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Presenter(s): Ed M Bice, MEd, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Ethics is an often-forgotten portion of evidence-based practice. Although not a distinct part of the triad, ethics play an important role in every decision. This session provides practical applications of the tenets of the ASHA Code of Ethics, with focus on the concept of competence.
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.
Credit(s): PDHs: 6.0, ASHA CEUs*: 0.6
Summary: This collection of articles presents clinicians with evidence on a variety of topics in dysphagia that can be utilized in practice immediately. Alaina Martens and Emily Zimmerman offer insight regarding changes to feeding patterns in infants diagnosed with bronchopulmonary dysplasia after prolonged oxygen therapy in the newborn intensive care unit. Paula Leslie and colleagues provide a framework of health and illness and how food and drink are much more. They stress the importance of clinician appreciation as a cultural guest in our patients’ lives. Bonnie Martin-Harris and colleagues stress the importance of instrumentation with a thorough review of available practice guidelines and appropriateness criteria issued to date, revealing a deficit of up-to-date, comprehensive, evidence-based information on the diagnosis and evaluation of oropharyngeal dysphagia. Specifically, a lack of quality guidance on the ordering, performance, and reporting of the modified barium swallow study has hindered efforts to improve standardization and ensure quality continuity of care. Naomi Gurevich and colleagues stress the need to clarify guidelines and increase interprofessional education between both professions to improve patient care. George Barnes and Nancy Toms highlight speech-language pathologists’ need for a solid foundation of knowledge when it comes to patients with highly complex disease processes and care plans. Deirdre Muldoon and colleagues conduct a review of published literature regarding management of feeding difficulties at the oral phase of feeding in children with autism spectrum disorder and/or developmental disability. Finally, Paul M. Evitts and colleagues reveal a potential way to track aspiration in healthy adults using an app.
Presenter(s): Emily M Homer, MA, CCC-SLP
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: SLPs are increasingly responsible for identifying and treating students with swallowing and feeding concerns, leading to questions like: What are the tasks that must be addressed? What service delivery model should be used? Given challenges like the COVID-19 pandemic, is telepractice an option? How can it fit into my workload schedule? This session from ASHA's 2021 Schools Connect online conference reviews the essential steps for addressing swallowing and feeding, the barriers and solutions to obstacles, and the role of telepractice in achieving the goal of safe and efficient mealtimes for students.
Presenter(s): Kendrea L. (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This session—a recorded session from ASHA’s 2020 Health Care Connect online conference—explores the power of a comprehensive cranial nerve assessment as part of a swallow examination. The speaker discusses neuroanatomy and neurophysiology of the cranial nerves and shares a step-by-step procedure for performing a cranial nerve assessment, including identification of common abnormalities and how to document findings.
Presenter(s): Blair Richlin, MS, CCC-SLP, LSLS AVEd, TSSLD
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This session is a case study that focuses on patients and families with diagnosed hearing loss and additional disabilities who participated in aural habilitation/rehabilitation and speech/language intervention focusing on development of listening and spoken language skills with support of alternative and augmentative communication (AAC).
Presenter(s): Erin S Ross, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session explores the challenges presented by the different perspectives on infant feeding among the caregiving team in the neonatal intensive care unit (NICU). The speaker discusses the evidence-based recommendations related to feeding, eating, and nutrition that were recently published by the First Consensus Conference on Standards, Competencies and Best Practices for Infant and Family-Centered Developmental Care in the Intensive Care Unit. The speaker uses a case study to illustrate how the SLP may use these standards and competencies to partner with the family, infant, and care team and improve feeding outcomes.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: The assemblage of articles presents clinicians with information on a variety of topics in dysphagia that can be utilized in practice. Laura L. Madhoun, Laura C. Merrell, Amanda Smith, Emily Snow, and Kristen M. Cherosky stress the importance of individualized and comprehensive feeding management for craniofacial anomalies through interdisciplinary collaboration. Lena G. Caesar and Meretu Kitila study clinicians’ perceptions and confidence with dysphagia service delivery. Aliaa Sabry, Amanda S. Mahoney, Shitong Mao, Yassin Khalifa, Ervin Sejdić, and James L. Coyle point out an objective way to assess laryngeal vestibule closure and opening at beside. Marie Jardine, Anna Miles, Jacqui Allen, and Rebecca Leonard give an interesting take of assessment of the aging swallow. Kelsey L. Thompson and Wanqing Zhang provide description and examples of mixed method research to comprehensively and holistically report of pediatric feeding disorders.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This collection of SIG 13 articles addresses popular topics in dysphagia care throughout the life span regarding thickening practices, family-centered care, and early intervention. Jane Mertz Garcia, Edgar Chambers IV, and Anna Boyer utilized a survey to re-examine practice patterns for thickened liquids and provided a comparison of past practices with current to provide insight into contemporary themes that have previously not been considered. Doreen Benson and George Barnes explore the utility of a mathematical prediction model (Bayes theorem) in dysphagia management. Samantha E. Shune, Deanna Linville, and Ashwini Namasivayam-MacDonald address maximizing treatment effectiveness by using an approach with family resiliency and adaptation. Drawing from the principles of family systems theory and the biopsychosocial-spiritual framework, they use a case study as a tutorial to explore the application of family-centered care models to dysphagia management. Stephanie C. Cohen and Karen Dilfer focus on the definition of pediatric feeding disorder (PFD) and the multifaceted needs of families and children in early intervention, support for use of responsive feeding in treatment of PFD, alignment of responsive feeding strategies with early intervention principles, and barriers limiting access to consistent, high-quality early intervention services for children with PFD.
Presenter(s): Kellyn Dailey Hall, PhD, CCC-SLP; Leslie W Johnson, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session explores how health disparities impact dysphagia management and associated outcomes. The speakers present tools and strategies SLPs can use to improve their cultural responsiveness and adopt an inclusive mindset in their approach to patient-centered care for patients with dysphagia.
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