Course Description

Course Description:

When performing an assessment of the patient with dysphagia, a chart review is critical to collect relevant information and identify red flags. By knowing how disorders progress and impact each phase of swallow, patient deficits can be better understood. Also, there are certain evaluation tools which provide clinicians the details needed to document a deficit. Furthermore, COVID-19 has changed the process of evaluations as clinicians try to minimize risks to their patients and themselves. Some screens are aerosol generating while others are not. Therefore, consideration must be given into what may be aerosol generating in the evaluation. As always, the clinician's job is to educate the patient and family about dysphagia as well as any recommendations for diet/liquid modification, swallow strategies, and the importance of compliance. When a patient and/or family refuses to accept the results, waivers are not the best option. Utilizing EDAR and Care Planning for Resident Choice provides patients with choices when they opt out of treatment recommendations.

Contact Hours: 5
Webinar Course Format: Webinar
Target Audience:
Instructional Level: Intermediate

Accreditation Information:

StateDisciplineApproval StatusProvider CodeExpiration Date

Course Outline:

Hour 1

  • Medical history
  • Medication and CAM use
  • Post extubation dysphagia
  • NG/PEG use
  • Respiratory muscle weakness
  • Dentition
  • Any prior procedures or instrumental assessments completed

Hour 2

  • Determine questions to ask the patient based on the chart review
  • Relate disorders/disease processes to specific muscles that would be affected including the impact of lingual sarcopenia

Hour 3

  • COVID-19 impact on dysphagia evaluations
  • Protocols to put in place during COVID-19
  • Identify aerosol generating procedures/screens
  • Assessments vs. non aerosol generating procedures
  • Discussion of screens that are aerosol generating vs. non aerosol generating
  • Screens appropriate for nursing
  • Dysphagia assessments

Hour 4

  • Identify the deficits observed in the assessment
  • Determine need for any further testing/instrumental studies and appropriate referrals
  • Determine most appropriate/safest food and liquid consistency on the IDDSI
  • Non-compliance statistics
  • Identify appropriate compensatory strategies for patient

Hour  5

  • Family and staff education
  • Education on appropriate feeding techniques
  • Discussing how to work with the patient and/or family that chooses to opt out of the recommendations including the use of EDAR and Care Planning for Resident Choice
  • Providing education: results and recommendations

Course Goals & Objectives:

Course Goals:

This course is intended to instruct professionals on how to utilize evidence-based practice in completing a dysphagia assessment.

Learning Outcomes:

  • Identify relevant information in the chart review to target in the dysphagia assessment.
  • Identify appropriate screens and evaluation tools for a dysphagia assessment based on your patient's presentation.
  • Identify tools to use when a patient and/or family refuses to follow recommendations based on the evaluation and any instrumental assessments.

Disclosures:

WEBINAR 

A webinar is LIVE INTERACTIVE audio and video course delivered over the Internet to your computer. With a HomeCEU webinar, you are able to see, hear and interactive with the course presenter. In many courses, demonstrative video will be used to further enhance your learning experience. All content used in the presentation will also be made available to you for your personal use (PowerPoint Slides, Reference Materials etc.).

Contact Hours: 5 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).

Target Audience: Speech Language Pathologist

Instructional Level: Intermediate

Criteria for Completion: The successful completion of a post course examination is required to receive credit for your webinar participation.  A score of 70% or higher is required.  You will have additional attempts to pass the examination should it be needed.

PLEASE NOTE:  All webinar exams MUST be successfully completed by midnight Central Standard Time on the day of the webinar broadcast.

ASHA Brand Block 

This course is offered for 0.50 ASHA CEUs (Intermediate level, Professional area).

Personnel Disclosure:

Financial - Denise Dougherty is employed by has a private practice and is a legal consultant specializing in forensic speech pathology and receives a salary. She receives payment from Colibri Healthcare, LLC for the presentation of this course.

Nonfinancial - no relevant nonfinancial relationship exists.

No relevant conflicts of interest exist for any member of the activity planning committee.

Content Disclosure: This course does not focus solely on any specific product or service

Cancellation Policy: For activity cancellation, returns, or complaint resolution, please contact us by email help@homeceu.com or by phone at 1.800.55.4CEUS (2387). We have a 100% satisfaction guarantee. Refunds will be issued for courses that have not been completed (exam not taken), or for any course that has been rejected by your board of approval. Webinar attendance must be canceled 24 hours before the scheduled start time.

Authors:

Denise Dougherty, MA, CCC-SLP

Denise Dougherty is a Speech-Language Pathologist who has her own private practice, where she conducts therapy with both children and adults. Ms. Dougherty received her Bachelor's degree at Marywood University, Scranton, Pennsylvania, a Master's Degree from St. Louis University and has completed postgraduate courses at Johns Hopkins University and several doctoral courses at University of Phoenix.

She is certified in VitalStim therapy and is an instructor for VitalStim certification, is a member of the American Speech-Language-Hearing Association and has received numerous ASHA ACE Awards. Ms. Dougherty has worked at United Cerebral Palsy, Easter Seals, in long-term care; is a board member of The American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), AAPPSPA Program Chair for 2006 and 2007 Conference; is a AAPPSPA liaison for the ASHA Health Care and Economics Committee and served as secretary of CORSPAN.

Ms. Dougherty was also an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is the Vice President of The American Academy of Private Practice in Speech Pathology and Audiology and received the Academy's 2007 Honors Award for achievements.

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