Individuals with moderate or severe dementia often have impairments in eating and drinking. This course for speech-language pathologists and occupational therapy professionals presents evidence-based and best practice interventions for treating feeding and swallowing impairments. Case studies are used to model clinical reasoning to determine which type of intervention is most effective for each patient and how to determine if an intervention needs to be modified or stopped. Interventions to engage the interprofessional team and caregivers to reinforce interventions are described and best practices in documentation reviewed.
Intermediate Level
0.10 ASHA CEUs
Approved for 1.0000 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.0000 contact hours.
Relias LLC is an AOTA Approved Provider of professional development. Course approval ID# APP#0000003627. This Distance Learning-Independent is offered at 0.1 CEUs, Intermediate, Occupational Therapy Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
Florida Board of Occupational Therapy (CEBroker Provider #50-290)
Alabama State Board Of Occupational Therapy (CEBroker Provider #50-290).
Arizona Board Of Occupational Therapy Examiners (CEBroker Provider #50-290).
Georgia State Board of Occupational Therapy (CEBroker Provider #50-290)
South Carolina Board Of Occupational Therapy (CEBroker Provider #50-290)
Louisiana State Board of Medical Examiners - Occupational Therapy (CEBroker Provider #50-290)
Mississippi State Department of Health- Occupational Therapy (CEBroker Provider #50-290)
Tennessee Board of Occupational Therapy (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Why It Matters
Section 2: Effects of Dementia on Feeding and Swallowing
Dementia
Severity and Stages of Dementia
Review
Summary
Section 3: Feeding/Swallowing in Moderate to Severe Dementia
Presentation
Instrumental Evaluation
Impact of Feeding and Swallowing Deficits
Review
Summary
Section 4: Interventions
Goals of Interventions
Intervention Strategies
Interventions by Presentation
Ms. Wilson and Mr. Welsh
Additional Treatment Considerations
Review: Mrs. Taylor
Review: Mr. Abbey
Summary
Section 5: Other Factors and Best Practices
Adjusting Approaches
Caregiver Education and Team Engagement
Documentation Best Practices
Review
Summary
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Susan Almon-Matangos, MS/CCC-SLP, is a certified and licensed speech-language pathologist with over 30 years of experience. She obtained her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She worked with clients of all ages and a variety of diagnostic conditions in school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for Aegis Therapies, she created training programs for physical therapy, occupational therapy, and speech-language pathology related to the clinical rehabilitation needs of older adults in post-acute care. She currently draws upon her expertise in her role at Relias as Lead Subject Matter Expert Writer for Speech-Language Pathology. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association. Disclosure: Susan Almon-Matangos, MS/CCC-SLP discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.Writer: Nicole Fogarty, PT, DPT
Nicole Fogarty holds a Doctor of Physical Therapy degree from Northeastern University. She has experience treating patients with cardiopulmonary, orthopedic, and neurological impairments in the inpatient setting. She also has experience in outpatient orthopedics. She has additional training in medical screening, lumbopelvic examination and treatment, and treatment of patients with cardiopulmonary diseases. Nicole enjoys using her clinical experience and interest in current rehabilitation research as a Physical Therapy writer for Relias. Disclosure: Nicole Fogarty, PT, DPT discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.Instructor: Mitzi A. Kweder, MS/CCC-SLP
Mitzi A. Kweder, MS/CCC-SLP, has been a speech-language pathologist since 1996. She earned both her bachelor’s and master’s degrees in speech-language pathology in New York. She has experience in several settings with both pediatrics and geriatrics but spent most of her recent career in the director role in skilled nursing facilities. During that time, she also directed affiliated home health and outpatient operations. Currently, she is the Director of Quality and Standards with AdvantageCare Rehabilitation. In this position, she oversees clinical and operations standards in order to maintain and improve quality of care delivery. She also plays an active role in denials, policy, and compliance processes to promote adherence to laws and regulations of several bodies governing healthcare. She is a certified member of the American Speech-Language-Hearing Association. Disclosure: Mitzi A. Kweder, MS/CCC-SLP discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as Collecting Speaker's Fees All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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