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    Head and Neck Cancer: A Hard Thing to Swallow Extended ecourse

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    Appropriate Disciplines

    • Physical Therapist
    • Certified Occupational Therapy Asst
    • Occupational Therapist
    • Physical Therapy Asst
    • Speech Language Pathologist
    • Speech Language Pathology Asst
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Course Description

Head and Neck Cancer (HNC) has devastating effects on an individual's quality of life. The complexity of rehabilitation needs can leave the PT, OT and SLP feeling overwhelmed. Patients require specialized, interdisciplinary rehabilitation throughout treatment and survivorship. This intermediate level course for PTs, OTs, and SLPs provides an overview of the evaluation and treatment of dysphagia, dysarthria, trismus, laryngectomy, lymphedema, radiation fibrosis, pain, shoulder dysfunction, cervical and thoracic mobility, and cancer-related fatigue with a multidisciplinary, collaborative rehabilitation approach. Following this course, participants will be able to develop and implement an interdisciplinary, comprehensive rehabilitation program to address the complex needs of this population. Course Disclosure: This is an intermediate course, and basic knowledge of FEES and FEES interpretation is recommended.

Course Level: Intermediate

Assessment Methods: Quiz, Self-Assessment on Evaluation

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 epidemiology, etiology of HNC including HPV.
  • Identify the presentation and prognosis of Head and Neck Cancer (HNC).
  • Illustrate the adverse short- and long-term effects of cancer treatment and how they impact quality of life.
  • Demonstrate the need for interdisciplinary rehabilitation for individuals with Head and Neck Cancer.
  • Differentiate between the role of the nurse navigator, dietitian and rehab navigator in an interdisciplinary team approach.
  • Illustrate how physical, occupational therapy interventions and speech and swallowing therapies complement each other.
  • Explain normal swallowing mechanics, tools to assess the swallow and effective therapy approaches to retrain swallow function.
  • Explain and demonstrate PT/OT assessment and treatment of functional deficits resulting from head and neck cancer and treatments.
  • Perform exercises to address fibrosis, shoulder and cervical dysfunction and Trismus.
  • Identify the basics of lymphedema and how it impacts HNC patients.
  • Create a timeline for the appropriate implementation of physical, occupational and speech interventions throughout the diagnosis, treatment, recovery and survivorship from Head and Neck Cancer.
  • Devise a Head and Neck Cancer Pathway that implements a comprehensive, interdisciplinary treatment approach.
  • Identify 2 ways to create community awareness programs for HNC.

Brianne Carter

PT, DPT

Brianne Carter PT, DPT has been practicing as a physical therapist since 2006. Brianne treats a variety of adult and pediatric patients with orthopedic, oncological and neurological diagnoses, specializing in oncology and disorders of the neck and spine. She developed comprehensive physical therapy program for head and neck cancer and is a member of the Head and Neck Cancer Pathway for Lee Memorial Health System. Brianne has completed the STAR Certification for Oncology. She is Graston Certified and has extensive training in manual therapy. She served as an adjunct faculty member in the Physical Therapy Department at FGCU. She served as a Board member and President of the Southwest Florida Physical Therapy Association.
Financial Disclosure: Brianne receives honoraria from CIAO Seminars for the presentation of this course.
Non-Financial Disclosure: No relevant disclosures.

Stacey Brill

M.S. CCC-SLP

Stacey Brill M.S.CCC-SLP is a licensed Speech Language Pathologist certified by the American Speech, Language, and Hearing Association since 1993. She graduated with her B.S in Communicative Disorders from University of Central Florida and her M.S. in Speech Language Pathology from Nova Southeastern. She has specialized in the area of Dysphagia associated with Oral/Head/Neck Cancer rehabilitation since 2004. Advanced skills include Video Fluoroscopic Swallow Studies, Fiberoptic Endoscopic Evaluation of Swallowing (FEES), Videostroboscopy, Vital Stim provider, Tracheo-Esphogeal Puncture (TEP) management, and Myofascial release in the area of Trismus and Dysphagia. STAR certified. Founder and facilitator of local chapter of SPOHNC (Support for People with Oral, Head, Neck Cancer). Event Chairperson of annual awareness walk/run for Head/Neck Cancer to raise funds for local head/neck cancer grant. Organizer of annual free community wide screenings for Oral, Head, Neck Cancer. Created Head/Neck cancer pathway, Head/Neck Cancer Clinic/Education Class and Laryngectomy education modules for the Lee Health System. Interested in identifying new or better ways to treat dysphagia and dysphonia in order to maximize functional outcomes and quality of life following cancer treatment. Dedicated to community and healthcare education of oral/head/neck cancer.
Financial Disclosure: Stacey receives honoraria from CIAO Seminars for the presentation of this course.
Non-Financial Disclosure: No relevant disclosures.

30 Minutes
introduction, objectives
45 Minutes
Epidemiology
30 Minutes
Development of interdisciplinary rehab pathway
45 Minutes
Speech and swallowing deficits and therapy approaches
75 Minutes
Physical & Occupational Therapy assessment and treatment approaches
45 Minutes
Laryngeal Cancer communication and safety protocols
60 Minutes
Patient advocacy in your community, Discussion/Q&A
5.5 Hours
Total

Delivery VIA:

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

Contact hours pre-approved for:

  • 5.5 Hours
  • CIAO is an ASHA Approved Provider #AAWA (5.5 ASHA CEUs) bubble sheet submission required
  • ASHA CE Provider Approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.
  • This course meets PDU requirements for NBCOT (5.5 PDUs)
  • CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
  • CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT
  • The assignment of Texas PT CCUs does not imply endorsement of specific course content, products or clinical procedures by TPTA or TBPTE
  • This activity is provided by the Texas Board of PT Examiners Accredited Prov #2202009#TX
  • This activity meets continuing competence requirements for PT/PTA license renewal in TX
  • Pre-Approved for:
  • 6.6 Hrs PT/PTAs in NY
  • 6.5 Hrs. OT/COTAs in FL (CE Broker #20-874348)
  • 5.5 Hrs. PT/PTAs in IL, TX (APTA TX #2202009, 5.5 CCUs)

Intermediate Level
0.55 ASHA CEUs


CIAO Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants. Florida SLPs can either use the ASHA CE Participant Form (Bubble Sheet) or self-submit through CE Broker.


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


Reviews

Pictures of tongue base resection would be helpful, as well as prognosis for improvement and specific exercises, discussion about hyponasality with flap being attached to soft palate

- Bixby, OK / Jan 2023

Great session!

- Thompsons Station, TN / Nov 2022

well done

- Brook Park, OH / Jul 2022

it would benefit the clinical therapist if there was a section on how to treat deficits due to surgery, radiation, treatment, to give demonstrations of the exercises, techniques, strategies

- Bastrop, TX / Jun 2022