagia. Finally, authors Kortney Eng, Maria Jose Flores, Elisabeth Gerrity, Nupur Sinha, Katherine Imbeau, Laddie Erbele, and Cary Yeh share details from their study investigating the effect of high-flow nasal cannula (HFNC) on swallow physiology in healthy adults. We hope these articles will be of significant value to practicing clinicians and to students learning about dysphagia.
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: These Perspectives (SIG 13) articles present clinicians with useful information to help assess and treat feeding and swallowing disorders in a variety of patient populations across the lifespan. Daniel Croake and Vrushali Angadi provide an overview of evidence regarding prophylactic and reactive gastrostomy tubes in individuals with head and neck cancer, to better facilitate joint decision-making of percutaneous gastrostomy (PEG) tube timing with the patient and care team. Hema Desai and Audrey Lim extend the discussion to pediatric dysphagia by summarizing the application of neurobehavioral interventions as part of feeding treatment for infants with congenital heart defects.
Presenter(s): Maia Braden, MS, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Cleft lip and/or palate is the most common birth anomaly, affecting 1 in 700 live births, but SLPs who work in early intervention often report limited training and comfort with this population. This session provides an overview of cleft conditions from birth to 3 years. The speaker discusses feeding challenges and interventions, surgical timeline, and speech and language development and interventions for infants and toddlers with cleft lip and/or palate. This course is a recorded session from the 2019 online conference “Birth to Three: Working Together to Serve Children and Their Families.”
Presenter(s): Memorie M. Gosa, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: Feeding and swallowing skills evolve during the first 3 years of life. This session explores the resources needed for effective identification and management of feeding and swallowing disorders in toddlers. This course is a recorded session from the 2019 online conference “Birth to Three: Working Together to Serve Children and Their Families.”
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: Clinical decisions regarding infant feeding not only affect nutritional status but also respiratory function in medically fragile populations. The articles in this journal self-study examine products designed to promote safe infant feeding and sucking patterns. Importantly, they compare and contrast products so that clinicians are equipped to make informed decisions that do not rely on marketing claims. The first two articles focus on bottle nipple characteristics that promote safe milk ingestion and respiratory effects and the third examines a range of pacifiers to determine which characteristics promote the most productive non-nutritive sucking pattern.
Presenter(s): Joan Arvedson, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This video course presents systematic, evidence-based strategies for carrying out a comprehensive evaluation of infants and children who demonstrate signs of dysphagia and/or broader feeding problems. The course includes detailed discussion and strategies for collecting a child’s relevant history and conducting a physical examination and feeding observation. With a focus on function, the course offers guidance on interpreting evaluation findings and making optimal recommendations for next steps that promote functional outcomes. Video clips of professionals and caregivers working with infants and children, as well as discussion of case studies, enhance the learning experience.
Presenter(s): Erin S. Ross, PhD, CCC-SLP
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: To support infants in the NICU setting and maximize oral feeding outcomes for these babies, SLPs need to consider the maturational status of premature infants, medical conditions of ill newborns, and positive and negative experiences in the NICU. This webinar will address the maturation of the oral, pharyngeal, and esophageal phases of swallowing, which directly affect safety and efficiency, as well as medical conditions that increase an infant’s risk of feeding disorders. We will explore evidence-based interventions designed to improve feeding experiences, taking into account maturational and medical status, and discuss the concept of homeostasis and its importance in the NICU.