BREATHING, DIGESTION AND SWALLOWING: BEST PRACTICES IN DYSPHAGIA MANAGEMENT
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EDUCATION in Dysphagia Management #2419
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strategies and discuss the effectiveness of each
Evaluate the evidence for specific dysphagia management
processes for children and adults, along with their impact on
Discuss common respiratory and gastrointestinal disease
Recognize which patients are most at risk for developing
Identify common indicators of reflux and how they impact the
interrelationships between the respiratory and
Examine new research detailing the development and
Occupational Therapists, Dietitians, Respiratory Therapists and Dietary Managers.
Continuing education available for Nurses, Speech-Language Pathologists,
Best Practices in
Charlotte, NC - February 24
Columbia, SC - February 25
Richmond, VA - February 3
Roanoke, VA - February 23
Norfolk, VA - February 4
Raleigh, NC - February 2
Best Practices in
Assessing the Interrelationships Between the Respiratory and
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 do a
thorough assessment and treat the whole patient, not just their symptoms.
What You Will Learn Who Should Attend
- Discuss the development and interrelationships between the - Speech Therapists
respiratory and gastroesophageal systems - Speech Therapy Assistants
- Assess the impact of respiratory and gastrointestinal functioning - Occupational Therapists
on swallowing - Certified Occupational Therapy Assistants
- Identify respiratory and gastroesophageal disease processes for - Rehab Managers
which dysphagia is a symptom - Directors of Nursing
- Assess the evidence to support various clinical assessment tools - Nurses
such as reflex cough testing, pulse oximetry, blue dye testing and - Restorative Nursing Staff
cervical auscultation - Dietitians
- Identify common indicators of reflux and how they impact the - Dietary Managers
treatment process - Nursing Assistants
- Recognize which patients are most at risk for developing aspiration - Respiratory Therapists
- Determine when GER is actually GERD
- Compare and contrast the use of various airway management
- Evaluate the evidence for specific dysphagia management
strategies and discuss their effectiveness
“A much welcomed, practical, useful, ‘hands-on’ presentation.
I am walking away with an arsenal of oral-motor techniques
that I can use tomorrow. It was a very interesting course!”
Shawnie Maffett, SLP
Course Director Dates & Locations
ANGELA MANSOLILLO, MA/CCC-SLP, is a Speech-Language RALEIGH - February 2, 2011
Pathologist and Board Recognized Specialist in Swallowing Disorders Wyndham Hotel RTP-RDU Airport
with over 21 years of experience. She is currently a senior Speech- 4620 S. Miami Blvd., Durham, NC 27703 919-941-6066
Language Pathologist at Cooley Dickinson Hospital in Northampton, RICHMOND - February 3, 2011
Massachusetts where she is involved in evaluation, treatment Holiday Inn Richmond Airport
and program planning for adults and children with dysphagia. In 445 International Center Dr., Sandston, VA 23150 804-236-1111
addition, she is a clinical supervisor and adjunct faculty member at
Elms College Department of Communication Sciences and Disorders NORFOLK - February 4, 2011
in Chicopee, Massachusetts. For over 15 years, she has worked in a Hilton Norfolk Airport
variety of clinical settings, provided numerous regional and national 1500 N. Military Hwy., Norfolk, VA 23502 757-466-8000
presentations and served as guest lecturer at several colleges and ROANOKE - February 23, 2011
universities throughout Massachusetts. Holiday Inn
Ms. Mansolillo received her Bachelor of Arts degree in communication 3315 Ordway Dr., Roanoke, VA 24017 540-362-4500
from Rhode Island College in 1983 and earned her Master of Arts in CHARLOTTE - February 24, 2011
Speech-Language Pathology in 1985 from the University of Hilton Garden Inn Charlotte Ayrsley
Connecticut. She is a member of the American Speech-Language- 1920 Ayrsley Town Blvd., Charlotte, NC 28273 704-970-5000
Hearing Association and is a member of Special Interest Division 13,
which focuses on swallowing and swallowing disorders. COLUMBIA - February 25, 2011
Clarion Townhouse Hotel
1615 Gervais St., Columbia, SC 29201 803-771-8711
RESPIRATORY SYSTEMS RESPIRATORY DISEASE PROCESSES - blue dye studies
u Overview of systems u Infant Respiratory Distress Syndrome (IRDS) - enteral feedings
- anatomy/physiology - symptoms - tracheostomy
- pulmonary function - treatment - glucose oxidase reagent strips
u The apneic signal - complications - cervical auscultation research
u Respiratory cycles - IRDS and feeding - pulse oximetry
u The relationship of coordination to u Bronchopulmonary Dysplasia (BPD) - Reflex Cough Testing (RCT)
aspiration - symptoms RCT and stroke
u Laryngeal Chemical Responses (LCRs) - treatment u Airway protection techniques
u Reflexive cough - prevention - cuff management
- complications - occlusion of tracheostomy tube
GASTROESOPHAGEAL SYSTEMS - feeding - decannulation
u Overview of systems - nutrition - speaking valve/Passy-Muir valve
- esophageal function u Cardiac Impairment Who is a candidate?
- primary peristalsis - CHF contraindications
- secondary peristalsis u Obstructive conditions oral/pharyngeal therapy
- tertiary contractions - COPD u Aspiration management
u Barriers to reflux - bronchitis - diet
u Saliva swallows - CF - oral care
u Digestive acids - pulmonary function tests - environmental modifications
u Constipation - relationship to dysphagia
u Restrictive conditions REFLUX MANAGEMENT
REFLUX u UGI
u Relationship to feeding disorders - pulmonary function tests
- relationship to dysphagia u pH monitoring
u Reflux mechanisms u Esophagoscopy (with/without biopsy)
- Transient Lower Esophageal Sphincter - pneumonia vs. pneumonitis
- pneumonia-aspiration and otherwise u Scintigraphy/Milk scan
Relaxations (TLESRs) u Clinical assessment
- LES incompetence - neuromuscular diseases
- anatomical abnormalities ASPIRATION MANAGEMENT - adults
u GERD signs and symptoms u Artificial airways u Lifestyle modifications
u When does GER become GERD? - ventilation and oxygenation u Diet modifications
u Reflux, feeding and swallowing behaviors - patient airway - children
u Relationship to dysphagia - airway obstruction - adults
GI/RESPIRATORY RELATIONSHIPS - pulmonary toilet/access - diet and LES pressure
u Pressure relationships and their effect - naso/oropharyngeal airways u Medication
u Asthma/gastroesophageal reflux - endotracheal intubation - antacids
connection - tracheostomy - physical barriers
u Allergens u Tracheostomy vs. intubation - prokinetics
u Respiratory congestion - advantages/disadvantages of intubation - acid suppressants/histamine blockers
u Laryngopharyngeal Reflux (LPR) - when to convert from ET to trach - acid blockers/proton pump inhibitors
- why aspiration is common in - effects of acid suppression
ASPIRATION tracheostomies - medications that increase reflux
u Definition - tethering effect u Positioning
u Signs and symptoms - subglottic pressure changes u Medical/surgical interventions
u Effects on the airway - cuff effects - indications
u How much aspiration is too much? u Mechanical ventilation - fundoplication
u Risk factors u Assessment of aspiration - endoscopic procedures
u Aspiration and oral hygiene - clinical assessment stretta system
- instrumental assessment plicator device
- penetration-aspiration scale endocinch
- 3 oz. water test enteryx injection
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Conference and Expo
“She gave us a wealth of information regarding dysphagia!
The group discussion added information and nuances.
Excellent instructor! I would take another seminar from Ms. Mansolillo.” July 28 - 30, 2011
Theodore Huryn, SLP, Harrisburg, PA www.rehabsummit.com