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• Archive: Faculty:Angela MansolilloDuration:5 Hours 56 MinutesFormat:Audio and VideoCopyright:Nov 01, 2019 Description Developing a Menu for Success The causes of feeding and swallowing difficulties in children are always multifaceted, sometimes misdiagnosed, and often difficult to assess and treat appropriately.Respiratory difficulties, gastrointestinal function, oral-motor skills, and behavioral issues are just a few of the elements that can influence feeding and swallowing, limit response to treatment, and result in significant health issues.To maximize effectiveness, clinicians must resist the temptation to assess and treat feeding and swallowing disorders in isolation; instead, they must develop management plans that take into account interactions between and among oral-motor, gastrointestinal, and respiratory systems.This essential course recording describes complex feeding and swallowing disorders as they manifest themselves in children who have a variety of diagnoses.Attendees gain successful strategies for identification of the underlying etiology of the dysphagia.
• The evidence base for specific therapies, including oral-motor techniques, behavioral interventions, nutritional interventions, and strategies for respiratory control, are evaluated.Arm yourself with practical suggestions and tactics for improving function in these challenging children, as well as strong evidence to support those strategies!
• Handouts Manual - Complex Feeding & Swallowing Problems in Children (3.9 MB) 118 Pages Available after Purchase Instructions for ASHA Credit - SELF STUDY ONLY - 11/01/19 (38.5 KB) Available after Purchase Outline RESPIRATORY SYSTEM DEVELOPMENT AND FUNCTIONS You Can’t Eat If You Can’t BreatheBreathing/Swallowing Coordination and DiscoordinationRole of pulmonary clearanceAspiration and aspiration pneumoniaIncorporate respiratory indicators in evaluationExercise Interventions for breathing/ swallow discoordination and respiratory insufficienciesPHARYNGEAL DYSPHAGIAClinical assessment matters!Instrumental assessment optionsImproving pharyngeal swallow functionInterventions to decrease aspiration risk Dietary modifications – texture modifications and thick liquids pros and consOral hygieneInteractive case review – What your client’s gut is telling you GI SYSTEM DEVELOPMENTGI system and respiration connectionReflux and Reflux DiseaseConstipationAllergiesDietary and lifestyle interventions Food allergies and the gutPositioning and sleepORAL MOTOR FUNCTION Postural stability mattersOral muscles are not skeletal musclesExercise Interventions - are they right for your client SENSORY PROCESSING AND EATING – CAN’T HAVE ONE WITHOUT THE OTHER Food as therapyThe role of taste and smellStrategies – how to expand food repertoire WHEN IT REALLY IS BEHAVIOR What’s the behavior’s form AND functionExamining the feeding environmentFinding the right reinforcement strategyBehavioral intervention in 5 steps: Environment, hunger, reinforcement, shaping and parent trainingInteractive case review – when it’s behavior…but not just behavior WEANING FROM TUBE FEEDING Priming the GutRapid vs.
• Gradual weansBlended dietsStrategies for Tube Feed Weaning Blended diets – when and whoMORE NUTRITIONAL INTERVENTIONS for Pharyngeal Dysphagia, GI Development, Oral Motor Function, Sensory Processing, Behavior and Tube Feeding Nutrition and immune system functionSupplementsWhich special diets are really specialTechniques to improve nutrition Faculty Angela Mansolillo, MA/CCC-SLP, BCS-S Related seminars and products: 10 ANGELA MANSOLILLO, MA/CCC-SLP, BCS-S, is a Speech-Language Pathologist and Board-Certified Specialist in Swallowing Disorders with more than 30 years of experience.
• She is currently a senior Speech-Language Pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she provides evaluation and treatment services for adults and children with dysphagia and is involved in program planning and development for inpatient and outpatient programming including quality improvement initiatives, patient education, and clinical policies and protocols.