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Breathing, Digestion and Swallowing -Best Practices in Dysphagia Management by Angela Mansolillo,
Salepage link: At HERE. Archive:

Faculty:: Angela Mansolillo
Duration:: 6 Hours 10 Minutes
Format:: Audio and Video
Copyright:: Jul 17, 2020

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.

Handouts

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

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?

REFLUX ASSESSMENT: What do these tests tell me?

Upper GI studies
Ph Monitoring
Esophagoscopy
Scintigraphy

REFLUX MANAGEMENT: What’s the dysphagia clinician to do?

Faculty

Angela Mansolillo, MA/CCC-SLP, BCS-S Related seminars and products: 10

ANGELA MANSOLILLO, MA/CCC-SLP, BCS-S, is a Speech-Language Pathologist and Board-Certified Specialist in Swallowing Disorders with more than 30 years of experience. She is currently a senior Speech-Language Pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she provides evaluation and treatment services for adults and children with dysphagia and is involved in program planning and development for inpatient and outpatient programming including quality improvement initiatives, patient education, and clinical policies and protocols. In addition, she is an adjunct faculty member at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts. Over the course of her career, she has worked in a variety of clinical settings, provided numerous regional and national presentations, and lectured at several colleges and universities throughout Massachusetts. Angela is a sought-after speaker for both live and online continuing education courses as she seamlessly blends current research with clinical experience. She is a recent recipient of the Massachusetts Speech and Hearing Association’s Award for Clinical Excellence.

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.

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