Assessment of Swallowing in the ICU: Where Do You Start?
Presented by Martin B. Brodsky and Marta Kazandjian
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Learning Objectives
- Evaluate ICU models and their resources and how they impact the referral process
- Assess validated screening tools to identify potential threats to swallowing, voice, and cognitive functions
- Develop a plan for effective medical chart review
- Formulate approaches for an efficient and accurate swallowing assessment leading to a therapeutic plan in alignment with the patient and the multidisciplinary team’s goals of care
Meet your instructors
Martin B. Brodsky
Dr. Martin Brodsky is Section Head for Speech-Language Pathology in the Department of Otolaryngology-Head and Neck Surgery, Integrated Surgical Institute at Cleveland Clinic and Adjunct Associate Professor of Physical Medicine and Rehabilitation and Pulmonary and Critical Care Medicine at Johns Hopkins University. His…
Marta Kazandjian
Marta Kazandjian M.A.CCC-SLP BRS-S, NBC-HWC, FASHA is Clinical Assistant Professor and Dept Head at Stony Brook Southampton Hospital and Stony Brook University. She is an ASHA Fellow and is board certified in both swallowing and swallowing disorders as well as in health and wellness coaching. She is an invited national and…
Chapters & learning objectives
1. Models of SLP Services in the ICU
Participants will examine referral patterns and current resources to drive referrals for swallowing assessment in ICU. Priorities for referrals will be identified to assist the multidisciplinary team in identifying necessary and appropriate candidates.
2. Screening Dysphagia in ICU
There are no losers in screening tools. The question is which tool will accomplish the intended goal(s) for the multidisciplinary team. Participants will examine who is appropriate for screening, who is trained to screen, and at which time.
3. Efficient and Purposeful Medical Chart Review
A comprehensive review of the medical record provides the necessary information about the impact of the patient’s diagnosis on swallowing function. The PARTNERS framework will help guide the medical history interview to identify patient specific goals for an optimal treatment plan.
4. Aligning Approaches to Swallowing Assessment With Goals of Care
Each clinician knows the tools that are available within each institution for swallowing assessment. Application of these tools within the ICU requires complete understanding of the multidisciplinary team’s and patient’s/caregivers’ goals within the framework of PARTNERS. Aligning goals requires skills to synthesize information and develop a patient-centered approach to assessment.
More courses in this series
Behind the Scenes with SLPs Across Models of Care in the ICU
Martin B. Brodsky and Marta Kazandjian
PARTNERS: Inclusive Framework for Multidisciplinary Team Conversations
Martin B. Brodsky and Marta Kazandjian
Assessment of Swallowing in the ICU: Where Do You Start?
Martin B. Brodsky and Marta Kazandjian