
Online Adult Dysphagia – Basic and/or Intermediate – DAY ONE
May 28 @ 9:00 am - 5:00 pm
$150 – $400
May 28 and 29, 2021 Attend One or Both Days! 9:00 am to 5:00 pm MST
Day 1 – The Swallowing System: Back to the Basics
To be able to accurately assess and develop a treatment plan for dysphagia, it is of the utmost importance to understand the system, including the muscles, central nervous system and cranial nerves. The ability to understand the neuro-anatomy and physiology of a normal swallow will enable clinicians to more accurately complete their assessment, diagnosis and treatment of dysphagia. Understanding the normal swallow, variations of normal and disordered swallows is key for all members involved in the dysphagia plan of care. Understanding compensations, maneuvers, strategies and when to request instrumental assessments is a large part of our daily job.
Outline
Cortical Control of the Swallow
- Terminology
- Central Nervous System
- Peripheral Nervous System
- Upper Motor Neurons
- Lower Motor Neurons
- Reticular Formation/Necleus Tractus Solitarius
- Sensory
- Nucleus Ambiguus
- Central Pattern Generator
- Triggering the Pharyngeal Swallow
Neuroanatomy of the Swallow
- Muscles of the Swallow
- Physiology and Kinematics Related to Swallowing
- Cranial Nerves
Disease Processes Related to Swallowing
Respiration and Swallowing
Neuroplasticity
Compensatory Strategies
Maneuvers
DAY 2 – Practical Evidence-Based Strategies for Dysphagia Assessment and Management
Assessment of dysphagia is not standardized but that doesn’t mean you can’t standardize your evaluation. Learn to enhance your assessment skills using evidence-based assessment strategies and tips for a more complete chart review. After review of assessment techniques, learn treatment strategies that are evidence based, effective and won’t break your budget. Learn to utilize assessment and treatment strategies across a continuum of settings including skilled nursing facility, outpatient, hospital or in the home health field.
Co-presenter, Jayme Inkpen, will also share information from an Alberta perspective for occupational therapists:
- Scope of practice
- OT approach to bedside assessments – cognition, seating and positioning, adaptive equipment
- Working as part of a dysphagia team
- Special considerations and evolving research on post-Covid patients, extubation
Outline
What is a Swallowing Assessment?
Clinical Evaluation vs. Instrumental Assessment
Normal Swallow
Presbyphagia
Esophageal Considerations
Apps
Assessment Myths/Considerations
The Clinical Assessment
- Chart Review
- Lab Reviews
- Medication
- Components of the Clinical Dysphagia Assessment
- Clinical Dysphagia Evaluation
- Oral Care
Aspiration
Cognition
Cranial Nerves
Peak Flow
Outcome Measures
Lingual Range of Motion
EAT 10
FOIS
MASA
Penetration/Aspiration Scale
Yale Swallowing Protocol
Eisenhuber
Yale Pharyngeal Residue Severity Rating Scale
Instrumental Assessment
MBSS/VFSS
FEES
Driving Your Therapeutic Decision Making
- Goals of Therapy
- Compliance Issues
Neuroplasticity
Thickened Liquids
Free Water
Sensory Components of the Swallow
Exercises
- Principles
- Muscle Types
Online Resources
Demonstration Supplies – if you wish to participate in the food demonstrations please have the supplies on this list available in front of you. Download the Supply List
Who should attend?
Occupational therapists and students, speech language pathologists and students, radiology students, dietitians.
About the Presenter
Tiffani L. Wallace, MA, CCC-SLP, BCS-S, LSVT Certified Clinician, MBSImP Registered Clinician, has been assessing and treating patients of all ages with dysphagia. She has held her Board Certified Specialty in Swallowing and Swallowing Disorders (BCS-S) for 5 years. She is certified in Vitalism, Deep Pharyngeal Neuromuscular Stimulation (DPNS), McNeill Dysphagia Therapy Program (MDTP), LSVT Loud and is a Modified Barium Impairment Profile Registered Clinician (MBSImP). Tiffani currently works home health assessing and treating adults with dysphagia, cognitive impairment and various speech deficits. She also works PRN in an acute care hospital assessing inpatients and completing Modified Barium Swallow Studies. She has learned how to work on a limited budget to provide the best, evidence-based treatment for her patients.
Tiffani writes a blog, Dysphagia Ramblings (www.dysphagiaramblings.com), about various aspects of swallowing and swallowing disorders. She is very involved in social media and is on the public relations/social media committees for American Board of Swallowing and Swallowing Disorders and for the Indiana Speech and Hearing Association (ISHA). Tiffani has started 3 dysphagia groups on Facebook: Dysphagia Therapy Group, Dysphagia Therapy Group Professional Edition and Dysphagia Support. Tiffani is also an active SLPeep on Twitter. You can follow her @apujo5 or @dysphagiarmblng.
Co-presenter, Jayme Inkpen, BSc, MSc OT(c)
Jayme has been a dysphagia therapist for 16 years. She currently works in acute care at Sturgeon Hospital in St. Alberta, Alberta. Jayme also teaches occupational therapy and inter-departmental/communication courses at Norquest college in the interdisciplinary therapy assistant program. She is a busy mother of two.
Certificates of attendance will be issued to all participants.