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The Essentials: Dysphagia and CVA

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.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 35 Minutes, Learning Assessments: 12 Minutes

Dysphagia is a symptom, not a disease unto itself. Difficulty swallowing can be a symptom of a wide variety of medical diagnoses. The underlying diagnosis is a critical factor to consider when developing a treatment approach. Dysphagia clinicians must guard against a "one-size-fits-all" approach and instead develop an understanding of the causative factors and pathophysiology of swallowing disorders in each disease process.

This course will discuss dysphagia in the setting of cerebrovascular accident (CVA), or stroke. The characteristics of dysphagia in stroke will be reviewed in light of stroke type and location. Specific considerations for assessment of patients with stroke will be reviewed, including the importance of swallow screening in this population. The evidence base for treatment strategies specific to stroke will be provided, with a focus on exercise and sensory enhancements, in addition to compensatory strategies and diet modification. Participants will be provided with an opportunity for problem-solving through case review.

This course is appropriate for dysphagia clinicians working in medical settings, including acute care, outpatient rehabilitation, inpatient rehabilitation, and long-term care.

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. CVA: What the Dysphagia Clinician Needs to Know

This chapter will provide an overview of stroke for the dysphagia clinician. Stroke type and location, as well as stroke sequalae, will be discussed to provide the clinician with an understanding of the relationship between swallowing and stroke.

2. Dysphagia and Stroke

This chapter will describe dysphagia as it manifests in patients who have sustained a stroke.

3. Intervention Strategies

This chapter will provide a discussion of the evidence base for treatment strategies for dysphagia in patients with stroke. Intervention techniques that have been specifically targeted for patients with stroke will be highlighted, including sensory enhancements and interventions, dietary modifications, and compensations. The role of exercise in improving oral, pharyngeal, and respiratory muscle functions will be discussed as well.

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