Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management
- Speaker:
- Angela Mansolillo, MA/CCC-SLP, BCS-S
- Duration:
- 6 Hours 02 Minutes
- Format:
- Audio and Video
- Copyright:
-
Sep 21, 2021
- Product Code:
- POS020003
- Media Type:
- Digital Seminar - Also available: Digital Seminar
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.
Credit
Planning Committee Disclosure - No relevant relationships
All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.
Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. 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 info@pesi.com or 800-844-8260 before purchase.
Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. 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.
For Planning Committee disclosures, please see the statement above. For speaker disclosures, please see the faculty biography.
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.
PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.
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.
This course contains 6.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.
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.
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.
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.
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/Brochure
| File type | File name | Number of pages | |
|---|---|---|---|
| Manual - Breathing, Digestion & Swallowing (4.04 MB) | 185 Pages | Available after Purchase | |
| Instructions for ASHA credit - Self-Study Only (0.06 MB) | Available after Purchase | ||
| Registered Dietitian - Critical Thinking Form (0.15 MB) | Available after Purchase |
Speaker
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-certified specialist in swallowing disorders with more than 30 years of experience. She is 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 including quality improvement initiatives, patient education, and clinical policies and protocols. She is also adjunct faculty at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts and a guest lecturer in the Department of Communication Disorders at the University of Massachusetts. Over the course of her career, she has worked in a variety of clinical settings with children and adult populations with a career-long focus on feeding and swallowing disorders. Recently, she authored Let’s Eat!: A Clinical Guide to the Management of Complex Pediatric Feeding and Swallowing Disorders. Angela is a recent recipient of the Massachusetts Speech and Hearing Association’s Award for Clinical Excellence and is a sought-after speaker for both live and online continuing education courses as she seamlessly blends current research with clinical experience.
Speaker Disclosures:
Financial: Angela Mansolillo has an employment relationship with Elms College, the University of Massachusetts, and Cooley Dickinson Hospital. She is a consultant with Dysphagia Services and receives speaking honorarium from Medbridge, Colibri Group, HomeCEUconnection.com, speechpathology.com; occupationaltherapy.com, respiratorytherapy.com, earlychildhood.com and Continued. Angela Mansolillo receives a speaking honorarium, recording, and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Angela Mansolillo is a member of ASHA.
Alternate Options
|
It’s More than Just Swallowing – Examining Breathing, Digestion, and Deglutition
Copyright: 08/29/2025 - Product Code POS065591 |
Additional Info
Access for Self-Study (Non-Interactive)Access never expires for this product.
Questions?
Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info
Objectives
- 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.
- 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.
- Design effective treatment plans for clients with respiratory and GI disease processes including COPD, respiratory failure, and GERD.
- Prepare your diagnostic tool box to include cough testing, water screenings, pulse oximetry, respiratory muscle strength testing, and other evidence-based tools.
- Develop successful treatment plans by identifying reflux disease and its impact on swallowing function in your clients.
- 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
Reviews
Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.
ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.
PESI Mobile App
Access CE trainings on your phone or tablet through our free mobile app. Choose video or audio-only versions of online courses from the world’s best instructors, and complete your CE requirements anywhere, anytime, at your own pace.
Please wait ...