Seminar Detail

Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management
Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management

Where:   ONTARIO, CA

When:  Thursday, January 31, 2019 at 8:00 AM - 3:30 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

The American Speech-Language-Hearing Association estimates that more than 15 million people in the United States have dysphagia. With dysphagia being that common, the need for an effective treatment plan is considerable. Furthermore, dysphagia is often correlated with many other medical conditions, including gastrointestinal conditions, nervous system disorders and respiratory disorders. These medical conditions can exacerbate the patient’s dysphagia and complicate the assessment process. Clinicians who fail to recognize the interrelationships between the respiratory and gastroesophageal systems may be under-treating the patient’s condition.

This one-day seminar will help give clinicians a clearer picture of the respiratory and gastrointestinal systems, their relationship to each other, and their impact on dysphagia management. Disease processes, with particular emphasis on aspiration pneumonia and gastroesophageal reflux disease, will be discussed along with strategies for clinical management. Participants will leave the seminar with the skills to thoroughly assess and treat the whole patient, not just their symptoms.
Objectives:
  1. Discuss the development and interrelationships between the respiratory and gastroesophageal systems.
  2. Describe the impact of respiratory and gastrointestinal functioning on swallowing.
  3. Identify respiratory and gastroesophageal disease processes for which dysphagia is a symptom.
  4. Describe the evidence to support various diagnostic tools such as reflex cough testing, pulse oximetry, and clinical and instrumental swallowing assessment.
  5. Identify common indicators of reflux and how they impact the treatment process.
  6. Discuss which patients are most at risk for developing aspiration pneumonia.
OUTLINE:

Respiratory Systems
  • Overview of systems – anatomy/physiology
  • Breathing/Swallowing coordination
  • The apneic signal
  • The relationship of coordination to aspiration
  • Laryngeal Chemical Responses (LCRs)
  • Reflexive cough
Gastroesophageal Systems
  • Esophageal function
  • Barriers to reflux
  • Saliva swallows
  • Digestive acids
  • Reflux mechanisms
  • Relationship to feeding disorders
  • GERD signs and symptoms
  • When does GER become GERD?
  • Reflux, feeding and swallowing behaviors
  • Relationship to dysphagia
GI/Respiratory Relationships
  • Pressure relationships and their effect
  • Asthma/gastroesophageal reflux connection
  • Laryngopharyngeal Reflux (LPR)
Aspiration
  • Pulmonary Clearance Mechanisms
  • Aspiration in infancy
  • How much is too much?
  • Predictors of pneumonia in various populations
  • Aspiration and oral hygiene
Respiration Disease Processes
  • Infant Respiratory Distress Syndrome (IRDS)
  • Bronchopulmonary Dysplasia (BPD)
  • Respiratory Syncytial Virus (RSV)
  • Congenital Heart defects
  • Obstructive Sleep Apnea (OSA) and dysphagia
  • Congestive Heart Failure (CHF)
  • Obstructive Conditions
  • Restrictive Conditions
  • Pneumonia vs Pneumonitis
  • Community acquired Pneumonia
  • Healthcare Acquired Pneumonia
  • Aspiration Pneumonia
Airway Management
  • Non-Invasive positive pressure ventilation
  • High flow nasal cannula
  • Intubation
  • Post-extubation dysphagia
  • Tracheostomies
  • Physiological changes associated with tracheotomy
Aspiration Assessment
  • Clinical assessment – what are we looking for?
  • Cognitive assessment
  • Pitch elevation
  • Serial swallows
  • Oral mechanism
  • Respiratory factors
  • Cough
  • Respiratory muscle strength
  • Instrumental assessment
  • Modified Barium Swallow studies
  • Fiberoptic Endoscopic Evaluation of Swallowing
  • 3-ounce water tests
  • Understand lab values
Aspiration Management
  • Diet modifications
  • Implications of dietary changes
  • Compliance issues
  • Thick liquids
  • Complicating factors associated with thickening
  • Water protocols
  • Compensatory strategies
  • Sensory interventions
  • Principles of exercise physiology
  • Lingual strengthening
  • Effortful swallow
  • Mendolsohn maneuver
  • Masako maneuver
  • Shaker head lift
  • Chin tuck against resistance
  • Head extension exercise
  • Jaw opening exercise
  • Tongue pull back
  • Effortful pitch glide
  • Expiratory muscle strength training
Reflux Assessment
  • Upper GI studies
  • Ph Monitoring
  • Esophagoscopy
  • Scintigraphy
Reflux Management
  • Lifestyle modifications
  • Positioning
  • Diet modifications
  • Medications
  • Effects of acid suppression
  • Surgical interventions
  • New directions in reflux management
  • Endoscopic procedures
  • Melatonin
  • Acupuncture
  • Magnetic Sphincter Augmentation
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

ANGELA MANSOLILLO, MA/CCC-SLP, BCS-S

Angela Mansolillo, MA/CCC-SLP, BCS-S, is a speech-language pathologist and board-recognized specialist in swallowing disorders with over 21 years of experience. She is a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she is involved in evaluation, treatment, and program planning for adults and children with dysphagia. In addition, she is a clinical supervisor and adjunct faculty member at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts. For over 15 years, she has worked in a variety of clinical settings, provided numerous regional and national presentations and served as guest lecturer at several colleges and universities throughout Massachusetts.

Ms. Mansolillo received her Bachelor of Arts degree in communication from Rhode Island College and earned her Master of Arts in speech-language pathology from the University of Connecticut. She is a member of the American Speech-Language-Hearing Association and is a member of Special Interest Division 13, which focuses on swallowing and swallowing disorders.



Speaker Disclosures:

Financial: Angela Mansolillo has an employment relationship with Cooley Dickinson Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Angela Mansolillo is board certified specialist, Swallowing and Swallowing Disorders of the American-Speech-Language-Hearing Association.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

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, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.




Registered Dietitians & Dietetic Technicians
CDR (Dietitians) Logo
PESI, Inc. PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2018 through June 30, 2019. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This program/material is designated as LEVEL 2.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists
American Nurses Credentialing Center Logo
PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance.


Occupational Therapists & Occupational Therapy Assistants
AOTA Logo
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.


Speech-Language Pathologists
ASHA Logo

This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).

SPEECH-LANGUAGE PATHOLOGISTS ONLY: To be reported to ASHA, while completing the online post-test/evaluation, please answer YES to the question: “Are you a Speech-Language Pathologist and/or Audiologist requesting to have your credit hours reported to the ASHA CE Registry to earn ASHA CEUs?" while completing the online post-test/evaluation, please send an email to cepesi@pesi.com with the following information: full title of the activity, speaker name, date of live activity, date you completed the post-test, and your name and your license number. If you did answer yes, you do not need to do anything further.

California Speech-Language Pathologists and Audiologists: 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 continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Other Professions
This activity qualifies for 360 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

Credit Card Required for online registration | Contact us to redeem Gift Certificates