This quartet of SIG 13 articles provides information regarding managing and treating dysphagia in the adult population. Caileen Harvey, Rachel Flemming, Julia Davis, and Victoria Reynolds investigate International Dysphagia Diet Standardisation Initiative implementation issues by surveying health care professionals in health care facilities in rural Upstate New York. Ankita M. Bhutada, William A. Broughton, Brenda L. Beverly, Dahye Choi, Sandip Barui, and Kendrea L. (Focht) Garand aim to identify the prevalence of dysphagia and reflux reported symptoms in patients with obstructive sleep apnea syndrome and determine associations between symptoms and demographic and clinical variables. Stevie Marvin summarizes published research on screening, evaluating, and treating post-extubation dysphagia in the intensive care unit. Rebekah Guastella, Stefania Oppedisano, Luis F. Riquelme, and Ashwini M. Namasivayam-MacDonald study bolus location at swallow onset, stage transition, pharyngeal transition duration, pharyngeal response duration, and pharyngeal phase duration between cued and uncued swallowing conditions in patients with dementia.

Learning Outcomes
You will be able to:

• identify staff-perceived barriers and solutions to consistent implementation of International Dysphagia Diet Standardisation Initiative in a variety of care facilities in a rural geographical area
• identify predictive risk factors for swallowing and reflux symptoms in obstructive sleep apnea syndrome
• compare the clinical evaluations of swallowing with instrumental evaluations for evaluating post-extubation dysphagia
• summarize the differences in swallowing physiology between cued and uncued swallows in people living with dementia

Assessment Type
Self-assessment—Think about what you learned and report on the Completion Form how you will use your new knowledge.

Articles in This Course

1. Facilitators and Barriers to Implementing the International Dysphagia Diet Standardisation Initiative in Care Facilities in Upstate New York by Caileen Harvey, Rachel Flemming, Julia Davis, and Victoria Reynolds, published in SIG 13, December 22, 2021
2. Predictors of Patient-Reported Dysphagia and Reflux Symptoms in Obstructive Sleep Apnea by Ankita M. Bhutada, William A. Broughton, Brenda L. Beverly, Dahye Choi, Sandip Barui, and Kendrea L. (Focht) Garand, published in SIG 13, December 13, 2021
3. Evaluation and Treatment of Post-Extubation Dysphagia: The Importance of the Speech Pathologist in the Intensive Care Unit by Stevie Marvin, published in SIG 13, December 10, 2021
4. Effects of Cued and Uncued Swallowing in Patients With Dementia by Rebekah Guastella, Stefania Oppedisano, Luis F. Riquelme, and Ashwini M. Namasivayam-MacDonald, published in SIG 13, December 21, 2021