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Browse PlansHema Desai
MS, CCC-SLP, BCS-S, CLEC, NTMTC
Hema Desai is an inpatient speech pathologist who has worked with infants and children with feeding and swallowing disorders since 2000. She has her board-certification specialties in swallowing and swallowing disorders (BCS-S) and neonatal touch and massage (NTMTC) and is a clinical lactation education counselor (CLEC). Hema is a clinical supervisor for graduate students, as well as a member of the multidisciplinary intensive feeding program. She has presented at several ASHA conventions and California state conferences and provided guest lectures at local graduate programs on the topic of pediatric feeding and swallowing disorders. Hema has coauthored publications in peer-reviewed journals and coauthored a book chapter. Her professional interests are primarily in pediatric feeding and dysphagia, as well as working with infants with congenital heart defects.
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Courses with Hema Desai
Browse Course CatalogPediatric Respiratory System Development and Aspiration
Presented by Hema Desai, MS, CCC-SLP, BCS-S, CLEC, NTMTC and Jennifer Raminick, MA, CCC-SLP, BCS-S
Pediatric Respiratory System Development and Aspiration
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Video Runtime: 45 Minutes; Learning Assessment Time: 36 Minutes
This course aims to fill the knowledge gaps in pediatric dysphagia coursework by delving into the intricate relationship between pediatric lung development, anatomy and physiology of the pediatric respiratory system, and airway protective mechanisms in the context of dysphagia and aspiration. Clinicians will study the anatomical and physiological aspects of the pediatric airway, the respiratory system, and the developmental changes that occur from infancy to childhood. Clinicians taking this course will acquire a comprehensive understanding of how these factors relate to dysphagia and aspiration in pediatric patients. The goal is for clinicians to be well-prepared to assess and address the specific challenges faced by children and infants with dysphagia.
Learning Objectives
This course aims to fill the knowledge gaps in pediatric dysphagia coursework by delving into the intricate relationship between pediatric lung development, anatomy and physiology of the pediatric respiratory system, and airway protective mechanisms in the context of dysphagia and aspiration. Clinicians will study the anatomical and physiological aspects of the pediatric airway, the respiratory system, and the developmental changes that occur from infancy to childhood. Clinicians taking this course will acquire a comprehensive understanding of how these factors relate to dysphagia and aspiration in pediatric patients. The goal is for clinicians to be well-prepared to assess and address the specific challenges faced by children and infants with dysphagia.
Learning Objectives
- Identify three primary anatomical structures, musculature, and reflexes involved in respiration and airway protection in children
- Define three risk factors for aspiration in children
- Highlight two events leading to lung damage in children who are aspirating
- Recognize three factors to consider during dysphagia evaluations for children at risk for aspiration
- Recognize three consequences of aspiration when making feeding recommendations for children with dysphagia
Pediatric Dysphagia With Advanced Respiratory Support and Tracheostomies
Presented by Hema Desai, MS, CCC-SLP, BCS-S, CLEC, NTMTC and Jennifer Raminick, MA, CCC-SLP, BCS-S
Pediatric Dysphagia With Advanced Respiratory Support and Tracheostomies
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Video Runtime: 52 Minutes; Learning Assessment Time: 40 Minutes
This course is designed to equip clinicians with the knowledge and skills needed to recognize the indications for advanced respiratory support in children, evaluate the impact of different respiratory interventions on breathing and dysphagia risk, and manage dysphagia effectively in pediatric patients with tracheostomies, ventilators, and advanced respiratory support. By the end of this course, participants will be well prepared to provide holistic care to children with complex respiratory needs, enhancing their overall well-being.
Learning Objectives
This course is designed to equip clinicians with the knowledge and skills needed to recognize the indications for advanced respiratory support in children, evaluate the impact of different respiratory interventions on breathing and dysphagia risk, and manage dysphagia effectively in pediatric patients with tracheostomies, ventilators, and advanced respiratory support. By the end of this course, participants will be well prepared to provide holistic care to children with complex respiratory needs, enhancing their overall well-being.
Learning Objectives
- Recognize three indications for advanced respiratory support in children
- Identify three forms of noninvasive respiratory support and impact on breathing in children
- Examine how ventilator support impacts the respiratory system and musculature
- List three indications for a tracheostomy in children
- Describe three risks for dysphagia due to tracheostomy placement
- List three components of a dysphagia evaluation for children with tracheostomy
- Identify three ways that a speaking valve may improve swallow function
Pediatric Respiratory Disorders and Impact on Swallowing
Presented by Hema Desai, MS, CCC-SLP, BCS-S, CLEC, NTMTC and Jennifer Raminick, MA, CCC-SLP, BCS-S
Pediatric Respiratory Disorders and Impact on Swallowing
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Video Runtime: 45 Minutes; Learning Assessment Time: 45 Minutes
This course is a comprehensive review of the intricate relationship between pediatric respiratory disorders and their direct impact on swallowing function in infants and children. As healthcare professionals, understanding this complex interplay is essential for delivering holistic care to the youngest members of our patient population.
Learning Objectives
This course is a comprehensive review of the intricate relationship between pediatric respiratory disorders and their direct impact on swallowing function in infants and children. As healthcare professionals, understanding this complex interplay is essential for delivering holistic care to the youngest members of our patient population.
Learning Objectives
- Define three key features and characteristics of pediatric respiratory disorders that contribute to feeding/eating/swallowing difficulties
- Determine the synchronous relationship between bronchopulmonary dysplasia, dysphagia, and management strategies
- Examine the synchronous relationship between brief resolved unexplained events (BRUEs), dysphagia, and management strategies
- Identify the synchronous relationship between acute respiratory illness, dysphagia, and management strategies
- Distinguish the synchronous relationship between pediatric airway disorders, dysphagia, and management strategies
- Analyze the synchronous relationship between extubation, dysphagia, and management strategies
Dysphagia in Children With Congenital Heart Defects
Presented by Hema Desai, MS, CCC-SLP, BCS-S, CLEC, NTMTC and Karli Negrin, MS, CCC-SLP
Dysphagia in Children With Congenital Heart Defects
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Video Runtime: 46 Minutes; Learning Assessment Time: 49 Minutes
Infants and children with congenital heart defects are at high risk for dysphagia due to altered cardiac physiology and developmental delays as well as consequences of surgical intervention and timing. These early challenges can result in persistence of feeding and swallowing difficulties into early childhood, affecting the parent/child relationship and overall development. This intermediate course will benefit clinicians working with this population by helping them understand modifiable and unmodifiable risk factors for dysphagia and how to manage and facilitate improved oral feeding and swallowing development before and after cardiac intervention.
Learning Objectives
Infants and children with congenital heart defects are at high risk for dysphagia due to altered cardiac physiology and developmental delays as well as consequences of surgical intervention and timing. These early challenges can result in persistence of feeding and swallowing difficulties into early childhood, affecting the parent/child relationship and overall development. This intermediate course will benefit clinicians working with this population by helping them understand modifiable and unmodifiable risk factors for dysphagia and how to manage and facilitate improved oral feeding and swallowing development before and after cardiac intervention.
Learning Objectives
- Identify at least four risk factors for dysphagia in children with CHD
- Examine two modifiable and two nonmodifiable factors when determining a management plan for oral feeding for children with CHD
- Apply knowledge of cardiac physiology to understand impact on respiration and ventilation in infants with CHD
- Implement a feeding plan for an infant with vocal fold injury following cardiac surgery
- Determine appropriate timing and intensity of feeding therapy depending on the post cardiac intervention course
Gastrointestinal Problems in Children With CHD: Impact and Management
Presented by Hema Desai, MS, CCC-SLP, BCS-S, CLEC, NTMTC and Karli Negrin, MS, CCC-SLP
Gastrointestinal Problems in Children With CHD: Impact and Management
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Video Runtime: 48 Minutes; Learning Assessment Time: 62 Minutes
Infants and children with congenital heart defects (CHD) are at high risk for gastrointestinal complications due to altered cardiac physiology and timing of surgical intervention. Gastrointestinal difficulties can impact oral feeding development in young children, impacting growth and nutrition. When working with children with CHD who have feeding difficulties, it is important to understand how the GI system can be affected and how dysfunction in this system can result in oral feeding difficulties. This intermediate course will benefit clinicians working with this population by helping them understand various complications of the GI tract and its impact on growth, nutrition, and oral feeding skill development. Management strategies and nutrition considerations will be discussed.
Learning Objectives
Infants and children with congenital heart defects (CHD) are at high risk for gastrointestinal complications due to altered cardiac physiology and timing of surgical intervention. Gastrointestinal difficulties can impact oral feeding development in young children, impacting growth and nutrition. When working with children with CHD who have feeding difficulties, it is important to understand how the GI system can be affected and how dysfunction in this system can result in oral feeding difficulties. This intermediate course will benefit clinicians working with this population by helping them understand various complications of the GI tract and its impact on growth, nutrition, and oral feeding skill development. Management strategies and nutrition considerations will be discussed.
Learning Objectives
- Compare the timing of three common surgical interventions for infants born with CHD to the approximate developmental feeding milestone
- Recognize the impact of CHD on gastrointestinal tract function
- Determine how to decrease risk for necrotizing enterocolitis in an infant with CHD
- Implement strategies to reduce discomfort associated with reflux for infants with CHD
- Create a feeding plan to improve feeding tolerance for children with decreased GI motility associated with CHD
- Implement feeding strategies to decrease feeding refusal associated with chylothorax in infants with CHD
- Determine goals for feeding therapy for a child with congestive heart failure
- Examine the consequences of GI complications on nutrition and growth in children with CHD
- Implement strategies in collaboration with medical providers to decrease feeding tube dependency in children with CHD
Challenges and Controversies in Feeding Children With Congenital Heart Disease
Presented by Hema Desai, MS, CCC-SLP, BCS-S, CLEC, NTMTC and Karli Negrin, MS, CCC-SLP
Challenges and Controversies in Feeding Children With Congenital Heart Disease
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Video Runtime: 63 Minutes; Learning Assessment Time: 43 Minutes
The management of congenital heart disease is a relatively new science and was initially focused on infant survival. There is now a rising concern for the impact of surgical interventions on feeding development. The literature available for dysphagia and feeding management in this specialized population remains scarce in comparison to literature on the neonatal population, lending to controversies in feeding management in infants with congenital heart disease. This intermediate course will benefit clinicians working with this population by analyzing current trends and controversies in dysphagia management in this unique population, identifying research gaps, and describing practice variability in feeding management.
Learning Objectives
The management of congenital heart disease is a relatively new science and was initially focused on infant survival. There is now a rising concern for the impact of surgical interventions on feeding development. The literature available for dysphagia and feeding management in this specialized population remains scarce in comparison to literature on the neonatal population, lending to controversies in feeding management in infants with congenital heart disease. This intermediate course will benefit clinicians working with this population by analyzing current trends and controversies in dysphagia management in this unique population, identifying research gaps, and describing practice variability in feeding management.
Learning Objectives
- Compare the timing of three common surgical interventions for infants born with congenital heart disease (CHD) to the approximate developmental feeding milestone
- Recognize two controversies to application of research in preoperative feeding for infants born with congenital heart defects
- Analyze three factors in opposing views on feeding infants with CHD on high-flow respiratory support
- Examine two controversies in the management of dysphagia in infants with vocal fold paresis
- Analyze three challenges to feeding interventions to support infants with CHD who are experiencing hypermetabolism
- Examine three controversies in the use of thickened oral liquids for dysphagia management for infants with reduced mesenteric blood flow
- Analyze three challenges in early breastfeeding introduction for infants born with congenital heart defects
- Examine three key factors of the social-emotional impact of infant feeding challenges on parental mental health
Feeding and Swallowing Issues in Infants With Congenital Heart Defects
Presented by Hema Desai, MS, CCC-SLP, BCS-S, CLEC, NTMTC
Feeding and Swallowing Issues in Infants With Congenital Heart Defects
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Video Runtime: 51 Minutes; Learning Assessment Time: 34 Minutes
Infants with congenital heart defects (CHD) are at high risk for feeding and swallowing difficulties secondary to prenatal, perioperative, and postoperative sequelae, which are not always considered when working with this population. This course will benefit clinicians working with this population by providing an overview of common congenital heart defects, including anatomy and pathophysiology. Prenatal and postnatal consequences of congenital heart defects as well as postoperative complications can affect the timing and safety of initiation of oral feeding, resulting in disruptions to typical development. The impact of congenital heart defects on various body systems and how they affect feeding and swallowing development will also be discussed.
Infants with congenital heart defects (CHD) are at high risk for feeding and swallowing difficulties secondary to prenatal, perioperative, and postoperative sequelae, which are not always considered when working with this population. This course will benefit clinicians working with this population by providing an overview of common congenital heart defects, including anatomy and pathophysiology. Prenatal and postnatal consequences of congenital heart defects as well as postoperative complications can affect the timing and safety of initiation of oral feeding, resulting in disruptions to typical development. The impact of congenital heart defects on various body systems and how they affect feeding and swallowing development will also be discussed.
Feeding and Swallowing Assessment and Management for Infants With CHD
Presented by Hema Desai, MS, CCC-SLP, BCS-S, CLEC, NTMTC
Feeding and Swallowing Assessment and Management for Infants With CHD
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and patient education—anytime, anywhere—with video instruction from
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Video Runtime: 52 Minutes; Learning Assessment Time: 34 Minutes
There is not a sufficient amount of information in the literature discussing assessment and management considerations for feeding and swallowing difficulties in the postoperative infant with congenital heart defects. This course will benefit clinicians working with this population by helping them understand the key components of a feeding and swallowing assessment during the acute postoperative stage. The treatment and management of feeding and swallowing difficulties must consider postoperative recovery and use of neuroprotective strategies to facilitate positive oral experiences and safe and efficient oral feeding development. The importance of a multidisciplinary approach to support the infant and caregiver will also be discussed.
There is not a sufficient amount of information in the literature discussing assessment and management considerations for feeding and swallowing difficulties in the postoperative infant with congenital heart defects. This course will benefit clinicians working with this population by helping them understand the key components of a feeding and swallowing assessment during the acute postoperative stage. The treatment and management of feeding and swallowing difficulties must consider postoperative recovery and use of neuroprotective strategies to facilitate positive oral experiences and safe and efficient oral feeding development. The importance of a multidisciplinary approach to support the infant and caregiver will also be discussed.
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Jul 22, 2024
Pediatric Respiratory Disorders and Impact on Swallowing
Presented by Hema Desai and Jennifer Raminick
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