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Breathing, Digestion and Swallowing from Angela Mansolillo

Breathing, Digestion and Swallowing Best Practices in Dysphagia Management from Angela Mansolillo

Faculty:Angela Mansolillo

Duration:6 Hours 02 Minutes | Format:Audio and Video

Archive : Breathing, Digestion and Swallowing from Angela Mansolillo

Outline:

RESPIRATORY SYSTEMS

Overview of systems – anatomy/physiology
Breathing/Swallowing coordination
The apneic signal
The relationship of coordination to aspiration
Laryngeal Chemical Responses (LCRs)
Reflexive cough

GASTROESOPHAGEAL SYSTEMS

esophageal function
Barriers to reflux
Saliva swallows
Digestive acids
Reflux mechanisms
Relationship to feeding disorders
GERD signs and symptoms u
When does GER become GERD?
Reflux, feeding and swallowing behaviors
Relationship to dysphagia

GI/RESPIRATORY RELATIONSHIPS

Pressure relationships and their effect u
Asthma/gastroesophageal reflux connection
Laryngopharyngeal Reflux (LPR)

ASPIRATION

Pulmonary Clearance Mechanisms
Aspiration in infancy
How much is too much?
Predictors of pneumonia in various populations
Aspiration and oral hygiene

RESPIRATORY DISEASE PROCESSES

Infant Respiratory Distress Syndrome (IRDS)
Bronchopulmonary Dysplasia (BPD)
Respiratory Synctial Virus (RSV)
Congenital Heart defects
Obstructive Sleep Apnea (OSA) and dysphagia
Congestive Heart Failure (CHF)
Obstructive Conditions
Restrictive Conditions
Pneumonia vs Pneumonitis
Community Acquired Pneumonia
Healthcare Acquired Pneumonia
Aspiration Pneumonia

AIRWAY MANAGEMENT

Non-invasive positive pressure ventilation
High flow nasal cannula
Intubation
Post-extubation dysphagia
Tracheostomies
Physiological changes associated with tracheotomy

ASPIRATION ASSESSMENT

Clinical assessment – what are we looking for?
Cognitive assessment
Pitch elevation
Serial swallows
Oral mechanism
Respiratory factors
Cough
Respiratory muscle strength
Instrumental assessment
Modified Barium Swallow studies
Fiberoptic Endoscopic Evaluation of Swallowing
3 ounce water tests
Understanding lab values

ASPIRATION MANAGEMENT

Diet modifications
Implications of dietary changes
Compliance issues
Thick liquids
Complicating factors associated with thickening
Water protocols
Compensatory strategies
Sensory interventions
Principles of exercise physiology
Lingual strengthening
Effortful swallow
Mendolsohn maneuver
Masako maneuver
Shaker head lift
Chin tuck against resistance
Head extension exercise
Jaw opening exercise
Tongue pull back
Effortful pitch glide
Expiratory muscle strength training

REFLUX ASSESSMENT

Upper GI studies
Ph Monitoring
Esophagoscopy
Scintigraphy

REFLUX MANAGEMENT

Lifestyle modifications
Positioning
Diet modifications
Medications
Effects of acid suppression
Surgical interventions
New directions in reflux management
Endoscopic procedures
Melatonin
Acupuncture
Magnetic Sphincter Augmentation

Description:

Assessing the Interrelationships Between the Respiratory and Gastroesophageal Systems
The American Speech-Language-Hearing Association estimates that more than 15 million people in the United States have dysphagia. With dysphagia being that common, the need for an effective treatment plan is considerable. Furthermore, dysphagia is often correlated with many other medical conditions, including gastrointestinal conditions, nervous system disorders and respiratory disorders. These medical conditions can exacerbate the patient’s dysphagia and complicate the assessment process. Clinicians who fail to recognize the interrelationships between the respiratory and gastroesophageal systems may be under-treating the patient’s condition.

This recording will help give clinicians a clearer picture of the respiratory and gastrointestinal systems, their relationship to each other, and their impact on dysphagia management. Disease processes, with particular emphasis on aspiration pneumonia and gastroesophageal reflux disease, will be discussed along with strategies for clinical management. Finish with the skills to thoroughly assess and treat the whole patient, not just their symptoms.

Salepage : Breathing, Digestion and Swallowing from Angela Mansolillo