What You’ll Uncover in Angela Mansolillo Respiratory, Digestion and Swallowing Best Practices in Dysphagia Management
- School:
- Angela Mansolillo
- Period:
- 6 Hours 10 Minutes
- Format:
- Audio and Video
- Copyright:
- Jul 17, 2020
Description
What’s the most secure weight-reduction plan? Is he aspirating? Can she swallow these tablets? He hates the pureed meals – what else can we do? She’s refusing the thick liquids! Is he going to get pneumonia? Does he want a feeding tube?
These are points that we face daily in our work with kids and adults with dysphagia. How can we maintain our purchasers secure, whereas ensuring they’re properly hydrated and properly nourished, and normalize consuming as a lot as potential?
Generally, it’s about extra than simply swallowing.
This course will look at the inter-relationships between respiration, gastrointestinal operate, and swallowing to permit clinicians to raised determine the underlying causes of their shopper’s swallowing difficulties. We’ll take a look at particular respiratory and GI diagnoses and their influence on what, when, how a lot, and how safely our purchasers eat. Utilizing scientific case research, we’ll look at the proof to give you the instruments you must carry out a radical evaluation and implement a complete remedy plan that takes into consideration the entire potential contributing elements. ​
Handouts
| Guide – Respiratory, Digestion & Swallowing (4 MB) | 185 Pages | Obtainable after Buy |
Define
RESPIRATORY SYSTEMS: Respiratory/swallowing coordination
- Overview of methods – anatomy/physiology
- Respiratory/Swallow coordination
- Coordination and aspiration
- Airway protecting mechanisms
- Reflexive cough
GASTROESOPHAGEAL SYSTEMS: The influence on feeding and swallowing
- Esophageal operate
- Digestive capabilities
- Reflux mechanisms
- When does GER change into GERD?
- GERD indicators and signs
- GERD and feeding/swallowing difficulties
- Esophageal/Pharyngeal inter-relationships
GI/RESPIRATORY RELATIONSHIPS: What’s the connection?
- Stress, power, and innervation
- Additional-esophageal reflux
ASPIRATION: How a lot is an excessive amount of?
- Pulmonary Clearance Mechanisms
- Predictors of pneumonia in numerous populations
RESPIRATORY DISEASE PROCESSES: The influence on feeding/swallowing
- Pediatric:
- Toddler Respiratory Misery Syndrome (IRDS)
- Bronchopulmonary Dysplasia (BPD)
- Respiratory Synctial Virus (RSV)
- Congenital Coronary heart defects
- Grownup:
- Obstructive Sleep Apnea (OSA) and dysphagia
- Congestive Coronary heart Failure (CHF)
- Obstructive Circumstances
- Restrictive Circumstances
PNEUMONIAS: It’s not all aspiration
- Pneumonia vs Pneumonitis
- Neighborhood Acquired Pneumonia
- Healthcare Acquired Pneumonia
- Aspiration Pneumonia
AIRWAY MANAGEMENT: What’s the influence on swallowing?
- Non-invasive constructive stress air flow
- Excessive circulate nasal cannula
- Intubation
- Tracheostomies
ASPIRATION ASSESSMENT: Scientific Evaluation – Making the Most of your Bedside Eval
- Cognitive evaluation
- Pitch elevation
- Serial swallows
- Oral mechanism
- Respiratory elements
- Cough
- Respiratory muscle energy
- 3 oz water checks
- Understanding lab values
- Pulse Oximetry
Instrumental evaluation – Which sort and when?
- Modified Barium Swallow research
- Fiberoptic Endoscopic Analysis of Swallowing
ASPIRATION MANAGEMENT: Food plan modifications – Not such a benign intervention
- Implications of dietary adjustments
- Compliance points
- Thick liquids – execs and cons
- Water protocols
Methods and Workout routines – What does the proof inform us?
- Compensation
- Sensory interventions
- Rules of train physiology
- Lingual strengthening
- Pharyngeal strengthening
- Expiratory muscle energy coaching
REFLUX ASSESSMENT: What do these checks inform me?
- Higher GI research
- Ph Monitoring
- Esophagoscopy
- Scintigraphy
REFLUX MANAGEMENT: What’s the dysphagia clinician to do?
- Way of life modifications
- Positioning
- Food plan modifications
- Medicines
- Results of acid suppression
- Surgical interventions
- New instructions in reflux administration
School
Angela Mansolillo, MA/CCC-SLP, BCS-S Associated seminars and merchandise: 10
ANGELA MANSOLILLO, MA/CCC-SLP, BCS-S, is a Speech-Language Pathologist and Board-Licensed Specialist in Swallowing Problems with greater than 30 years of expertise. She is presently a senior Speech-Language Pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts the place she offers analysis and remedy providers for adults and kids with dysphagia and is concerned in program planning and growth for inpatient and outpatient programming together with high quality enchancment initiatives, affected person schooling, and scientific insurance policies and protocols. As well as, she is an adjunct college member at Elms Faculty Division of Communication Sciences and Problems in Chicopee, Massachusetts. Over the course of her profession, she has labored in quite a lot of scientific settings, offered quite a few regional and nationwide displays, and lectured at a number of faculties and universities all through Massachusetts. Angela is a sought-after speaker for each reside and on-line persevering with schooling programs as she seamlessly blends present analysis with scientific expertise. She is a latest recipient of the Massachusetts Speech and Listening to Affiliation’s Award for Scientific Excellence.
Speaker Disclosures:
Monetary: Angela Mansolillo has an employment relationship with Cooley Dickinson Hospital. She receives a talking honorarium from PESI, Inc.
Non-monetary: Angela Mansolillo is board licensed specialist, Swallowing and Swallowing Problems of the American-Speech-Language-Listening to Affiliation.Â
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