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    Dysphagia Therapy: The New Generation ecourse

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    Appropriate Disciplines

    • APPROPRIATE DISCIPLINES
    • Certified Occupational Therapy Asst
    • Occupational Therapist
    • Speech Language Pathologist
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Course Description



The new world of dysphagia therapy will have to yield greater results and shorter treatment times. Gone is the old treatment philosophy focused on compensatory strategies and downgrading of diets. The dysphagia therapist must learn to see the direct links between anatomy, physiology, kinesiology, and grading therapy up to challenging levels. This course will review the process of the swallow from anticipatory phase through esophageal, including muscle function and nerve innervation. A thorough chart review and medication history is critical to identify key information prior to a swallow screen and bedside eval. Sensory changes due to aging and disease processes impacting the patient's nutrition and diet selection will be discussed. Current research will be presented regarding stroke, Parkinson's Disease, ALS, MS, Head/Neck cancer and other disease processes resulting in dysphagia - what can we expect in each phase of swallow and how it relates to our therapy program. MBS and FEES clips of dysfunctional swallows will be reviewed and reports critiqued. Diet modification/selection, compensatory strategies and exercises are combined to provide optimum nutrition and hydration as well as muscle re-education to increase the effectiveness of the swallow. Documentation of patient, staff, and family education and therapy notes will be critiqued for content and skilled therapy documentation.

Course Requirements:
  • Computer with internet and working speakers/sound are required for this course.
  • Course must be completed within 30 days of activation (activate course within 6 months of purchase).
  • An online multiple-choice quiz (80% passing score) and submission of an online evaluation form are required for successful completion.
  • A certificate of completion will be available to print immediately after course is successfully completed.
  • SLPs - ASHA CEUs may be obtained by completing the online ASHA form and checking the "Report to ASHA" box.

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Describe the process of the normal swallow including the impact of the esophagus.
  • Identify the anatomical structures relevant to the swallowing function
  • Describe the involvement of types I and II muscle fibers and the impact of muscle disuse atrophy on the swallow system
  • Interpret the results of a MBS as applicable to treatment planning
  • Discuss the decision making process for both diet modification and diet progression
  • Discuss the components of a functional evaluation report and goals
  • Discuss selection of effective treatment plan and exercises

Denise Dougherty

MA, CCC-SLP

Denise Dougherty, MA, CCC-SLP
Denise owns and operates a private practice in Indiana, PA, where she conducts therapy with both children and adults. She is a legal consultant/expert witness in wrongful death/negligence lawsuits involving dysphagia. Denise is a co-editor of Private Practice Essentials: A Practical Guide for Speech-Language Pathologists, published by ASHA Press. She has presented workshops and written numerous articles appearing in the ASHA Leader on the topic of private practice. Denise served as a consultant for The Arijah Children’s Foundation in Anguilla, BWI, providing evaluations and therapy programs for special needs children. Ms. Dougherty was an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is a past President of the American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), and received the Academy’s 2007 Honor Award and 2014 Award of Excellence for her achievements. Ms. Dougherty is a member of the Technical Experts Panel for Quality of Insights of Pennsylvania, working on initiating quality measures for CMS to improve effectiveness, efficiency, economy and quality of services delivered to Medicare beneficiaries. She received her bachelor’s degree in communication disorders from Marywood University in Scranton, Pennsylvania; a master’s degree in communication disorders from St. Louis University. Ms. Dougherty is certified in VitalStim® therapy and is a VitalStim® instructor, has completed additional training in orofacial myology, is a member of the American Speech, Language and Hearing Association and has received numerous ASHA ACE Awards. For more information, please visit www.dldspeechpath.com.

Financial Disclosure Denise receives honoraria from CIAO for the presentation of her live courses and royalties for the sale of her online courses. Denise is in private practice and receives legal consultant/expert witness fees
Non-Financial Disclosure: There are no non-financial relationships to disclose.

120 Minutes
Review of the normal swallow system and swallowing anatomy and physiology
45 Minutes
Swallow Timing and Coordination
60 Minutes
Impact of Sensory Changes from Aging and Disease Processes
165 Minutes
Effective Assessment and Report Critique
30 Minutes
Diet and Liquid Modifications and Research
30 Minutes
Need for Instrumental Assessments – Which Ones and Why
30 Minutes
Review of Instrumental Assessments – What each reveal about the swallow
90 Minutes
MBS and FEES Clips
30 Minutes
Importance of Report – MBS Imp and PA Scale Score
45 Minutes
Putting it All Together
35 Minutes
What isn’t working, goals and review of documentation
120 Minutes
Therapy interventions to address dysfunctions and research
13.3 Hours
Total

Delivery VIA:

  • Online - This course is offered in an online, on demand format.

Contact hours pre-approved for:

  • 13.0 Hours
  • CIAO is an ASHA Approved Provider (1.3 ASHA CEUs) bubble sheet required
  • CIAO is an AOTA Approved Provider #4119 (1.3 AOTA CEUS)
  • This course meets PDU requirements for NBCOT (1.3 PDUs)
  • As an IACET Authorized Provider, CIAO offers CEUs for its programs that qualify under the ANSI/IACET Standard
  • CIAO is authorized by IACET to offer 1.3 CEUs for this program
  • Approved for:
  • 15.5 Hours OT/COTAs in FL (CE Broker #20-678214)

Contact hours applied for:

  • OT/OTAs in CA

Course meets requirements for:

  • AOTA Classification Codes- OT Process: Evaluation OT Process: Intervention

    • Intermediate Level
    1.3 ASHA CEUs


    The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


    CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)


    Reviews

    LOVED Denise spending time giving ideas and examples of tx activities and what she recommends to use to help make tx more productive and successful.

    - Forsyth, GA / Dec 2024

    I like the discussion at the end (and even throughout the course, of appropriate screening/assessment tools and tools/equipment available for patients. Things change and it's easy to get stuck with what you know. Nice to see other options presented with how they work and how to use them.

    - Wichita Falls, TX / Oct 2024

    Thank you great course. I took it to meet the requirements of the Indiana State Practice Act for OT's.

    - Evansville, IN / Jul 2024

    This was a great course! The instructor certainly knows her stuff and she's worked with so many different types of patients!

    - Grants Pass, OR / Jan 2024

    Excellent course. I am so happy I was able to watch this at my own pace, review the lessons and watch again as there was such valuable information presented. She is an excellent teacher. This is by far the most valuable course I have ever taken.

    - Rapid City, SD / Sep 2023

    very good course.

    - Morganville, NJ / Jul 2021

    I would have liked to see more examples/visuals of disordered swallow studies that included portions of the swallow other than the esophageal phase

    - GRAY, LA / Apr 2021

    Excellent course. Very well organized.

    - Pearl City, HI / Apr 2021

    Excellent course- very useful information. Will highly recommend it to other SLP's

    - Boca Raton, FL / Feb 2021

    Great course with great information!!!

    - Bell City, LA / Nov 2020

    Knowledgeable presenter with extensive experience and recourses shared. Thank you!

    - Chatham, MA / Nov 2020

    Excellent course ! Great ideas for creative ways to provide improved oral exercise program for SNF patients as well as helpful advice for documentation.

    - Boxboborough, MA / May 2020

    This was a great course - very long, but excellent information. Denise is very knowledgeable in the field of dysphagia. Some of her stories are scary/funny - but very relatable, because we've all had that "One patient," she speaks of.

    - MONTGOMERY VILLAGE, MD / Mar 2020

    AWESOME course and always enjoy taking Denise's courses. As an Occupational Therapist completing dysphagia assessments as well as addressing esophageal issues (which are very prevalent in this population) in a residential facility for the intellectually disabled for over 20 years, I admire the fact that Denise includes and mentions OT's in her courses. It's not always easy to find dysphagia related courses for OT's. Thank you Denise!

    - LITTLE MOUNTAIN, SC / Mar 2020

    One of the best courses I taken since I have been practicing. I am an OT working with the developmentally disabled and encounter not only progressive decline in swallowing function in my clients, but just as many esophageal concerns. So thankful to see so much emphasis on that!

    - Sullivans Island, SC / Mar 2020

    The speaker was very knowledgeable and used her knowledge functionally so that it can be internalized by clinicians immediately.

    - Brooklyn, NY / Feb 2020

    Good information. Quite a lot.

    - Wichita, KS / Jan 2020

    Enjoyed the variety of therapeutic options. The MBS were of great value. Maybe spend extra time reviewing MBS exams.

    - Bad Axe, MI / Dec 2019

    Knowledgable presenter. I like that each video were broken down into shorter 30 minute sections. It made it easier to complete after work over the course a week.

    - Fullerton, CA / Jul 2019

    I thoroughly enjoyed this course.

    - Fredericksburg, VA / Jul 2019

    Very informative and practical. I will go back to this information many times over!

    - Fort Worth, TX / Jun 2019

    Excellent course! Highly recommended to all SLPs, whether brand new clinicians or for those who have been practicing over 20 years.

    - LaPorte, IN / Jun 2019

    Great course with excellent information. Really enjoyed the level of difficulty and understanding it provided.

    - Granger, IN / Jun 2019

    Excellent presentation of material, Denise Dougherty was very knowledgeable and explained information in a way that was easy to learn and retain with various modes (visual, verbal, and demonstration of use). I love the handout links provided at the end of the course to assist in providing education and carryover to my patients. Highly Recommended Course.

    - Tacoma, WA / Jun 2019

    I really enjoyed this informative course. It is hard to find thorough and comprehensive dysphagia courses! This one was a winner.

    - Kelso, WA / May 2019

    The instructor was very knowledgeable. She provided very useful information and regularly connected the information to practical scenarios.

    - Sarasota, FL / May 2019

    I was absolutely enthralled by the instructor. I had a hard time turning off my computer to do other things. Thank you for the fantastic suggestions for strategies and thank you for suggesting some things I had come up with myself over the years. Have been at this profession since February of 1957 (started when a Freshman at Baylor U. back in the days when they put you in with a client when you took your first Speech Therapy class and you learned as you went along. (Dysphagia wasn't even mentioned!!!!!)

    - Lubbock, TX / May 2019

    I liked the examples and demonstrations

    - Buena Vista, CO / Mar 2019

    Good Course

    - Winter Haven, FL / Jan 2019