Course Description
Course Description:
Dysphagia is a complicated and variable disorder with a widely diverse set of potential etiologies, including respiratory, neurological, medical and iatrogenic causes. The dysphagia clinician is often faced with a variety of patients with symptoms of swallow impairment that range in type and severity based on the underlying etiology of the dysphagia.
Dysphagia clinicians must develop management plans that reflect the most recent evidence, meet the needs of their clients, and are appropriate to the underlying etiology. Unfortunately, in the absence of diagnosis specific information, clinicians are often unable to choose interventions that are tailored to their patient's particular diagnosis and needs.
This course will provide participants with an improved understanding of how dysphagia manifests in a number of diagnoses, including stroke, respiratory disorders, dementia, head and neck and esophageal cancers, neurological disease, mental illness, post-surgical patients and in aging. Assessment considerations specific to each diagnosis will be discussed and treatment strategies with diagnosis-specific evidence will be provided.
Contact Hours: 6 
Target Audience: 
Instructional Level: Intermediate Accreditation Information:
| State | Discipline | Approval Status | Provider Code | Expiration Date |
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Course Outline:
Hour 1
- Understanding normal aging
- Sarcopenia
- Frailty
- Neural controls for swallowing
- Dysphagia prevalence in CVA
- Swallow screening
- Assessment Considerations
Hour 2
- Interventions
- Dysphagia in Parkinsons Disease
- Assessment Considerations
- Exercise
- Expiratory Muscle Strength Training (EMST)
- Management of Drooling
- New Directions
- Dementia Types
Hour 3
- Dementia and Dysphagia
- Assessment Considerations
- Compensations
- Diet Issues and Feeding Strategies
- Tube Feeding in Dementia
- New Directions
Hour 4
- Breathing/Swallow coordination
- Respiratory Diseases
- Assessment Considerations
- Managing Endurance Issues
- Cancer types
Hour 5
- Treatment options and impact on swallowing
- Assessment Considerations
- Interventions
- End of Life Care
- New Directions
- Mental Illness and Dysphagia
- Medication Effects
Hour 6
- Dysphagia and Intellectual Impairments
- Assessment Considerations
- Interventions
- Post-Surgical Dysphagia
- Intubation and Dysphagia
- Assessment Considerations
- Oropharyngeal/Esophageal inter-relationships
- Esophageal anatomy
- Esophageal Disorders
- Reflux Management
Course Goals & Objectives:
Course Goals:
This course is intended to to allow clinicians to develop an understanding of dysphagia in a number of different medical conditions, and more importantly, to tailor their management plans to the specific characteristics of that patient's swallow impairment.
Professional Objectives:
- Identify changes in swallow function related to normal aging and differentiate them from dysphagia
- Identify the incidence and type of dysphagia associated with CVA
- List three possible interventions for post-CVA dysphagia
- Recognize the characteristics of dysphagia in Parkinsons Disease
- Identify variation in onset of dysphagia symptoms according to dementia type
- List three strategies to facilitate oral intake in patients with dementia
- Recognize the role of breathing and swallow coordination in dysphagia in patients with respiratory disease7
- Identify the effects of chemo-radiation therapy on swallow function
- Identify three strategies to increase adherence with exercises and compensation
- List three risk factors for asphyxiation specific to patients with mental illness
- Identify three effects of medication crushing for patients with dysphagia
- List three factors associated with aspiration risk post-intubation
- Identify three dietary management options for patients with esophageal dysphagia
Disclosures:
SEMINAR-ON-DEMAND
"Seminar-On-Demand" course are streamed on your web browser if the online version if purchased. Our SODs are optimized for the most current versions of Safari, Google Chrome or Mozilla Firefox. A current version of Adobe Flashplayer is also required when viewing on a desktop or laptop computer. All SOD courses are mobile ready.
Contact Hours: 6 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
Target Audience: Occupational Therapist, Occupational Therapist Assistant, Speech Language Pathologist, Nurses, Respiratory Therapist, Registered Dietician, Registered Dietician Nutritionist, Licensed Dietician
Instructional Level: Intermediate
CDR CPE Level 2/ 740 Web-based
Learning Need Codes: 3000
Performance Indicators: 1.3.1, 1.3.2, 4.1.5, 8.3.7
Criteria for Completion: Criteria for Completion: A score of 70% or more is considered passing. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved
This course is offered for 0.60 ASHA CEUs (Intermediate level, Professional area).
Personnel Disclosure:
Financial – Angela Mansolillo is employed by Cooley Dickinson Hospital and receives a salary. She receives payment from HomeCEU for the presentation of this course.
Nonfinancial - no relevant nonfinancial relationship exists.
Content Disclosure: This course does not focus solely on any specific product or service
Authors:
Angela Mansolillo, MA/CCC-SLP
Angela Mansolillo is a Speech-Language Pathologist and board recognized specialist in swallowing disorders who has worked in a variety of clinical settings. She brings over twenty years of experience with children with dysphagia to her teaching. Her dynamic, interactive style, coupled with her ability to present complex material in a meaningful, practical way, enables her course participants to arm themselves with new successful strategies to apply immediately.
Angela is currently a Senior Speech-Language Pathologist at Cooley-Dickinson Hospital in western Massachusetts. In addition, she serves as adjunct faculty and clinical supervisor at Elms College. She has provided numerous regional and national presentations, and has served as guest lecturer at several colleges and universities throughout Massachusetts. Angela holds a Master of Arts from the University of Connecticut.
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