CE Courses / Swallowing Disorders

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Dysphagia: Gelatin-Based Desserts, Thickening, and Amyotrophic Lateral Sclerosis
Format(s): SIG Perspectives
These SIG 13 articles underscore the importance of being up to date of dysphagia intervention as the diagnosis has many complexities in assessment and treatment. Larsen et al. surmise that current characteristics and physiological rationale may overestimate the skills required for gelatin-based desserts and inappropriately classify them as nontransitional foods. Therefore, as with all products, individual gelatin-based desserts should be tested at the time of presentation to the patient. Mancopes et al. discuss the importance of strategies for facilitating safe and functional bottle feeding in children with dysphagia include selecting nipples that reduce flow rate, pacing, altered positioning, and thickening liquid consistencies. Their study aims to determine the impact of slightly thick liquids on swallowing through retrospective review of a convenience sample of clinical videofluoroscopies (VFSS) from 60 bottle-fed children (21 male, mean age 9.9 months) referred due to suspected aspiration. Garand et al. perform a retrospective analysis of persons with amyotrophic lateral sclerosis using modified barium swallow studies and recommend use of functional scales to help evaluate and treat this special population.
Feeding and Swallowing in Schools: Crafting Culturally Responsive, Evidence-Based IEPs (On Demand Webinar)
Format(s): On Demand Webinar
This on demand webinar discusses ways to foster the development of evidence-based IEPs (individualized education programs) when targeting feeding and swallowing in the public-school setting. The speaker addresses working with related professionals and interprofessional practice opportunities within and beyond the school setting to enhance student outcomes. The speaker also provides strategies for family-centered care and culturally responsive practices.
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Factors in Adult Dysphagia: Thickened Liquids, Facial Burns, Head & Neck Cancer
Format(s): SIG Perspectives
This trio of SIG 13 articles provides information regarding managing and treating dysphagia with adult patients. First, Abrams and co-authors underscore the importance of hydration and discovered that individuals consuming thickened liquids are often at risk for dehydration. Factors to increase fluid intake through different strategies are discussed. Next, Arguello and Kerr discuss the mechanism of a facial burn injury and how it may cause functional impairments that can be directly impacted through early intervention utilizing speech-language pathology services. Finally, Warner and colleagues completed a pilot study investigating the prevalence of pretreatment dysphagia in oncologic patients and individual factors influencing post treatment dysphagia.
Resolving Ethical Dilemmas in School-Based Swallowing and Feeding (On Demand Webinar)
Format(s): On Demand Webinar
This on demand webinar is designed for school-based SLPs who serve children with pediatric feeding and swallowing disorders (PFD). The course will review the ASHA Code of Ethics and an ethical decision-making approach, with application for SLPs serving children with PFD. Case studies will guide discussion of resources and approaches that can help resolve ethical issues.
Esophageal Dysphagia: A Primer for SLPs (On Demand Webinar)
Format(s): On Demand Webinar
This on demand webinar is a practical primer for SLPs who work with patients with dysphagia regardless of setting. The webinar explores the interrelationship between the oropharynx and the esophagus, reviews vital anatomy and physiology, discusses advocating with your interprofessional team about of the role of esophageal scans during videofluoroscopic swallow studies (VFSS), and explains what to do when you suspect esophageal involvement as part of your patient's dysphagia.
Measure By Measure: Feeding and Swallowing Assessment to Support Feeding Goals in the Schools
Format(s): eWorkshop
This session is designed for school-based SLPs who support children with complex oral feeding and swallowing needs. The speaker discusses the components of a robust assessment-and how that assessment informs decisions surrounding a student's feeding needs. The session examines effective and realistic goal development to address feeding needs within an IEP.
Professional Advocacy Considerations for Dysphagia Management (On Demand Webinar)
Format(s): On Demand Webinar
Professionals and patients face a variety of challenges that are unique to age and health care setting and that can influence outcomes in dysphagia management. In this on-demand course, a panel of experts explores both professional- and patient-related advocacy considerations that impact evidence-based practice and dysphagia management across a variety of adult and pediatric medical settings.
Dysphagia: A Different Take
Format(s): SIG Perspectives
These SIG 13 articles provide helpful information in dysphagia practice. Tasia Gibbons, Sophia Werden Abrams, Nazia Mohsin, Rebekah Guastella, Stefania Oppedisano, and Ashwini Namasivayam-MacDonald endeavor to validate a new device to measure lingual strengthening and swallow function. Kelsey Thompson, Cara McComish, and Suzanne Thoyre’s work aims to introduce dynamic systems theory to pediatric feeding clinicians. Margaret Wright and Justin Sleffel demonstrate the importance of a multidisciplinary team approach and the vital role of speech-language pathologists in the evaluation and treatment of dysphagia of unknown etiology. Hollie-Ann Lee Shortland, Gwendalyn Webb, Anne E. Vertigan, and Sally Hewat aim to explore the use of myofunctional devices and how speech-language pathologists gain better understanding of this modality.
Treatment of Feeding and Swallowing Disorders in School-Age Children (On Demand Webinar)
Format(s): On Demand Webinar
This on demand webinar explores what pediatric feeding disorder (PFD) can look like in school-age children and outlines practical management strategies, therapeutic compensations, and skill-building activities. The speaker also addresses the importance of coordinated care.
A Preventative Approach to Radiation-Associated Dysphagia (On Demand Webinar)
Format(s): On Demand Webinar
SLPs are increasingly involved in the care of patients with head and neck cancer. While preventative dysphagia services are accepted as standard of care, many clinicians don't have the background in this population to determine how to best evaluate and treat patients prior to radiation. This on demand webinar covers what clinicians need to know to provide prehabilitative care-from justification to assessment to treatment to working within the multidisciplinary cancer care team.
Special Populations in Dysphagia Management: COVID-19, Feeding Disorders, Drug Use, and Burn Care
Format(s): SIG Perspectives
These four SIG 13 articles provide information for dysphagia practice. They address a unique array of special populations and challenges in patient care involving swallowing and feeding difficulties.
Addressing Feeding Needs for Children With Cerebral Palsy in the School Setting (On Demand Webinar)
Format(s): On Demand Webinar
This on demand webinar is designed for school-based SLPs who support children with complex oral feeding and swallowing needs. The speaker discusses the components of a robust feeding and dysphagia assessment, and how that assessment informs treatment decisions surrounding a student's feeding needs. The course examines effective and realistic goal development to address feeding needs within the IEP.
Managing Dysphagia in Individuals With Dementia (On Demand Webinar)
Format(s): On Demand Webinar
This on demand webinar focuses on identification and management of dysphagia in people with dementia, with discussion of current research on dysphagia assessment, intervention, and caregiver burden. The webinar presents preferred practices for maximizing quality of life for this patient population.
Laryngeal Complications of Patients With COVID-19 in Critical Care Following Intubation and Tracheostomy
Format(s): eWorkshop
This session discusses the vital role SLPs who work in adult ICUs play in detection and management of voice, swallowing, and airway complications following COVID-19. The speaker discusses the nature of these complications; intubation, tracheostomy, and COVID-19 features; factors to guide early treatments; and how these factors shape decision-making in post-ICU settings.
Dysphagia in Practice: Thickening Practices, Family-Centered Care, & Early Intervention
Format(s): SIG Perspectives
This collection of SIG 13 articles addresses popular topics in dysphagia care throughout the life span regarding thickening practices, family-centered care, and early intervention. Jane Mertz Garcia, Edgar Chambers IV, and Anna Boyer utilized a survey to re-examine practice patterns for thickened liquids and provided a comparison of past practices with current to provide insight into contemporary themes that have previously not been considered. Doreen Benson and George Barnes explore the utility of a mathematical prediction model (Bayes theorem) in dysphagia management. Samantha E. Shune, Deanna Linville, and Ashwini Namasivayam-MacDonald address maximizing treatment effectiveness by using an approach with family resiliency and adaptation. Drawing from the principles of family systems theory and the biopsychosocial-spiritual framework, they use a case study as a tutorial to explore the application of family-centered care models to dysphagia management. Stephanie C. Cohen and Karen Dilfer focus on the definition of pediatric feeding disorder (PFD) and the multifaceted needs of families and children in early intervention, support for use of responsive feeding in treatment of PFD, alignment of responsive feeding strategies with early intervention principles, and barriers limiting access to consistent, high-quality early intervention services for children with PFD.
Feeding and Swallowing in School-Age Children: Anatomy and Physiology (On Demand Webinar)
Format(s): On Demand Webinar
This webinar describes anatomical and physiological structures and functions related to feeding and swallowing to assist clinicians in interpreting evaluation findings and selecting appropriate treatment strategies for students on their caseload. The presenter discusses sensorimotor function of the trunk, shoulders, head, and neck, as well as of the upper aerodigestive tract, and reviews oral, pharyngeal, and esophageal structures and functions. The webinar includes case studies that address the impact of impaired anatomy and physiology in students with feeding and swallowing disorders.
Clinical Swallowing Exams: Strengths and Limitations
Format(s): eWorkshop
This session explores the strengths and limitations for interpreting clinical swallow examination (CSE) results, including implications for dysphagia management in adult populations across clinical settings. The speaker contrasts CSEs with instrumental swallow examinations and shares resources to maximize clinical usefulness of the clinical swallow exam.
Role of Instrumental Exams in the Diagnosis and Management of Dysphagia
Format(s): eWorkshop
This session shares preferred practices for selecting, conducting, and interpreting instrumental swallow exams. The speaker discusses strengths and limitations of different instrumental exams, along with clinical applications to promote more accurate dysphagia diagnosis, targeted treatment planning, and positive patient outcomes. The session includes tips for critical thinking and current evidence supporting the use of instrumental exams to optimize the safety and quality of life of those living with swallowing disorders.
Objectivity, Subjectivity, and Validity in Fiberoptic Endoscopic Evaluation of Swallowing
Format(s): eWorkshop
This session reviews what it means for a measure to be objective, subjective, and/or valid and applies these concepts to fiberoptic endoscopic evaluation of swallowing (FEES). The presenters also discuss other, equally important, criteria to consider when evaluating a patient for dysphagia: accuracy, meaningfulness, and relevancy.
Objectivity in Videofluoroscopic Swallow Studies (VFSS)
Format(s): eWorkshop
This session introduces technological, procedural, and analysis factors that optimize objectivity and reproducibility of clinically valid videofluoroscopic measurements made from modified barium swallow (MBS) studies. The speaker addresses the importance and preferred practices for learning, training, and measurement skill calibration and demonstrates positive and negative influences of clinical bias on VFSS measurement and interpretation.
Texture Modification and Its Impact on Swallowing Function
Format(s): eWorkshop
SLPs who work with people with dysphagia face the challenge of identifying food textures and liquid consistencies that will optimize swallowing safety and efficiency while minimizing negative consequences on quality of life and nutrition. This session features case-based opportunities to practice the skills involved in determining when and how texture modification can be used to improve swallowing outcomes.
Exercise vs. Maneuvers: Moving Dysphagia Management From Performance to Learning
Format(s): eWorkshop
The application of multiple swallow maneuvers is often a mainstay of dysphagia intervention, but the role of the maneuver and its effect on swallow rehabilitation outcomes are not always clear. This session explores swallowing intervention beyond the application of maneuvers and reviews the role of motor learning strategies in maximizing outcomes for patients.
Timing Is Everything: Diagnosis and Treatment of Laryngeal Vestibule Closure Impairments
Format(s): eWorkshop
Impairments in laryngeal vestibule closure (LVC) are a major cause of aspiration during swallowing. Accurately identifying LVC impairment is a priority in dysphagia management as aspiration can occur if LVC is absent or delayed, or duration is reduced. However, this mechanism is often overlooked and underreported in the evaluation of swallowing and in swallowing research. This session discusses methods for incorporating LVC as a primary outcome measure in dysphagia diagnosis and management to increase diagnostic accuracy and optimize dysphagia management.
Is Texture Modification Appropriate for Individuals With Dysphagia?
Format(s): eWorkshop
Modifying diet consistencies is one of the more common approaches to dysphagia care. However, much controversy remains regarding how SLPs tackle decision-making and about the actual modification and measurement of liquids and foods in terms of nutrition and safety as primary goals of dysphagia treatment. This session addresses the complexities in both processes, with a focus on achieving the best outcomes for each patient.
Normal, Safe, and Efficient Swallowing: Beyond the Semantics
Format(s): eWorkshop
Clinicians who practice dysphagia management can easily generate a mental image of a "normal" swallow. Frequently, words such as "unsafe," "inefficient," or "at-risk" accompany images of swallows that deviate from normal. This session carefully examines the complexities and pitfalls of using these types of terms with patients, families, and/or medical providers. In particular, the speakers discuss how the SLP's notion of what constitutes safety and efficiency can influence diet recommendations and treatment plans. This session tackles the complexities of the meaning behind the words and phrases that influence and underlie clinical decisions and how SLPs communicate them to patients and other stakeholders.
Swallowing in Patients Using High Flow Nasal Cannulas
Format(s): eWorkshop
When SLPs are tasked with evaluating and treating patients who use high flow nasal cannula oxygenation systems, they may have questions about these systems' potential impact on swallowing. This session discusses the literature on swallowing and use of high flow nasal cannulas and the implications for dysphagia evaluation and treatment.
Is It Time To Discharge My Dysphagia Patient?
Format(s): eWorkshop
Often, SLPs working with individuals with dysphagia struggle with knowing when it is appropriate to discharge their patient. The decision to discharge is multifactorial, including both patient- and clinician-driven factors. This session explores practical strategies and evidence-based practices for determining when it is appropriate to discharge a patient from dysphagia treatment.
Considerations for Dysphagia Intervention in the Hospital: Adult and Pediatric
Format(s): SIG Perspectives
This SIG 13 collection of astute articles provides information regarding managing and treating dysphagia in the hospital for both adult and pediatric patients. Nalia GurgelJuarez and colleagues explore the frequency of oral care based on staff adherence to oral care policies. Rebecca Smith et al. investigate the quality-of-life impacts of dysphagia and its interventions on mealtimes using the Swallowing Quality of Life Questionnaire and the Eating Assessment Tool. Jessica L. Rice and Maureen A. LeftonGreif review high-flow nasal cannula mechanisms of action, its use in specific populations and settings, and what is known about initiation of feeding during this therapy. Finally, Donna Edwards and colleagues explore the impact of COVID-19 on modifications in clinical practice related to pediatric feeding disorders and dysphagia via telehealth.
Adult Dysphagia Management: Diet, Sleep Apnea, Intensive Care Unit, and Dementia
Format(s): SIG Perspectives
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.
Dysphagia Revelations: What We Know We Don’t Know and What Is Normal for Swallowing
Format(s): SIG Perspectives
This trio of SIG 13 articles provides information regarding unique factions of dysphagia intervention. Sophia Werden Abrams, Harmonie S. J. Chan, Jasmeet Sikand, Heather Wilkie, and Kim Smith raise awareness for the importance of neurodegenerative disorder research involving dysphagia caused by oculopharyngeal muscular dystrophy. Michela Jean Mir and Karen Wheeler Hegland aim to shed light on the subjective use of cough assessment and the importance and interest in formal clinical cough assessment training. Kendrea L. (Focht) Garand, Mary Catherine Reilly, Dahye Choi, Rajarshi Dey, Julie Estis, and Grayson Hill evaluate community dwelling adults using Modified Barium Swallow Impairment Profile components for bolus hold type to assist in defining typical swallowing behaviors.
Interesting Discoveries in Adult Dysphagia Intervention: Screening, Evaluation, and Telehealth
Format(s): SIG Perspectives
This assemblage of articles provides information on interesting topics encountered in adult dysphagia practice. Aarthi Madhavan, Nicole Shuman, Claire Snyder, and Nicole Etter provide insight on the comparative consistency of the Eating Assessment Tool and Sydney Swallow Questionnaire scores for self-reported swallowing difficulties in a group of community-dwelling older adults completing both questionnaires. Georgina Papadopoulos-Nydam, Jana Maureen Rieger, and Gabriela Constantinescu evaluate the usability of a mobile health (mHealth) system designed for dysphagia exercise in persons with a history of stroke. Renata Mancopes, Fernanda Borowsky da Rosa, Lidia Lis Tomasi, Adriane S. Pasqualoto, and Catriona M. Steele demonstrate concern for people with chronic obstructive pulmonary disease (COPD) and share information regarding dysphagia in people with COPD, synthesizing knowledge both from the literature and from studies performed in the context of a multidisciplinary clinical pulmonary rehabilitation program abroad. Additionally, Talia H. Schwartz brings to light the importance and utility of the clinical swallow evaluation while caring for patients with COVID-19.
A Myriad of Dysphagia Interventions: NICU, Cultural Humility, Instrumentation, Nursing, Tracheostomy Tubes, and Technology
Format(s): SIG Perspectives
This collection of articles presents clinicians with evidence on a variety of topics in dysphagia that can be utilized in practice immediately. Alaina Martens and Emily Zimmerman offer insight regarding changes to feeding patterns in infants diagnosed with bronchopulmonary dysplasia after prolonged oxygen therapy in the newborn intensive care unit. Paula Leslie and colleagues provide a framework of health and illness and how food and drink are much more. They stress the importance of clinician appreciation as a cultural guest in our patients’ lives. Bonnie Martin-Harris and colleagues stress the importance of instrumentation with a thorough review of available practice guidelines and appropriateness criteria issued to date, revealing a deficit of up-to-date, comprehensive, evidence-based information on the diagnosis and evaluation of oropharyngeal dysphagia. Specifically, a lack of quality guidance on the ordering, performance, and reporting of the modified barium swallow study has hindered efforts to improve standardization and ensure quality continuity of care. Naomi Gurevich and colleagues stress the need to clarify guidelines and increase interprofessional education between both professions to improve patient care. George Barnes and Nancy Toms highlight speech-language pathologists’ need for a solid foundation of knowledge when it comes to patients with highly complex disease processes and care plans. Deirdre Muldoon and colleagues conduct a review of published literature regarding management of feeding difficulties at the oral phase of feeding in children with autism spectrum disorder and/or developmental disability. Finally, Paul M. Evitts and colleagues reveal a potential way to track aspiration in healthy adults using an app.
Pediatric Feeding: Small Steps, Big Changes (On Demand Webinar)
Format(s): On Demand Webinar
SLPs who work with children with feeding disorders often face challenges when managing oral hypersensitivities or advancing a child’s diet due to refusal behaviors. This on demand webinar explores the question, “What can I do when oral-sensory-motor deficits and difficult behaviors intersect?” The speaker discusses factors to consider when evaluating children with behavioral feeding disorders as well as uses video examples to illustrate and discuss various treatment strategies.
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Respiratory Muscle Strength Training: Evidence and Protocols (On Demand Webinar)
Format(s): On Demand Webinar
Behavioral interventions that provide a calibrated mode for strengthening inspiratory and expiratory muscles are limited and often non-evidence-based. This on demand webinar discusses the evidence base for respiratory muscle strength training (RMST) devices and shares the assessment and treatment protocols necessary for valid implementation of respiratory muscle strength training protocols. The course will be useful for SLPs working in health care settings treating acute and chronic conditions that impact the functions of breathing, coughing, swallowing, and vocalizing that result from skeletal muscle weakness.
Preferred Practices for Clinical Swallowing Exams (On Demand Webinar)
Format(s): On Demand Webinar
This on demand webinar addresses the clinical utility of a clinical swallow examination (CSE) for individuals with suspected swallowing impairment. The speaker discusses the power of the CSE, which comes from employing a systematic assessment to enhance clinical decision-making. The webinar dives into the critical components for a multidimensional CSE applicable across patient populations and settings.
Innovations and Updates to Best Practices for Dysphagia Assessment and Treatment
Format(s): Journal (Online)
This journal self-study course explores best practices for dysphasia assessment and recent innovations in dysphagia treatment. The articles – from an American Journal of Speech-Language Pathology special issue “Select Papers From the 2018 Charleston Swallowing Conference at Northwestern University” – will help SLPs develop a deeper understanding of how to select appropriate treatment techniques, as well as why those techniques can be impactful in improving swallowing function. The articles delve deeply into past, current, and future treatment approaches for dysphagia and will be helpful for established clinicians as well as those who are new to the field of dysphagia assessment and treatment.
Dysphagia Management for Medically Complex Patients in Acute Care
Format(s): eWorkshop
Dysphagia may be caused by many underlying medical etiologies, and the hospital-based SLP must navigate a comprehensive world of medical diagnoses and be prepared to accurately evaluate and plan dysphagia treatment. This session presents a model for using medical chart review, online resources, swallow mechanism knowledge, and cultivated diagnostic and treatment skills to approach dysphagia in patients with any medical diagnosis.
Managing Dysphagia in Patients With COVID-19 in Acute Care and Beyond
Format(s): eWorkshop
The COVID-19 pandemic has impacted our patients in unusual ways. Patients with COVID-19 can present with a variety of symptoms: from loss of taste and smell, to fatigue, shortness of breath, and coughing. This session reviews current available evidence regarding best practices for dysphagia management for patients with COVID-19 in acute care and during their rehabilitation, including working through a case study.
Supporting People With Chronic Dysphagia
Format(s): eWorkshop
SLPs’ work with patients with complex medical conditions and their families, and the focus is often on the initial or acute stages of conditions that affect eating, drinking, and swallowing. This session addresses how SLPs can ensure best practice in the longer-term. The speaker addresses the importance of understanding how a patient’s dysphagia fits into the bigger medical and quality-of-life picture, backed by bioethical considerations and evidence. The session discusses how SLPs are not just one cog in a complex, interprofessional machine, but often the linchpin for optimal care of the patient and their family.
Evaluating Dysphagia Across the Life Span
Format(s): SIG Perspectives
The assemblage of articles presents clinicians with information on a variety of topics in dysphagia that can be utilized in practice. Laura L. Madhoun, Laura C. Merrell, Amanda Smith, Emily Snow, and Kristen M. Cherosky stress the importance of individualized and comprehensive feeding management for craniofacial anomalies through interdisciplinary collaboration. Lena G. Caesar and Meretu Kitila study clinicians’ perceptions and confidence with dysphagia service delivery. Aliaa Sabry, Amanda S. Mahoney, Shitong Mao, Yassin Khalifa, Ervin Sejdic, and James L. Coyle point out an objective way to assess laryngeal vestibule closure and opening at beside. Marie Jardine, Anna Miles, Jacqui Allen, and Rebecca Leonard give an interesting take of assessment of the aging swallow. Kelsey L. Thompson and Wanqing Zhang provide description and examples of mixed method research to comprehensively and holistically report of pediatric feeding disorders.
Practice Guidance for SLPs During the COVID-19 Pandemic
Format(s): Journal (Online)
Clinical practice for SLPs in health care settings has changed dramatically – and continues to evolve – due to the COVID-19 pandemic. This journal self-study highlights evidence-based best practices and considerations for clinicians providing care to patients with voice and upper airway disorders, tracheostomy, and head and neck cancer during the COVID-19 pandemic to maximize patient and clinician safety while ensuring efficacious care.
Guidelines for Dysphagia Management Using Telepractice (On Demand Webinar)
Format(s): On Demand Webinar
The use of telepractice for dysphagia management has increased dramatically due to the challenges of in-person practice during the COVID-19 pandemic. In this on demand webinar, the presenter will share step-by-step, evidence-based guidelines for the safe and reliable use of telehealth for dysphagia management in both pediatric and adult patients. The speaker will discuss legal safeguards, privacy and confidentiality considerations, technology infrastructure, clinician training and skills, facilitator training, and patient candidacy considerations. The webinar will include video case examples, problem-solving activities, and demonstrations of telepractice adaptations for clinical (bedside) swallowing evaluations and treatment sessions. During the webinar, the speaker will guide participants in the creation of a practical roadmap to implement telepractice with their patients with dysphagia.
Treatment Planning Following Instrumental Swallow Assessment
Format(s): On Demand Webinar
This course illustrates how SLPs can develop appropriate, evidence-based, and practical treatment plans for patients with dysphagia based on the results of instrumental swallow assessments. The speaker discusses case studies involving the use of various assessments, including videofluoroscopy, endoscopy, and high-resolution manometry.
Dysphagia Management in Schools: Addressing Evolving Challenges (SIG 13)
Format(s): On Demand Webinar
This course provides a framework to guide school-based SLPs who support child and adolescent feeding and swallowing needs during the COVID-19 pandemic. The presenters provide a foundation of best practices for school-based dysphagia management, review regulatory requirements and processes, discuss approaches to challenging service delivery scenarios, and share resources for continued professional development to strengthen this necessary, yet often less supported, area of practice. This course – part of the SIGnature Series – was developed by SIG 13: Swallowing and Swallowing Disorders (Dysphagia).
Updates in Advocacy & Billing for Dysphagia Management (SIG 13) (On Demand Webinar)
Format(s): On Demand Webinar
Due to the rapidly changing climate in dysphagia management, adhering to recent changes in billing and documentation standards and procedures can be challenging for SLPs. In this on demand webinar, speakers will identify common pitfalls and discuss strategies to meet expectations, so clinicians can avoid unethical decisions, prevent dings, and maximize local coverage for dysphagia reimbursement. The speakers will also illustrate how advocating for accurate representation in SLP billing and documentation supports clinician competency and patient outcomes. This webinar – part of the SIGnature Series – was developed by SIG 13: Swallowing and Swallowing Disorders (Dysphagia).
Cancer Management in Acute Care Settings
Format(s): eWorkshop
This session—a recorded session from ASHA’s 2020 Health Care Connect online conference—discusses cancer basics, treatment options, and their functional impacts as they relate to swallowing and cognitive-communication. The speakers discuss common referrals in acute care oncology settings and describe an algorithm for clinical decision-making.
Differentiating Typical Aging From Swallowing Dysfunction
Format(s): eWorkshop
This session—a recorded session from ASHA’s 2020 Health Care Connect online conference—explores typical variations in the adult swallow, with a specific focus on changes observed in older adults. The speaker discusses the influence of additional factors (e.g., medications, lab values) on swallowing function as well as shares MBSS videos/images.
Genetic Disorders and Swallowing: A Showcase of Pediatric Disorders
Format(s): eWorkshop
This session—a recorded session from ASHA’s 2020 Health Care Connect online conference—provides an overview of prevalent genetic disorders with an emphasis on pediatric feeding and swallowing complications. The speakers highlight currently available research and review best practices in assessment and intervention, including the use of videofluoroscopic swallow studies to underscore common swallowing deficits.
Harnessing the Power of the Cranial Nerve Exam During Your Swallow Assessment
Format(s): eWorkshop
This session—a recorded session from ASHA’s 2020 Health Care Connect online conference—explores the power of a comprehensive cranial nerve assessment as part of a swallow examination. The speaker discusses neuroanatomy and neurophysiology of the cranial nerves and shares a step-by-step procedure for performing a cranial nerve assessment, including identification of common abnormalities and how to document findings.
Role of the SLP in the ICU: Influencing Outcomes Across the Continuum of Care
Format(s): eWorkshop
This session—a recorded session from ASHA’s 2020 Health Care Connect online conference—examines the SLP’s role on patient-centered care teams in the ICU setting. The speaker discusses the SLP’s vital role in facilitating communication for patients who are intubated, and participants will have the opportunity to practice communicating with various techniques in different roles. The speaker also explores when to screen/assess swallowing post-extubation and how to reduce post-intensive care syndrome (PICS). The session also addresses the importance of communication regarding patient status and goals across the continuum of care, and how to provide bundled patient-centered care using a team approach.
Management of Pediatric Aerodigestive Disorders (On Demand Webinar)
Format(s): On Demand Webinar
This webinar explores various aspects of working with pediatric patients with complex aerodigestive disorders. Speaker Kara Fletcher Larson discusses the developmental progression to oral feeding, implementing safe feeding plans, weaning from gastrostomy tube feedings, and working within a multidisciplinary team.
Aspiration Pneumonia Prevention: The Importance of Oral Care
Format(s): eWorkshop
This course focuses on emerging research and changing practices in the management of dysphagia as it relates to aspiration pneumonia prevention and oral care. The presenters review the contribution of oral biofilms to bacterial aspiration pneumonia and systemic health, and discuss the genesis and treatments for aspiration pneumonia. The course describes the national VA deployment of a pneumonia prevention initiative and provides practical instruction in the development of an oral care program participants can use to implement a program in their own facility.
Physiologic Changes and Interactions with Disease in Older Adults
Format(s): eWorkshop
Aging produces predictable and specific changes to the human respiratory and digestive systems and predisposes older people to more severe effects of—and more protracted limitations secondary to—diseases and surgical procedures. This session provides much-needed, clinically translatable information about aging-related respiratory and digestive system changes and how they affect swallowing diagnosis and treatment. The session also reviews the systemic inflammatory response syndrome (sepsis) as a model of an atypical dysphagia-producing illness. This course is a recorded session from the 2017 online conference “Dysphagia in Older Adults.”
Swallowing, Cognition, and Dignity: A Clinical Pathway for Dysphagia Management in Persons With Dementia
Format(s): eWorkshop
This session identifies challenges associated with assessing patients with the dual diagnosis of dysphagia and dementia and describes how clinicians can be empowered to use a comprehensive, systematic clinical pathway to create an intervention plan that preserves safety, nutrition, hydration, and quality of life. This course is a recorded session from the 2017 online conference “Dysphagia in Older Adults.”
Understanding Picky Eating: Getting Past the "Ick, I Don't Want That" (On Demand Webinar)
Format(s): On Demand Webinar
This on demand webinar examines the continuum of picky eating and explores reasons why children become “picky” across several developmental domains. The speaker focuses on the oral motor and sensory skills necessary for transitioning from liquids to puree, meltable, and eventually textured table foods within the first year of life. The webinar presents strategies to enable SLPs to identify and treat skill deficits and ultimately decrease the likelihood of a child being labelled as having a “behavioral feeding disorder.”
Current Issues in Dysphagia Management
Format(s): Journal (Online)
This journal self-study emphasizes clinical decision-making in swallowing and dysphagia management. The articles focus on using data to make clinical decisions, finding noninvasive ways to screen healthy adults, and patient-reported side effects and tolerability of a specific assessment technique.
Impact of Impaired Anatomy and Physiology on Treatment of Dysphagia in Adults
Format(s): eWorkshop
This course examines the impacts of impaired anatomy and physiology on swallowing safety and efficiency in adults. The course is designed to aid clinicians in managing the evaluation and treatment of adults with oropharyngeal dysphagia. The speaker discusses the functions of specific structures, spaces, and muscles related to swallowing as well as the relationship between esophageal and oropharyngeal signs and symptoms.
Diet Texture Modifications for Adults With Dysphagia: Improving Swallow Safety and Quality of Life (On Demand Webinar)
Format(s): On Demand Webinar
This webinar explores texture modifications for foods and liquids and their effects on swallow biomechanics and quality of life for adults with dysphagia. Using clinical scenarios and case studies, presenter Luis Riquelme discusses working with patients to achieve the optimal diet texture modifications to maximize outcomes, including patient compliance and satisfaction.
Using Exercise-Based Treatments in Dysphagia Intervention
Format(s): Streaming Video
This video course will focus on using evidence-based exercise practices in swallowing rehabilitation. The speaker will discuss the theoretical background and evidence for exercise science and then present exercise-based techniques that SLPs can implement with patients. Specific topics will include motor learning, skill vs. strength training, and muscle structure and function. Specific exercises will be discussed, including isometric lingual strength training, expiratory muscle strength training, chin tuck against resistance, Lee Silverman Voice Treatment, and more.
Getting Started With FEES for Swallowing Evaluations (On Demand Webinar)
Format(s): On Demand Webinar
This webinar will walk SLPs through the procedures used in flexible endoscopic evaluation of swallowing (FEES; also known as fiberoptic endoscopic evaluation of swallowing) to evaluate patients with dysphagia. The course will provide a thorough explanation of the laryngeal and pharyngeal anatomy that can be viewed using FEES and guide attendees through exam interpretation.
Assessment and Treatment of Dysphagia in Older Adults
Format(s): eWorkshop
This course includes five recorded sessions from the 2017 online conference “Dysphagia in Older Adults.” These sessions focus on assessment and treatment strategies to optimize outcomes for older adults with dysphagia. The conference included a total of 13 sessions, with the broad goal of giving clinicians new, evidence-based strategies for improving overall quality of life for older adults.
Nutrition and Counseling Considerations for Older Adults With Dysphagia
Format(s): eWorkshop
This course includes four recorded sessions from the 2017 online conference “Dysphagia in Older Adults.” These sessions include points to keep in mind when counseling older adults with dysphagia and their families or caregivers about nutrition, diet, and other topics. The conference included a total of 13 sessions, with the broad goal of giving clinicians new, evidence-based strategies for improving overall quality of life for older adults.
Oral Hygiene in Older Adults: Assessment, Care, and Complications
Format(s): eWorkshop
Inadequate oral hygiene practices can contribute to or result in severe localized and systemic illnesses, significantly altering the health status and well-being of older adults. Care providers must recognize symptoms, conditions, and their potential consequences and elevate routine oral hygiene care to oral infection control programs. This session from the 2017 online conference “Dysphagia in Older Adults” identifies possible oral hygiene complications—from oral pain to pneumonia—and discusses how to recognize and assess them. Speaker John Ashford also addresses the importance of standardized intervention.
Theoretical Basis of Exercise and Treatment of Dysphagia
Format(s): eWorkshop
In order to select the appropriate treatment techniques for oral and pharyngeal dysphagia in adults, clinicians need to understand the physiology of swallowing. This introductory course discusses the principles of neuroplasticity and motor learning as they relate to the effects of injury to the central nervous system and the potential results of swallowing intervention. The presenter discusses examples of neuromuscular treatment for pharyngeal dysphagia and gives tips on analyzing evidence and applying a theory-driven approach.
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Pediatric Feeding Assessments and Interventions
Format(s): On Demand Webinar
This course focuses on managing feeding difficulties in young children ages 1-6 years. The presenter discusses and demonstrates assessment tools as well as intervention approaches, highlighting evidence-based techniques.
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Reading and Interpreting Videofluoroscopic Studies: A Tutorial
Format(s): Streaming Video
An information-rich videofluoroscopic assessment can help clinicians determine which components of the complex oropharyngeal swallow need to be targeted for intervention. Visualizing all of the elements that contribute to a well-integrated or disordered swallow mechanism requires an ordered and disciplined review. This video course demonstrates methods to enhance clinicians' ability to perform a videofluoroscopic assessment and discern the discrete elements of the oropharyngeal swallow. Participants can practice determining the integrity or disorder of the swallow mechanism by viewing and interpreting case study video.
Feeding Tubes in Adults With Advanced Illness: Use, Overuse, and the SLP’s Role
Format(s): On Demand Webinar
Studies on feeding tubes in individuals with advanced illness have raised doubts about the long-term benefit and potential overuse of feeding tubes. SLPs are often asked to offer recommendations about a person’s ability to eat and drink by mouth but may be concerned that restrictions on oral intake could lead to the use of feeding tubes. The boundaries of professional roles are often blurred, further complicating the issue. This course addresses the clinical research surrounding the use of feeding tubes, offers evidence-based practice guidelines, and provides solutions to the challenges facing SLPs with regards to feeding tube overuse.

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