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Comprehensive Dysphagia

Course Number

 Tom Franceschini, MS, CCC-SLP
Comprehensive Dysphagia Interventions: The Esophagus, Acid Reflux Disease, Prevention of Aspiration Pneumonia, Free Water Protocols, Oral Hygiene, Xerostomia and Meds & Dysphagia

Swallowing doesn't end at the pharynx. As such, comprehensive dysphagia interventions cannot consist solely of muscle exercises, maneuvers, compensatory postures, and diet modifications. To ensure the highest quality of care is achieved, dysphagia clinicians must consider other factors that contribute to swallowing difficulties, such as esophageal abnormalities, acid reflux disease, and pharmacology.

Presented by and for the clinician in the real-world setting, this clinically relevant seminar will cover in depth:
  1. Esophageal Screenings and the Role of the SLP
  2. Acid Reflux Disease and LPR in Adults and Children
  3. Drug-Induced Dysphagia
  4. Model for Pneumonia Risk and Prevention
  5. Free Water Protocol
  6. Oral Hygiene Programs
  7. Xerostomia
Upon completion of this course, participants will be able to:
  • Describe the anatomy and physiology of the esophagus and understand how swallowing and voice disorders occur from disorders of the esophagus.
  • Explain Laryngeal-Pharyngeal Reflux and its role in voice disorders.
  • State diagnostic and treatment options for patients with LPR and Acid Reflux Disease.
  • State the differences in the various symptoms of LPR and Acid Reflux Disease as seen in infants, children, teenagers and adults.
  • Explain the theoretical basis behind the free water protocol.
  • Identify and discuss patients who can benefit from the protocol.
  • State the risks and costs of dehydration in the elderly population.
  • List the rules of the free water protocol.
  • Explain how the colonization of oral pathogens contributes to aspiration pneumonia.
  • List components of a comprehensive oral care program.
  • List two medications that can adversely affect swallow behavior.

Additional Information

This course is offered for 1.3 ASHA CEUs (Intermediate Level, Professional Area)

Course Timeline:

60 minutes. PART I: Conflicts in Dysphagia- Where have we been and where are we going?

90 minutes. PART II: Esophageal Considerations

  • Anatomy and Physiology of the Esophagus
  • Role of the SLP in Esophageal Screening and Referral Guidelines
  • Esophageal Disorders and Management Considerations

75 minutes. PART III: Acid Reflux Disease and Laryngeal-Pharyngeal Reflux in Adults

  • Etiology and Pathophysiology of Acid Reflux Disease
  • Oral, Laryngeal, Otological and Pulmonary Symptoms of Acid Reflux Disease and LPR

120 minutes. Acid Reflux Disease and LPR (continued)

  • Screening and Assessment
  • Radiographic Evaluation and Interpretation
  • Developing a Plan of Care

75 minutes. Acid Reflux Disease and LPR (continued)

  • Management Options
  • Counseling
  • Medications
  • Surgical Interventions

90 minutes. PART IV: Acid Reflux Disease and LPR in Infants & Children

  • Symptoms
  • Asthma and Acid Reflux Disease in the Pediatric Population
  • Referral Guidelines for Acid Reflux Disease in the Pediatric Population
  • Management Options

60 minutes. PART V: Predictors of Aspiration Pneumonia

  • The Langmore et al Study of 1998
  • A Model for Pneumonia Risk and Prevention
  • Study Implications and Treatment and Management

75 minutes. PART VI: The History and Development of the Free Water Protocol

  • Human Physiology and Water
  • The Development of the Protocol
  • Criteria for Use of the Free Water Protocol
  • The Supporting Research for the Protocol

90 minutes. PART VII: Oral Hygiene Programs

  • Colonization of Oral Pathogens
  • Oral Care Interventions
  • Comprehensive Oral Care Protocol

15 minutes. PART VIII: Xerostomia

  • Anatomy and Saliva Production
  • Common Signs and Symptoms of Xerostomia
  • Management Options

75 minutes. PART IX: Medications and Dysphagia- What an SLP Needs to Know

Disclosure Statement for Tom Franceschini:  
Financial: Tom Franceschini is a speaker for Video Continuing Education and receives royalties.  
Nonfinancial: No relevant nonfinancial relationships exist.

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