DVD

Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management


Average Rating:
   4.9
Faculty:
Angela Mansolillo, MA/CCC-SLP, BCS-S
Duration:
6 Hours 10 Minutes
Copyright:
Jul 17, 2020
Publisher:
PESI Inc.
Product Code:
RNV020003
Media Type:
DVD


Description

What’s the safest diet? Is he aspirating? Can she swallow these pills? He hates the pureed food – what else can we do? She’s refusing the thick liquids! Is he going to get pneumonia? Does he need a feeding tube?

These are issues that we face every day in our work with children and adults with dysphagia. How do we keep our clients safe, while making sure they’re well hydrated and well nourished, and normalize eating as much as possible?

Sometimes, it’s about more than just swallowing.

This course will examine the inter-relationships between respiration, gastrointestinal function, and swallowing to allow clinicians to better identify the underlying causes of their client’s swallowing difficulties. We’ll look at specific respiratory and GI diagnoses and their impact on what, when, how much, and how safely our clients eat. Using clinical case studies, we’ll examine the evidence to provide you with the tools you need to perform a thorough assessment and implement a comprehensive treatment plan that takes into account all of the potential contributing factors. ​

Credits


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Save time and money off other submission methods – purchase & take the CE test online. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.


Registered Dietitians & Dietetic Technicians

PESI, Inc., PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2019 through June 30, 2022. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This self-study program/material is designated as LEVEL 2.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 6.0 contact hours. Expires: 07/17/2023.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 6.0​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).


Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.0 self-study continuing education credits.

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Occupational Therapists & Occupational Therapy Assistants

AOTA

PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. This self-study course qualifies for 6.0 self-study contact hours or 0.6 CEUs in the Category of Domain of OT and Occupational Therapy Process. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate. 


Speech-Language Pathologists & Audiologists

ASHA

This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).

** ASHA Self Study CEUs are available on this course from 06/01/2021 to 05/31/2022. PESI, Inc. will submit ASHA CEU Requests to the ASHA CE Registry on a monthly basis; ASHA CEU Requests received before 06/01/2021 or after 05/31/2022 cannot be reported.

** Please note that Speech-Language Pathologists & Audiologists who participate in the self-study (Digital Seminar or Online Course) will be required to complete additional steps if they want their participation submitted to the ASHA CE Registry. Detailed instructions will be provided under the Handouts section of the online program.


California Speech-Language Pathologists & Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 6.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Florida Board of Speech-Language Pathology and Audiology

PESI, Inc. is an approved provider with the Florida Board of Speech-Language Pathology and Audiology. Provider Number: 50-399. This self-study course qualifies for 6.0 continuing education credits. 


Kansas Speech-Language Pathologists

Approved for 7.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

Angela Mansolillo, MA/CCC-SLP, BCS-S's Profile

Angela Mansolillo, MA/CCC-SLP, BCS-S Related seminars and products


Angela Mansolillo, MA/CCC-SLP, BCS-S, is a speech-language pathologist and Board-Recognized Specialist in Swallowing Disorders with over 21 years of experience. She is a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts, where she is involved in evaluation, treatment, and program planning for adults and children with dysphagia.

Ms. Mansolillo received her Bachelor of Arts degree in communication from Rhode Island College and earned her Master of Arts in speech-language pathology from the University of Connecticut.

 

 

Speaker Disclosures:

Financial: Angela Mansolillo has an employment relationship with Cooley Dickinson Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Angela Mansolillo is board certified specialist, Swallowing and Swallowing Disorders of the American-Speech-Language-Hearing Association. 


Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  1. Use your understanding of the interrelationships between the respiratory and gastrointestinal systems to identify and treat the causes and not just the symptoms of dysphagia in your pediatric and adult clients.
  2. Evaluate the impact of respiratory and gastrointestinal functions on swallowing systems in order to choose targeted interventions and increase your effectiveness in reducing aspiration risk.
  3. Design effective treatment plans for clients with respiratory and GI disease processes including COPD, respiratory failure, and GERD.
  4. Prepare your diagnostic tool box to include cough testing, water screenings, pulse oximetry, respiratory muscle strength testing, and other evidence-based tools.
  5. Develop successful treatment plans by identifying reflux disease and its impact on swallowing function in your clients.
  6. Design assessment strategies that allow you to identify those clients who are more likely or less likely to get sick as a result of aspiration.

Outline

RESPIRATORY SYSTEMS: Breathing/swallowing coordination
  • Overview of systems – anatomy/physiology
  • Breathing/Swallow coordination
  • Coordination and aspiration
  • Airway protective mechanisms
  • Reflexive cough
GASTROESOPHAGEAL SYSTEMS: The impact on feeding and swallowing
  • Esophageal function
  • Digestive functions
  • Reflux mechanisms
  • When does GER become GERD?
  • GERD signs and symptoms
  • GERD and feeding/swallowing difficulties
  • Esophageal/Pharyngeal inter-relationships
GI/RESPIRATORY RELATIONSHIPS: What’s the connection?
  • Pressure, energy, and innervation
  • Extra-esophageal reflux
ASPIRATION: How much is too much?
  • Pulmonary Clearance Mechanisms
  • Predictors of pneumonia in various populations
RESPIRATORY DISEASE PROCESSES: The impact on feeding/swallowing
  • Pediatric:
    • Infant Respiratory Distress Syndrome (IRDS)
    • Bronchopulmonary Dysplasia (BPD)
    • Respiratory Synctial Virus (RSV)
    • Congenital Heart defects
  • Adult:
    • Obstructive Sleep Apnea (OSA) and dysphagia
    • Congestive Heart Failure (CHF)
    • Obstructive Conditions
    • Restrictive Conditions
PNEUMONIAS: It’s not all aspiration
  • Pneumonia vs Pneumonitis
  • Community Acquired Pneumonia
  • Healthcare Acquired Pneumonia
  • Aspiration Pneumonia
AIRWAY MANAGEMENT: What’s the impact on swallowing?
  • Non-invasive positive pressure ventilation
  • High flow nasal cannula
  • Intubation
  • Tracheostomies
ASPIRATION ASSESSMENT: Clinical Assessment – Making the Most of your Bedside Eval
  • Cognitive assessment
  • Pitch elevation
  • Serial swallows
  • Oral mechanism
  • Respiratory factors
  • Cough
  • Respiratory muscle strength
  • 3 oz water tests
  • Understanding lab values
  • Pulse Oximetry

Instrumental assessment – Which type and when?

  • Modified Barium Swallow studies
  • Fiberoptic Endoscopic Evaluation of Swallowing
ASPIRATION MANAGEMENT: Diet modifications – Not such a benign intervention
  • Implications of dietary changes
  • Compliance issues
  • Thick liquids – pros and cons
  • Water protocols

Strategies and Exercises – What does the evidence tell us?

  • Compensation
  • Sensory interventions
  • Principles of exercise physiology
  • Lingual strengthening
  • Pharyngeal strengthening
  • Expiratory muscle strength training
REFLUX ASSESSMENT: What do these tests tell me?
  • Upper GI studies
  • Ph Monitoring
  • Esophagoscopy
  • Scintigraphy
REFLUX MANAGEMENT: What’s the dysphagia clinician to do?
  • Lifestyle modifications
  • Positioning
  • Diet modifications
  • Medications
  • Effects of acid suppression
  • Surgical interventions
  • New directions in reflux management

Target Audience

  • Speech-Language Pathologists
  • Speech-Language Pathology Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Respiratory Therapists
  • Nurses
  • Nursing Assistants
  • Restorative Nursing Staff
  • Dietitians
  • Dietary Managers
  • Long-Term Care Professionals

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