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Presenter(s): Elizabeth Adams Costa, PhD, CCC-A, FAAA; Logan Skinner Cole; Amy Nichols, AuD, PhD, CCC-A
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This presentation describes the case of a 48-year-old female presenting with vertigo and disequilibrium consistent with mal de debarquement (MdDS) following a weeklong vacation cruise. MRI images, audiometric, and vestibular results are presented, as well as an in-depth review of MdDS and Chiari malformation and their impact on vestibular function and quality of life.
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): 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): Kendrea Layne Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: This session explores the strengths and limitations for interpreting clinical swallow examination (CSE) results, including implications for dysphagia management in adult populations across clinical settings. The speaker contrasts CSEs with instrumental swallow examinations and shares resources to maximize clinical usefulness of the clinical swallow exam.
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): Ed M Bice, MEd, CCC-SLP; Alicia Kim Vose, PhD, CCC-SLP
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: Clinicians who practice dysphagia management can easily generate a mental image of a "normal" swallow. Frequently, words such as "unsafe," "inefficient," or "at-risk" accompany images of swallows that deviate from normal. This session carefully examines the complexities and pitfalls of using these types of terms with patients, families, and/or medical providers. In particular, the speakers discuss how the SLP's notion of what constitutes safety and efficiency can influence diet recommendations and treatment plans. This session tackles the complexities of the meaning behind the words and phrases that influence and underlie clinical decisions and how SLPs communicate them to patients and other stakeholders.
Presenter(s): Jenny E Reynolds, MS, CCC-SLP, CLC, CNT, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session describes the value of interprofessional practice (IPP) on a pediatric FEES (flexible [or fiberoptic] endoscopic evaluation of swallowing) team. The presenter shares FEES case studies that illustrate this collaborative model for dysphagia management; describes the successes and challenges encountered by the IPP team during pediatric FEES; and reviews current FEES literature in the pediatric population.
Presenter(s): Katlyn Dahlstrom, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: The field of pediatric feeding and swallowing requires clinicians to determine the significance of physiologic aberrations and whether these findings warrant intervention. This session describes the evidence to assist in answering questions like: Is a swallow that initiates in the pyriform sinuses "delayed" and the source of a child's impairment? Is coughing during a feed a clear sign of aspiration that warrants instrumental assessment and conservative management? What is the significance of stress cues during a feed? This session addresses these types of questions by exploring the literature relating to clinical and fluoroscopic characteristics of how healthy, non-dysphagic infants eat. The session is designed for clinicians with experience in infant feeding and swallowing but also is appropriate for clinicians new to this area of practice. This course is a recorded session from the 2023 ASHA online conference Rethinking Pediatric Feeding and Swallowing.
Presenter(s): Pamela M Dodrill, PhD, CCC-SLP, BCS-S, CNT
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: The session explores clinical feeding assessment tools that are appropriate for use in various clinical settings with children from birth to 3 years of age with varying etiologies. The speaker discusses pros and cons of various assessment tools as well as the importance of incorporating functional measures into your assessment battery to help guide meaningful management goals. This course is a recorded session from the 2023 ASHA online conference Rethinking Pediatric Feeding and Swallowing.
Presenter(s): Joan C Arvedson, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: SLPs who work with infants and children with feeding and swallowing disorders are involved in high-risk patient care. Our knowledge base is broad in some aspects of feeding and swallowing evaluation and management. However, it is critical that we expand our horizons to facilitate the best possible functional outcomes for the whole child and family. This session discusses challenges for the future as a combination of art and science as well as highlights areas of consensus and controversy in the many facets of practice that encompass pediatric feeding and swallowing. This course is a recorded session from the 2023 ASHA online conference Rethinking Pediatric Feeding and Swallowing.
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