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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.
RESPIRATORY SYSTEMS
Breathing/swallowing coordination
GASTROESOPHAGEAL SYSTEMS
The impact on feeding and swallowing
GI/RESPIRATORY RELATIONSHIPS
What’s the connection?
ASPIRATION
How much is too much?
RESPIRATORY DISEASE PROCESSES
The impact on feeding/swallowing
PNEUMONIAS
It’s not all aspiration
AIRWAY MANAGEMENT
What’s the impact on swallowing?
ASPIRATION ASSESSMENT
Clinical Assessment – Making the Most of your Bedside Eval
Instrumental assessment – Which type and when?
ASPIRATION MANAGEMENT
Diet modifications – Not such a benign intervention
Strategies and Exercises – What does the evidence tell us?
REFLUX ASSESSMENT
What do these tests tell me?
REFLUX MANAGEMENT
What’s the dysphagia clinician to do?
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:
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