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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): 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): Maja Katusic, MD; Kelly Brytowski, MA, CCC-SLP; Becky S Baas, MA, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This course explores the common journeys children with motor speech disorders and their families undertake when seeking diagnosis and treatment. The speakers discuss the medical workup, the role of expert SLPs, and the partnerships among the medical and educational teams serving children.
Presenter(s): Rene L Utianski, PhD, CCC-SLP, BC-ANCDS; Kristie A Spencer, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Motor speech disorders occur secondary to a wide variety of progressive neurological disorders. This course discusses strategies for the speaker, listener, and environment that clinicians can consider for managing progressive motor speech disorders. Presenters discuss management strategies in the context of concomitant decline of cognitive-linguistic and motoric function from neurodegenerative processes.
Presenter(s): Alicia Kim Vose, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Impairments in laryngeal vestibule closure (LVC) are a major cause of aspiration during swallowing. Accurately identifying LVC impairment is a priority in dysphagia management as aspiration can occur if LVC is absent or delayed, or duration is reduced. However, this mechanism is often overlooked and underreported in the evaluation of swallowing and in swallowing research. This session discusses methods for incorporating LVC as a primary outcome measure in dysphagia diagnosis and management to increase diagnostic accuracy and optimize dysphagia management.
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): 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.
Presenter(s): Carly Hillburn, MS, RD, LMNT; Megan L Richmond, DHA, CCC-SLP, CLC; Dipti Dev, PhD
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: A culturally responsive approach to support clients and families from all backgrounds begins with understanding and meeting them where they are. This session explores assessing the mealtime emotional climate for group and interpersonal dynamics between family members, supporting family members and young children's autonomy and self-regulation at mealtimes, and a diagnostic battery that will help produce culturally responsive treatment recommendations and parent education.
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