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Breathing and Swallowing Reciprocity: Two Systems in Shared Spaces

presented by Angela Mansolillo, MA/CCC-SLP, BCS-S

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Disclosure Statement:

Financial: Angela Mansolillo receives MedBridge speaking fees. She is a Cooley Dickinson Hospital employee and Elms College employee. She receives PESI speaking fees, Continued speaking fees, and Colibri Group (formerly Home CEU) speaking fees. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Angela Mansolillo is a member of the American Speech-Language-Hearing Association. She has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 59 Minutes; Learning Assessment Time: 53 Minutes

Breathing and swallowing are physiological systems that utilize the shared spaces of the oral cavity, pharynx, and airways and are therefore interdependent. This course will provide respiratory therapists, speech pathologists, nurses, and other practitioners interested in dysphagia with an examination of breathing-swallow coordination in healthy people and in patients with disordered respiration, swallowing, or both. Clinicians will be provided with criteria for assessment of patients likely to exhibit disordered respiratory-swallow coordination, and potential interventions will be evaluated for implementation. After all, if you can't breathe, you can't swallow.

Meet Your Instructor

Angela Mansolillo, MA/CCC-SLP, BCS-S

Angela Mansolillo is a speech-language pathologist and board-certified specialist in swallowing disorders with more than 25 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…

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Chapters & Learning Objectives

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1. What Does Normal Breathing-Swallow Coordination Look Like?

Chapter 1 will examine respiratory-swallow coordination in healthy people, including respiratory patterning during swallowing, lung volumes at swallow initiation, and swallow apnea onset and durations.

2. Dyscoordination in Patient Populations

This chapter will examine the evidence for dyssynchronized breathing and swallowing in a variety of patient populations, including stroke and neuromuscular disease, COPD and obstructive sleep apnea, head and neck cancer, and aging individuals.

3. The Impact of Respiratory Interventions

Noninvasive positive-pressure ventilation and nasal cannula represent significant innovations in management of patients in respiratory distress, but what is their impact on swallow function?

4. Assessment and Intervention Options

In chapter 4, clinicians will be provided with options for identification of dysphagia in patients with respiratory disease. Options for intervention will be examined.

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