Angela Mansolillo – Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management
Angela Mansolillo – Breathing, Digestion and Swallowing: Best Practices in Dysphagia Management
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Description
- Faculty:
- Angela Mansolillo
- Duration:
- 6 Hours 10 Minutes
- Format:
- Audio and Video
- Copyright:
- Jul 17, 2020
Description
Outline
Respiratory systems include breathing/swallowing coordination.
- Overview of systems – anatomy/physiology
- Breathing/Swallow coordination
- Coordination and aspiration
- Airway protective mechanisms
- Reflexive cough
There is an impact on feeding and swallowing.
- Esophageal function
- Digestive functions
- Reflux mechanisms
- When does GER become GERD?
- GERD signs and symptoms
- GERD and feeding/swallowing difficulties
- Esophageal/Pharyngeal inter-relationships
What is the connection between GI/RESPIRATORY RELATIONSHIPS?
- Pressure, energy, and innervation
- Extra-esophageal reflux
How much is too much?
- Pulmonary Clearance Mechanisms
- Predictors of pneumonia in various populations
The impact on feeding/swallowing is related to respiratory disease processes.
- Pediatric:
- Infant Respiratory Distress Syndrome (IRDS)
- Bronchopulmonary Dysplasia (BPD)
- Respiratory Synctial Virus (RSV)
- Congenital Heart defects
- Adult:
- Obstructive Sleep Apnea (OSA) and dysphagia
- Congestive Heart Failure (CHF)
- Obstructive Conditions
- Restrictive Conditions
It is not all aspiration.
- Pneumonia vs Pneumonitis
- Community Acquired Pneumonia
- Healthcare Acquired Pneumonia
- Aspiration Pneumonia
What is the impact on swallowing?
- Non-invasive positive pressure ventilation
- High flow nasal cannula
- Intubation
- Tracheostomies
Clinical assessment is used to make the most of your hospital stay.
- Cognitive assessment
- Pitch elevation
- Serial swallows
- Oral mechanism
- Respiratory factors
- Cough
- Respiratory muscle strength
- 3 oz water tests
- Understanding lab values
- Pulse Oximetry
Which type and when is instrumental assessment?
- Modified Barium Swallow studies
- Fiberoptic Endoscopic Evaluation of Swallowing
Diet modifications are not a benign intervention.
- Implications of dietary changes
- Compliance issues
- Thick liquids – pros and cons
- Water protocols
What does the evidence tell us?
- Compensation
- Sensory interventions
- Principles of exercise physiology
- Lingual strengthening
- Pharyngeal strengthening
- Expiratory muscle strength training
What do these tests tell me?
- Upper GI studies
- Ph Monitoring
- Esophagoscopy
- Scintigraphy
What is the dysphagia clinician to do?
- Lifestyle modifications
- Positioning
- Diet modifications
- Medications
- Effects of acid suppression
- Surgical interventions
- New directions in reflux management
Faculty
Angela Mansolillo, MA/CCC-SLP, BCS-S Related seminars and products: 10
-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873-8873 With more than 30 years of experience, she is a Speech-Language Pathologist and Board-Certified Specialist in Swallowing Disorders. She is a senior Speech-Language Pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts, where she provides evaluation and treatment services for adults and children with dysphagia and is involved in program planning and development for inpatient and outpatient programming including quality improvement initiatives, patient education, and clinical policies and protocols. She is an instructor in the Department of Communication Sciences and Disorders at Elms College. She has lectured at several colleges and universities throughout Massachusetts and worked in a variety of clinical settings. As a sought-after speaker for both live and online continuing education courses, she blends current research with clinical experience. She received the award for clinical excellence from the Massachusetts Speech and Hearing Association.
Speaker disclosures.
Mansolillo has an employment relationship with the hospital. She is paid by PESI, Inc.
The American-Speech-Language-Hearing Association has a board certified specialist in Swallowing and Swallowing Disorders.
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