Early identification and treatment of dysphagia are critical for restoring swallow function and lowering the risk of complications during the acute phase of stroke recovery. This module provides speech-language pathologists (SLPs) with knowledge of screening, assessment, and treatment of dysphagia during this period. Case studies demonstrating how to manage these patients in the hospital, skilled nursing, and home settings will model evidence-based interventions delivered in collaboration with the patient, family/caregivers, and healthcare team, along with considerations for expected progress and prognosis.
0.10 ASHA CEUs
Approved for 1.00 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 1.00 contact hours.
Section 1: Introduction
About This Course
Section 2: Referral and Screening
Overview of Dysphagia with Acute Stroke
Acute Stroke and tPA
Impact of Diagnostic Imaging
Other Factors Prior to Evaluation
Section 3: Dysphagia Assessment
Oral Motor Examination
Applying Assessment Results to Treatment Planning
Determining Safety with Liquids
Instrumental (Objective) Dysphagia Assessments
PO vs. NPO
Section 4: Treatment Interventions
Traditional and Emerging Treatment Methods
More Treatment Techniques
Collaboration and Education
Section 5: Conclusion
Meghan Farrington is a certified and licensed speech-language pathologist with over 20 years of experience in the adult setting. Meghan earned her Bachelor of Science in communication disorders from the State University of New York College at Fredonia and her Master of Arts in speech and hearing handicap from the State University of New York College at Geneseo. She has worked in the long-term care and sub-acute setting, but most recently in the acute and outpatient setting with the adult population with the Rochester Regional Health system. She is skilled in objective dysphagia assessments such as modified barium swallow studies (MBSS) and fiberoptic endoscopic evaluation of swallow (FEES). Her areas of focus include dysphagia, cognition, speech and language disorders, a variety of voice disorders including paradoxical vocal fold dysfunction and resonant voice, gastroesophageal reflux disease (GERD) management, and head and neck cancer. Disclosure: Meghan Farrington, MA, CCC-SLP discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as Collecting Speaker's Fees Relevant Non-Financial Relationship with No Entities Exists as a contributorStaff Writer: Susan Almon-Matangos, MS/CCC-SLP
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 a large contract therapy company, 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 Relevant Non-Financial Relationship with No Entities Exists as a contributor
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