This course will present current best information to help clinicians learn about conducting and interpreting a clinical swallowing evaluation for adults in typical medical settings. This course will not discuss specific diagnoses or complex conditions such as tracheostomy/ventilator dependence. This course is ideal for clinicians who need a refresher on the purpose, procedures, observable signs/symptoms, and nature of recommendations that result from a clinical swallowing evaluation for adult clients in medical settings. Information covered will include differences between screening and the clinical evaluation, procedures to conduct the clinical swallowing evaluation, observable signs/symptoms of dysphagia, language for documenting dysphagia in medical reports, diagnostic (ICD-10) codes for dysphagia, and recommendations that result from the clinical evaluation. Special emphasis will be placed on the nature of the clinical evaluation, risks for aspiration and aspiration pneumonia, and proper referral for instrumental assessments (MBS, FEES) when appropriate.
By the end of this course, participants will be able to:
PhD, CCC-SLP
Rik Lemoncello is Associate Professor in the School of Communication Sciences and Disorders at Pacific University-Oregon. With 15 years of clinical experience, he specializes in adult, medical speech-language pathology. He has worked in acute, inpatient rehabilitation, skilled nursing, long-term acute care, and outpatient centers. He was trained in tracheostomy/ventilator management at Spaulding Rehabilitation Hospital in Boston, MA. His current scholarship focuses on medical SLP, evidence-based practices, graduate student education, and cognitive rehabilitation.
ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.
Timeline |
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5 min: Introduction, disclosures, & scope |
15 min: Screening purpose and procedures |
10 min: Overview of the clinical swallowing evaluation (purpose, scope, limitations) |
15 min: Risks for aspiration & aspiration pneumonia |
20 minutes: Nature of medical chart review |
10 minutes: Overview of texture levels for solids & liquids |
10 minutes: Clinical interview for dysphagia |
20 minutes: Oral-Pharyngeal structural and functional exam |
15 minutes: To present PO trials or not? |
20 minutes: Presenting PO trials: what, why, and how |
15 minutes: Documenting observable signs/symptoms of dysphagia |
20 minutes: Diagnosis, recommendations, & referrals |
5 minutes: Conclusions |
Financial | Rik Lemoncello received compensation for this presentation from SpeechTherapyPD.com. |
Nonfinancial | No relevant non-financial relationships exist. |