Children with dysphagia are present in public school programs with increasing frequency but very few public school clinicians feel competent to manage their very complicated sets of needs. Dysphagia in public school children is a high risk but low frequency phenomenon and as such requires special competencies and attention. This course will provide public school therapists and nurses with the knowledge and skills they need to develop effective programs to facilitate the safety of children with dysphagia, enhance feeding and swallowing skills, assign responsibilities to various members of the school team, and address both legal and ethical questions. Special education law as it relates to children with dysphagia will be reviewed. Specific strategies for assessment and treatment will be provided and ethical considerations in treating this very specialized population will be discussed. Clinicians will be provided with the information and tools they need to develop appropriate plans for the children with feeding and swallowing concerns in their schools.
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- Description of the problem
- Case Law
- State Level Decisions
- Nutritional Compromise
- Non-Oral Feeding
- Medication Administration
- Normal swallow physiology
- Feeding/Swallowing developmental sequence
- Gastro-intestinal development
- Goals of assessment
- Case history considerations
- Physical assessment
- Behavior assessment
- Sensory assessment
- Postural stability considerations
- Oral motor examination
- Assessment of feeding/swallow function
- Instrumental assessment
- Making the diagnosis
- Positioning considerations
- Dietary modifications and thick liquids
- The feeding environment
- Facilitating transitions to novel foods/utensils
- Oral motor interventions
- Sensory interventions
- Behavioral interventions
- Team roles and responsibilities
- Communication with providers
- Food service issues
- Policies and procedures
- Staff training and competencies
- Limiting liability
- Ethical considerations
- Case study
Course Goals & Objectives:
This course is intended to instruct the professional on the knowledge and skills they need to develop effective programs to facilitate the safety of children with dysphagia, enhance feeding and swallowing skills, assign responsibilities to various members of the school team, and address both legal and ethical questions.
- Identify aspects of Special Education Law pertaining to dysphagia management in public school settings.
- Identify three mechanisms of pulmonary clearance of aspirated material
- Identify three potential consequences of malnutrition and dehydration in children with dysphagia
- Recognize implications of medication administration in children with dysphagia
- Describe and differentiate oral, pharyngeal and esophageal phases of swallowing
- Identify strategies for assessment of oral motor and feeding skills in children with dysphagia
- Identify the rationale for use of instrumental assessment
- State three consequences of thickening liquids in children with dysphagia
- Identify three options for reinforcement utilization in behavioral interventions
- Identify roles and responsibilities for members of the management team for children with dysphagia
- Identify two strategies for limiting liability in management of dysphagic children in a public school setting
"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, Nurse
Instructional Level: Intermediate
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).
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