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Presenter(s): Kate Hutcheson, PhD, CCC-SLP, BSC-S; Katherine Connelly MA, CCC-SLP
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: This session—a recorded session from ASHA’s 2020 Health Care Connect online conference—discusses cancer basics, treatment options, and their functional impacts as they relate to swallowing and cognitive-communication. The speakers discuss common referrals in acute care oncology settings and describe an algorithm for clinical decision-making.
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): 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): 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): 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): Katie S. Allen, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: When SLPs are tasked with evaluating and treating patients who use high flow nasal cannula oxygenation systems, they may have questions about these systems' potential impact on swallowing. This session discusses the literature on swallowing and use of high flow nasal cannulas and the implications for dysphagia evaluation and treatment.
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: This quartet of SIG 13 articles provides information regarding managing and treating dysphagia in the adult population. Caileen Harvey, Rachel Flemming, Julia Davis, and Victoria Reynolds investigate International Dysphagia Diet Standardisation Initiative implementation issues by surveying health care professionals in health care facilities in rural Upstate New York. Ankita M. Bhutada, William A. Broughton, Brenda L. Beverly, Dahye Choi, Sandip Barui, and Kendrea L. (Focht) Garand aim to identify the prevalence of dysphagia and reflux reported symptoms in patients with obstructive sleep apnea syndrome and determine associations between symptoms and demographic and clinical variables. Stevie Marvin summarizes published research on screening, evaluating, and treating post-extubation dysphagia in the intensive care unit. Rebekah Guastella, Stefania Oppedisano, Luis F. Riquelme, and Ashwini M. Namasivayam-MacDonald study bolus location at swallow onset, stage transition, pharyngeal transition duration, pharyngeal response duration, and pharyngeal phase duration between cued and uncued swallowing conditions in patients with dementia.
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.
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