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Clinical Assessment of Swallowing, Part 3 - Putting it All Together

presented by Angela Mansolillo, MA/CCC-SLP, BCS-S

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Disclosure Statement:

Financial: Angela Mansolillo receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Angela Mansolillo has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
Once the clinical swallow evaluation has been completed, a clinician is sometimes left with a number of questions to answer regarding how to best manage an individual’s dysphagia. Commonly recommended strategies include diet modifications, non-oral feeding, exercise, and compensations. The individual’s underlying medical issues often complicate the path forward, and the “safest” option is not always clear. This course will assist the clinician in making post-evaluation recommendations through discussion of the risks and benefits of specific interventions, including the use of thickened liquids and non-oral feeding. A review of the evidence to assist clinicians in determining if their patient is in need of instrumental assessment, or is a candidate for exercise or compensations will be provided. Decision-making at end of life will also be discussed.

Meet Your Instructor

Angela Mansolillo, MA/CCC-SLP, BCS-S

Angela Mansolillo, MA/CCC-SLP, BCS-S, is a speech-language pathologist and board-certified specialist in swallowing disorders with more than 25 years of experience. She is currently 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…

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Chapters & Learning Objectives

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1. Thickened Liquids and Diet Modifications

The participant will discuss the risks and benefits of use of thickened liquids in dysphagia management, identify two to three characteristics of patients who would be good candidates for a water protocol, and determine candidacy for non-oral feeding in a patient with dysphagia.

2. Instrumental Assessment, Medical Administration, and the Effectiveness of Exercise

The participant will differentiate between endoscopic and fluoroscopic instrumental assessment functions in assessment of pharyngeal swallow components, discuss medication formulations and their impact on swallowing, and identify characteristics of an effective exercise program.

3. Palliative Care and End of Life Issues

The participant will discuss the role of the SLP in management of the end of life patient, and discuss the effectiveness of non-oral feeding in the end of life patient and identify alternative means of addressing feeding and comfort.

4. Case Studies

Demonstrate principles and techniques from lecture with two real world case studies.

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