Online Adult Dysphagia – Basic and/or Intermediate – DAY ONE

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.