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Digital Seminar

Treating Cognitive Deficits that Impact Safety with Oral Intake: A Primer Beyond Dysphagia Management

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Clinicians treating dysphagia often focus on dysfunction in strength, timing, and efficiency of the neuromuscular system. Cognitive-behavioral changes and altered sensory systems can also overlay neuromuscular proficiency, contributing to suboptimal, or at-risk oral intake. This session is designed to explore the neurology of sensation, visual capacity, and executive functions that challenge patients to engage in meals, sustain nutrition, and ultimately minimize nonoral support to meet caloric and hydration needs. Practical compensations and research driven interventions will be discussed through each topic within the lecture.

Here's What You'll Learn

Neurology of appetite: neurotransmitter systems that drive our desire to eat and drink
  • The physiology of appetite and the role of serotonin/dopamine drivers to “eat”
  • Factors that alter appetite and eating experience after brain injury (hyper, hypo): ageusia/anosmia, salivation, GERD and esophageal dysmotility
Alterations to the visual system: what affects the patient’s ability to self-feed and low cost/tech solutions
  • Visual changes to locating food
  • Clinical compensations and environmental modifications for success
Medications, tube feedings, and institutional experience as a patient: forces that dimmish patient’s drive toward oral intake and identification of key healthcare team members for collaboration and resolution
  • Pharmacology’s affect upon appetite: bowel meds, sedation, analgesics
  • Tube feeding schedules and potential for glucose intolerance/reduced metabolic rate
  • Lack of movement/bedbound status changing appetite
  • Changes in upper extremity function: reduced ROM and stiffness
  • Limitations of the research and potential risks for commonly used medications
Cognitive behavioral controls that affect eating behavior and exploring solutions towards improved intake and focus to task
  • Affect of altered attention to task/visual organization
  • Environmental distraction and the role of a chaotic room upon focus
  • Degrees of supervision and cuing needed to balance safety and independence
  • Returning to the Rancho Levels and applying appropriate expectations at each level

Everything You're Getting

  • More than 2 hours of video content
  • Up to 2.0 CE credits
  • Certificate of completion
  • Handouts and resources

Meet Your Experts

Jerome Quellier, MS, CCC-SLP

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Mr. Quellier is a retired clinical specialist in traumatic brain injury and communication disorders from a 450+ bed level 1 trauma hospital in Saint Paul, MN with over 28 years of acute, residential, and outpatient rehabilitation experience. Throughout his career, he focused on neuro-based diagnostics and intervention for dysphagia, cognitive-linguistic deficits, head and neck cancer management, patient advocacy, and curriculum development. Mr. Quellier completed advanced training in brain dissection at Marquette University, actively engaged in curriculum creation and staff development training, and collaborated with a neurosurgery team in preserving language function during tumor resections.

Mr. Quellier is excited to bring this topic to the forefront after working with the interdisciplinary team’s challenges in understanding the “what and why” of aberrant cognitive control that places patients at heighten dysphagia risk.

 

Speaker Disclosures:
Financial: Jerome Quellier receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Jerome Quellier is a member of the American Speech-Language and Hearing Association.

More taught by Jerome Quellier, MS, CCC-SLP

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Media Type:
Digital Seminar
Product Code:
POS065587
Duration:
2 hours, 6 minutes
Copyright:
Apr 29, 2025
Closed Captions:
Available
Format:
Audio and Video

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.

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