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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.
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.
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.
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.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: These SIG 13 articles provide helpful information in dysphagia practice. Tasia Gibbons, Sophia Werden Abrams, Nazia Mohsin, Rebekah Guastella, Stefania Oppedisano, and Ashwini Namasivayam-MacDonald endeavor to validate a new device to measure lingual strengthening and swallow function. Kelsey Thompson, Cara McComish, and Suzanne Thoyre’s work aims to introduce dynamic systems theory to pediatric feeding clinicians. Margaret Wright and Justin Sleffel demonstrate the importance of a multidisciplinary team approach and the vital role of speech-language pathologists in the evaluation and treatment of dysphagia of unknown etiology. Hollie-Ann Lee Shortland, Gwendalyn Webb, Anne E. Vertigan, and Sally Hewat aim to explore the use of myofunctional devices and how speech-language pathologists gain better understanding of this modality.
Presenter(s): Paula Leslie, PhD, MA Bioethics, FRCSLT, CCC-SLP
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: Eating, drinking, and swallowing are individual actions that are central to identity and cultural participation. For many individuals, spirituality or religious preferences are important aspects of what gives their life meaning. This on demand webinar steps back from swallowing physiology to explore the interplay of eating, drinking, swallowing, and religious beliefs and practices.
Presenter(s): Heather M. Starmer, MA, CCC-SLP, BCS-S
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: SLPs are increasingly involved in the care of patients with head and neck cancer. While preventative dysphagia services are accepted as standard of care, many clinicians don't have the background in this population to determine how to best evaluate and treat patients prior to radiation. This on demand webinar covers what clinicians need to know to provide prehabilitative care-from justification to assessment to treatment to working within the multidisciplinary cancer care team.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: These four SIG 13 articles provide information for dysphagia practice. They address a unique array of special populations and challenges in patient care involving swallowing and feeding difficulties.
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