The Essentials: Dysphagia and Dementia

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

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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.

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Video Runtime: 31 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 dementia. The characteristics of dysphagia in patients with dementia will be reviewed in light of dementia type and stage. Specific considerations for assessment of these patients will be discussed, including cognitive and behavioral impacts on swallow function. The evidence base for treatment strategies specific to patients with dementia will be provided, including strategies for management of care-resistant behaviors. 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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1. Dementia: What the Dysphagia Clinician Needs to Know

This chapter will provide an overview of dementia for the dysphagia clinician. Dementia types and stages will be discussed to provide the clinician with an understanding of the relationship between swallowing and dementia.

2. Dysphagia and Dementia

This chapter will describe dysphagia as it manifests in patients with dementia of various types. Signs and symptoms of dysphagia will be reviewed and factors specific to assessment of patients with dementia will be discussed, including the impact of neurological changes, cognitive decline, and care-resistant behaviors on swallow function.

3. Intervention Strategies

This chapter will provide a discussion of the evidence base for treatment strategies for dysphagia in patients with dementia. Intervention techniques that have been specifically targeted for patients with dementia will be highlighted, including dietary strategies and techniques to reduce care-resistant behaviors.

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