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1. Describe typical development and interaction of respiration, swallowing, and digestion, and how neurologic deficits/trauma can cause disruptions.
2. Discuss typical development of reflexes related to PO intake and describe how NPO status can disrupt integration of these vital reflexes.
3. Discuss 4 common pediatric medical diagnoses, (Down Syndrome, ASD, Epilepsy, GERD), and how they can lead to an oropharyngeal dysphagia.
4. Describe different types of feeding tubes and the adverse impact they have on development of the brain-mouth-gut connection.
5. Examine 5 therapeutic interventions to re-establish the brain-mouth-gut connection.
6. Describe functional feeding strategies that are SES (socio-economic-status) friendly for the home-health pediatric patient on your caseload.

BRAIN MOUTH GUT CONNECTION

• How multiple systems are connected
• Development of Innovation of the systems
• Common medical breakdowns in patients

TYPICAL REFLEX DEVELOPMENT

• Progression of typical sucking patterns
• Progression of typical chewing patters
• Impact of feeding tubes on integration of reflexes

MEDICALLY FRAGILE CASELOAD

• How specific diagnoses and treatments can lead to oropharyngeal dysphagia
• When to make referrals to specialists and why

ALTERNATIVES TO PO (BY MOUTH FEEDING)

• Types, locations, implications of feeding tubes
• Disruption to digestion process and nourishment

INTERVENTIONS FOR POSITIVE AND FUNCTIONAL OUTCOMES

• Approaches focused on patient access to ADLs
• Special consideration for cultural factors & socioeconomic barriers
• Treatment and strategies for home/health base clinicians
• Interactive Activities - mini breakouts
• Video case examples of interventions and patient/family perspectives

CASE STUDIES

• 2.5 year old S/P - grade 4, grade 3, grade 2 bleed(s) with an g-tube
• 15 month old exclusively breast fed with diagnosis of EOE (Eosinophilic Esophagitis) and new feeding tube
• 5 year old with autism spectrum disorder - tube fed from 6 months, post cardiac surgery
• Follow the case history of a 3 month old-4year old with esophageal atresia S/P surgical repair and a g/j tube
• Case Studies from participants

Michelle Dawson, MS, CCC-SLP, has worked as an SLP for over 10 years in a variety of settings. She has served in public schools, in-patient and out-patient rehabilitative hospitals, and spent many years in early intervention. She specializes in treating medically fragile pediatric patients with oropharyngeal dysphagia and feeding disorders. Michelle is president of the South Carolina Speech Hearing Association (SCSHA). She runs her own private practice, HeartWood Speech Therapy, and guest lectures throughout South Carolina on a variety of topics, including dysphagia management for infantile spasms and sensory integration from an SLP’s perspective. She is working on her BCS-S licensure. Michelle earned her MS in communicative sciences and disorders from James Madison University in Harrisonburg, VA. Treating feeding and swallowing disorders across the life span is her first love as an SLP.

Speaker Disclosures:

Financial: Michelle Dawson has an employment relationship with HeartWood Speech Therapy, LLC. She receives a royalty from SpeechTherapyPD.com; and for First Bite: Fed Fun and Functional PodCast. Ms. Dawson receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Michelle Dawson is president of South Carolina Speech Hearing Association (SCSHA); and Council of State Association Presidents (CSAP) treasurer.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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.

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.

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Educators/Teachers
This course consists of 6.25 self-study clock hours. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Illinois Educators:
6.0 ISBE Professional Development (PD) Clock Hours will be made available through Quincy University. Those requesting ISBE PD Clock Hours will need to complete an Evaluation for Workshop, Conference, Seminar, in order to receive the ISBE “Evidence of Completion for Professional Development” form. Instructions and form will be made available under the “Materials” tab. Expires: 06/30/2024.

Indiana Educators: 6.0 Professional Growth Points are available for full attendance of this self-study package per the Indiana Department of Education standards.

Montana Educators: This self-study package is offered for 6.0 Renewal Units. PESI, Inc. is an Approved Renewal Unit Provider with the Montana Office of Public Instruction.

New York Educators: PESI, Inc. is an approved sponsor of CTLE with the New York State Education Department's (NYSED) Office of Teaching Initiatives. Provider #23567. This self-study activity will qualify for 6.25 Approved Continuing Teacher and Leader Education (CTLE) Hour(s), in the area of Pedagogy. Hours are based on full attendance. Board required certificates will be sent after the program.

Texas Educators: PESI, Inc., has been approved as a CPE Provider #500-981 for Texas Educators by the Texas State Board for Educator Certification (SBED). This self-study package qualifies for 6.0 CPE clock hours.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Nurses: 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.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 6.0 continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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

Florida Board of Speech-Language Pathology and Audiology: 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.

Kansas Speech-Language Pathologists: Approved for 7.5 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Speech-Language Pathologists
• Speech-Language Pathology Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Pediatric Nurses
• Educators
• Dietitians
• Case Managers
• Nurse Practitioners