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The Essentials: Dysphagia and COPD

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

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Disclosure Statement:

Financial: Angela Mansolillo receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Angela Mansolillo has no competing non-financial 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: 35 Minutes, Learning Assessments: 12 Minutes

Dysphagia is a symptom, not a disease unto itself. Difficulty swallowing can be a symptom of a wide variety of medical diagnoses. The underlying diagnosis is a critical factor to consider when developing a treatment approach. Dysphagia clinicians must guard against a "one-size-fits-all" approach and instead develop an understanding of the causative factors and pathophysiology of swallowing disorders in each disease process.

This course will discuss dysphagia in the setting of chronic obstructive pulmonary disease (COPD). The characteristics of dysphagia in COPD will be reviewed. Specific considerations for assessment, including respiratory indicators, coordination of breathing and swallowing, and respiratory rate will be examined. The evidence base for treatment strategies specific to COPD will be provided, including the role of compensatory strategies in managing respiratory demands during swallowing, and participants will be provided with an opportunity for problem-solving through case review.

This course is appropriate for dysphagia clinicians working in medical settings, including acute care, outpatient rehabilitation, inpatient rehabilitation, and long-term care.

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. COPD: What the Dysphagia Clinician Needs to Know

This chapter will provide an overview of COPD for the dysphagia clinician. Respiratory functions, breathing/swallow coordination, aspiration risk, and the associations between COPD and GERD will be discussed to provide the clinician with an understanding of the relationship between swallowing and the respiratory disorders.

2. Dysphagia and COPD

This chapter will describe dysphagia as it manifests in COPD. Signs and symptoms of dysphagia will be reviewed, and factors specific to assessment will be discussed, including the potential impacts of respiratory rate, respiratory muscle function, breathing/swallow coordination, and dyspnea on swallow function.

3. Intervention Strategies

This chapter will provide a discussion of the evidence base for treatment strategies for dysphagia in COPD. Intervention techniques that have been specifically targeted for patients with COPD will be highlighted, including management of respiratory demand and endurance issues, management of dyspnea, and diet strategies. The role of exercise in patients with COPD and dysphagia will also be discussed.

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