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This online speech therapy CEU course is offered for 1.2 ASHA CEUs.

Course Format: Downloadable handout that follows along with the seminar video & audio files (which can be listened to online or downloaded as mp3 files).

 

                                                        This eCourse was originally recorded in front of a                                            live audience in Pittsburgh, PA in October 2011.

 

Topics include exercise, water protocols, electrical stimulation, counseling techniques, esophageal considerations, spaced retrieval technique, environmental adaptations, & interventions for respiratory disorders.

Ethical practice in dysphagia requires speech-language pathologists to select interventions that are evidence-based. Clinical research in dysphagia has demonstrated the effectiveness of postures (head rotation), maneuvers (effortful swallow), sensory stimulation (thermal-tactile stim), and exercise (Shaker exercise). Unfortunately, not all patients are candidates for these evidence-based interventions: cognitively challenged patients cannot follow directions required to perform postures and maneuvers; patients with moderate to severe arthritis may not be able to engage in exercise. Additional circumstances may prevent evidence-based practice from being implemented: esophageal disorders mask pharyngeal disorders making interventions for supposed pharyngeal disorders ineffective; depression related to loss of swallow function can make a patient unable to cooperate in treatment; thickening liquids may cause dehydration.

This clinically focused seminar reviews cases in which current evidence-based practice is enough and when it isn't enough to address a person's dysphagia, and suggests other evidence-based interventions that can contribute to a more comprehensive intervention approach. These additional interventions will include the benefits of electrical stimulation, effects of lung volume and subglottic air pressure on swallow function, appropriate use of water protocols, strategies to successfully manage persons with dementia, and counseling techniques to address negative emotions and attitudes that block successful treatment outcomes. Participants will leave this seminar better prepared to manage the complexities associated with dysphagia.

 

(Dr. Lazarus)

*When Exercise Programs are Appropriate for Persons with Dysphagia: Diagnostic Groups Examined

(Dr. Lazarus)

*Using Maneuvers and Positioning Strategies in the Current Healthcare Environment: Who Can Benefit? And Which Patients Benefit from Sensory Therapy? 

 

(Dr. Humbert) 

*Electrical Stimulation: Finally, Something Good To Say About Using It!   

(Dr. Arnold)

*Rational Emotive Therapy Techniques To Address Psychological Barriers To Successful Swallowing Therapy: Patient Disappointment and Depression Related to Changes in Swallowing Behavior  

 

 (Ms. Brush)

*Special Considerations for Persons with Cognitive Loss: Memory Strategies and Environmental Adaptations

 

(Ms. Panther)

*Water Protocols: Rationale and Patient Selection Criteria 

 

(Dr. Arnold)

*Esophageal Conditions Relevant To Dysphagia Practice 

 

(Dr. Diez Gross)

*Interventions for Respiratory Disorders: Effects of Lung Volume and Subglottic Air Pressure on Swallow Function, Including Clients with COPD and Trachs/Vents  

Course Objectives

1. State a treatment appropriate for a patient with head and neck cancer.

2. Discuss a sensory intervention appropriate for a delayed pharyngeal swallow.

3. Discuss a swallowing maneuver that can be used to improve airway closure.

4. Explain when it is appropriate to use the Shaker Exercise.

5. Employ the basic principles of Rational Emotive Counseling with persons who have dysphagia.

6. Explain how using electrical stimulation can improve swallow function.

7. State the effects of lung volume and subglottic air pressure on swallow function in persons with COPD.

8. Identify and discuss patients who can benefit from water protocols.

9. State an esophageal disorder that can present as a false positive pharyngeal disorder.

10. Explain an appropriate intervention for a person with dementia who suffered a stroke and now has a delayed swallow.

Author Profile

Jennifer A. Brush, M.A., CCC-SLP, is an internationally published researcher, educator, and long-term care consultant currently in practice in Northeast Ohio. Ms. Brush specializes in geriatric care, rehabilitation programming, and interdisciplinary activity development for dementia. As a sought after speaker, she offers interactive and educational presentations that help audiences to bridge the gap between current research findings and the care needs of their clients and communities. Ms. Brush has first hand applied research experience as she has served as the Principal Investigator on both government and private foundation grants. She is the co-author of A Therapy Technique for Improving Memory: Spaced Retrieval, and Time Well Spent with the Older Adult. She is the editor of IDEAS for a Better Visit, as well as the author of numerous articles related to cognitive disorders, memory loss, and dementia.

Cathy L. Lazarus, PhD, CCC-SLP, BRS-S, is one of the premier researchers in the field of Speech-Language Pathology. She has conducted research and lectured internationally for over 20 years on swallowing disorders in the head & neck cancer population. Dr. Lazarus is the Director of Research for the Thyroid Head & Neck Research Center at Beth Israel Medical Center in New York City, and also an Associate Professor at New York University, Department of Communication Sciences and Disorders.  She is an ASHA Fellow.

Roxann Diez Gross, PhD, CCC-SLP, is a leading expert, accomplished researcher, and frequently invited international lecturer on tracheostomy-dependent patients. Prior to becoming the Research Manager at The Children's Institute, she was the Director of the Swallowing Disorders Center at the University of Pittsburgh Medical Center as well as an Assistant Professor of Otolaryngology in the School of Medicine. She is now an adjunct assistant professor in the Department of Communication Science and Disorders at the University of Pittsburgh. She has published several scientific papers and clinical book chapters. Her primary area of research examines interactions between breathing and swallowing in individuals with indwelling tracheostomy tubes, neurologic impairments and respiratory disease.

Kathy Panther, MS, CCC-SLP, is the Inpatient Rehab Director at Frazier Rehab Institute in Louisville, Kentucky. She is also Director of Frazier's Brain Injury and Stroke Rehab Programs. She has over 25 years experience working as a clinician in the medical setting. Kathy was one of the first SLPs in the United States to develop and implement a Free Water Protocol (The Frazier Water Protocol).  Since 1984 she has successfully managed thousands of dysphagia patients on free water. For the past 20 years Kathy has been educating healthcare professionals on implementing free water protocols at hospitals, rehab centers and long-term care facilities.

Ianessa A. Humbert, PhD, CCC-SLP, is an Assistant Professor in the Department of Physical Medicine and Rehabilitation at Johns Hopkins University in Baltimore, MD. She is an accomplished researcher, having studied the effects of electrical stimulation on hyo-laryngeal movement in healthy and dysphagic adults. Dr. Humbert's current research focuses on swallowing neurophysiology and on Alzheimer’s disease.

Robert J. Arnold, SLP.D, CCC-SLP, is the Chief Clinical Officer for Southeastern Biocommunication Associates, LLC. Dr. Arnold has over 20 years of experience in medical speech-language pathology as a diagnostician, therapist, clinical research scientist, author, inventor, and adjunct professor. He has made numerous presentations at the state, regional, and national level. Dr. Arnold has been twice presented with the Distinguished Clinical Achievement Award by the Speech and Hearing Association of Alabama and he is a Board Recognized Specialist in Swallowing and Swallowing Disorders. In addition, Dr. Arnold is the inventor of the Oromotor Dynamometer.     

Location & Lodging

 

Intended Audience

• SLP

Accreditation