Patients with head and neck cancer (HNC) often present with various dysphagia symptoms that impact nutrition and hydration. This course describes recommended evidence-based swallowing treatments linked with the location of cancer and type of cancer treatment, including surgery, chemotherapy, and/or radiation therapy. The impact of the timeframe for initiating dysphagia treatment on the overall swallowing prognosis is explained. The role of enteral nutrition, typical progression of dysphagia, patient-centered goals, and anticipated outcomes are also discussed.
Patients with head and neck cancer (HNC) often present with various dysphagia symptoms that impact nutrition and hydration. This course describes recommended evidence-based swallowing treatments linked with the location of cancer and type of cancer treatment, including surgery, chemotherapy, and/or radiation therapy. The impact of the timeframe for initiating dysphagia treatment on the overall swallowing prognosis is explained. The role of enteral nutrition, typical progression of dysphagia, patient-centered goals, and anticipated outcomes are also discussed.
Intermediate Level
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.
Outline:
Section 2: Head and Neck Cancer Overview
Dysphagia with Head and Neck Cancer
Dysphagia Treatment Considerations
Section 3: Effect of HNC Treatments
Dysphagia Symptoms with Chemotherapy
Dysphagia Symptoms with Surgery
Dysphagia Symptoms with Radiation
Section 4: Effect of HNC Treatment Phases
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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