Dysphagia Therapy: The New Generation

The new world of dysphagia therapy will have to yield greater results and shorter treatment times. Gone is the old treatment philosophy focused on compensatory strategies and downgrading of diets. The dysphagia therapist must learn to see the direct links between anatomy, physiology, kinesiology, and grading therapy up to challenging levels. This course will review the process of the swallow from anticipatory phase through esophageal, including muscle function and nerve innervation. A thorough chart review and medication history is critical to identify key information prior to a swallow screen and bedside eval. Sensory changes due to aging and disease processes impacting the patient's nutrition and diet selection will be discussed. Current research will be presented regarding stroke, Parkinson's Disease, ALS, MS, Head/Neck cancer and other disease processes resulting in dysphagia - what can we expect in each phase of swallow and how it relates to our therapy program. MBS and FEES clips of dysfunctional swallows will be reviewed and reports critiqued. Diet modification/selection, compensatory strategies and exercises are combined to provide optimum nutrition and hydration as well as muscle re-education to increase the effectiveness of the swallow. Documentation of patient, staff, and family education and therapy notes will be critiqued for content and skilled therapy documentation.

ATTENDANCE:

  1. Attend as part of the LIVE STUDIO AUDIENCE in Gulf Breeze, Florida - Studio audience seats are limited - so register today!
  2. Attend via LIVE STREAM from anywhere around the world. Live stream participants will login to access the event from their computer.

NOTE:

COMPLETION REQUIREMENTS:

CEUs:

.

Course Objectives

Upon successful completion of this course, participants will be able to:

Course Instructor(s)


Denise Dougherty

MA, CCC-SLP

Denise Dougherty, MA, CCC-SLP
Denise owns and operates a private practice in Indiana, PA, where she conducts therapy with both children and adults. She is a legal consultant/expert witness in wrongful death/negligence lawsuits involving dysphagia. Denise is a co-editor of Private Practice Essentials: A Practical Guide for Speech-Language Pathologists, published by ASHA Press. She has presented workshops and written numerous articles appearing in the ASHA Leader on the topic of private practice. Denise served as a consultant for The Arijah Children’s Foundation in Anguilla, BWI, providing evaluations and therapy programs for special needs children. Ms. Dougherty was an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is a past President of the American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), and received the Academy’s 2007 Honor Award and 2014 Award of Excellence for her achievements. Ms. Dougherty is a member of the Technical Experts Panel for Quality of Insights of Pennsylvania, working on initiating quality measures for CMS to improve effectiveness, efficiency, economy and quality of services delivered to Medicare beneficiaries. She received her bachelor’s degree in communication disorders from Marywood University in Scranton, Pennsylvania; a master’s degree in communication disorders from St. Louis University. Ms. Dougherty is certified in VitalStim® therapy and is a VitalStim® instructor, has completed additional training in orofacial myology, is a member of the American Speech, Language and Hearing Association, is a consultant for DOJ and has received numerous ASHA ACE Awards. For more information, please visit www.dldspeechpath.com.

Financial Disclosure Denise receives honoraria from CIAO for the presentation of her live courses and royalties for the sale of her online courses. Denise is in private practice and receives legal consultant/expert witness fees
Non-Financial Disclosure: There are no non-financial relationships to disclose.

Course Agenda

Day 1

08:00 - 10:00
Review of the normal swallow system and swallowing anatomy and physiology
10:00 - 10:15
Break
10:15 - 11:00
Swallow Timing and Coordination
11:00 - 12:00
Impact of Sensory Changes from Aging and Disease Processes
12:00 - 12:30
Lunch (on own)
12:30 - 02:45
Effective Assessment and Report Critique
02:45 - 03:00
Break
03:00 - 03:30
Effective Assessment and Report critique - continued
03:30 - 04:00
Diet and Liquid Modifications and Research
04:00 - 04:30
Need for Instrumental Assessments – Which Ones and Why
04:30 - 05:00
Q&A

Day 2

08:00 - 08:30
Review of Instrumental Assessments – What each reveal about the swallow
08:30 - 10:00
MBS and FEES Clips
10:00 - 10:15
Break
10:15 - 10:45
Importance of Report – MBS Imp and PA Scale Score
10:45 - 11:30
Putting it All Together
11:30 - 12:00
Lunch (on own)
12:00 - 12:30
What isn’t working, goals and review of documentation
12:30 - 02:30
Therapy interventions to address dysfunctions and research
02:30 - 03:00
Q & A

Contact hours pre-approved for:

  • 14.0 CE Hours
  • CIAO is an ASHA Approved Provider (1.4 ASHA CEUs) Bubblesheet required
  • CIAO is an AOTA Approved Provider (1.4 AOTA CEUs)
  • This course meets PDU requirements for NBCOT (14 PDUs)
  • CIAO is an Approved Provider for the Florida Board of Occupational Therapy
  • Pre-Approved for:
  • 14.0 Hrs. by the CA Board of OT for Advanced Practice (Swallowing): #25-S21
  • 16.5 Hrs for OT/COTAs in FL (CE Broker #20-610035)
  • 14 Hours Registered with CEBroker for OT/COTAs in AL, AZ, GA, LA, MS, SC, TN

Course meets requirements for:

  • AOTA Classification Codes: OT Process: Intervention

    • The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


    Intermediate Level
    1.4 ASHA CEUs


    CIAO Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants. Florida SLPs can either use the ASHA CE Participant Form (Bubble Sheet) or self-submit through CE Broker.


    CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)