Seminar Detail

Complex Feeding & Swallowing Problems in Children: Discover the Underlying Causes of Food Refusal for a More Targeted Treatment Plan
Complex Feeding & Swallowing Problems in Children: Discover the Underlying Causes of Food Refusal for a More Targeted Treatment Plan

Where:   ELLICOTT CITY, MD

When:  Thursday, October 31, 2019 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

Developing a Menu for Success

The causes of feeding and swallowing difficulties in children are always multifaceted, sometimes misdiagnosed, and often difficult to assess and treat appropriately. Respiratory difficulties, gastrointestinal function, oral-motor skills, and behavioral issues are just a few of the elements that can influence feeding and swallowing, limit response to treatment, and result in significant health issues. To maximize effectiveness, we as clinicians, must resist the temptation to assess and treat feeding and swallowing disorders in isolation; instead, they must develop management plans that take into account interactions between and among oral-motor, gastrointestinal, and respiratory systems.

This essential course shows complex feeding and swallowing disorders as they manifest themselves in children who have a variety of diagnoses. You will gain successful strategies for identification of the underlying etiology of the dysphagia. The evidence base for specific therapies, including oral-motor techniques, behavioral interventions, nutritional interventions, and strategies for respiratory control, are evaluated. You’ll leave this course armed with practical techniques and tactics for improving function in these challenging children, as well as strong evidence to support those strategies.
Objectives:

  1. Examine the interplay between oral-motor, gastrointestinal, and respiratory systems and their impact on food refusal in children in order to expand volume and variety of intake.
  2. Identify the signs and symptoms of pharyngeal dysphagia in children to prevent aspiration associated illnesses.
  3. Pinpoint advantages and challenges associated with dietary modifications and use of thickened liquids with a goal of increasing safe oral intake.
  4. Discuss the rationale for various dietary recommendations currently being implemented with children in order to separate fact from fiction about special diets.
  5. Determine the pros and cons of various oral-motor & sensory treatment approaches to maximize safe, pleasurable eating and drinking in children.
  6. Develop a behavioral treatment plan to address problem feeding behaviors including food refusal, limited food repertoire, low volume of intake, and rigidity around foods and utensils.
OUTLINE

RESPIRATORY SYSTEM DEVELOPMENT AND FUNCTIONS
  • You Can’t Eat If You Can’t Breathe
  • Breathing/Swallowing Coordination and Discoordination
  • Role of pulmonary clearance
  • Aspiration and aspiration pneumonia
  • Incorporate respiratory indicators in evaluation
  • Exercise Interventions for breathing/swallow discoordination and respiratory insufficiencies
PHARYNGEAL DYSPHAGIA
  • Clinical assessment matters!
  • Instrumental assessment options
  • Improving pharyngeal swallow function
  • Interventions to decrease aspiration risk
  • Dietary modifications – texture modifications and thick liquids pros and cons
  • Oral hygiene
  • Interactive case review – What your client’s gut is telling you
GI SYSTEM DEVELOPMENT
  • GI system and respiration connection
  • Reflux and Reflux Disease
  • Constipation
  • Allergies
  • Dietary and lifestyle interventions
  • Food allergies and the gut
  • Positioning and sleep
ORAL MOTOR FUNCTION
  • Postural stability matters
  • Oral muscles are not skeletal muscles
  • Incorporate respiratory indicators in evaluation
  • Exercise Interventions – are they right for your client
SENSORY PROCESSING AND EATING – CAN’T HAVE ONE WITHOUT THE OTHER
  • Food as therapy
  • The role of taste and smell
  • Strategies – how to expand food repertoire
WHEN IT REALLY IS BEHAVIOR
  • What’s the behavior’s form AND function
  • Examining the feeding environment
  • Finding the right reinforcement strategy
  • Behavioral intervention in 5 steps:
  • Environment, hunger, reinforcement, shaping and parent training
  • Interactive case review – when it’s behavior … but not just behavior
WEANING FROM TUBE FEEDING
  • Priming the Gut
  • Rapid vs. Gradual weans
  • Blended diets
  • Strategies for Tube Feed Weaning
  • Blended diets – when and who
MORE NUTRITIONAL INTERVENTIONS or Pharyngeal Dysphagia, GI Development, Oral Motor Function, Sensory Processing, Behavior and Tube Feeding
  • Nutrition and immune system function
  • Supplements
  • Which special diets are really special
  • Techniques to improve nutrition
Target Audience

  • Speech-Language Pathologists
  • Speech-Language Pathology Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Dieticians
  • Dietary managers
  • Physical Therapists
  • Nurses
  • Early Childhood Special Education Staff
  • Other Helping Professionals who Work with Children

ANGELA MANSOLILLO, MA/CCC-SLP, BCS-S

Angela Mansolillo, MA/CCC-SLP, BCS-S, is a speech-language pathologist and board-recognized specialist in swallowing disorders with over 21 years of experience. She is a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she is involved in evaluation, treatment, and program planning for adults and children with dysphagia. In addition, she is a clinical supervisor and adjunct faculty member at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts. For over 15 years, she has worked in a variety of clinical settings, provided numerous regional and national presentations and served as guest lecturer at several colleges and universities throughout Massachusetts.

Ms. Mansolillo received her Bachelor of Arts degree in communication from Rhode Island College and earned her Master of Arts in speech-language pathology from the University of Connecticut. She is a member of the American Speech-Language-Hearing Association and is a member of Special Interest Division 13, which focuses on swallowing and swallowing disorders.



Speaker Disclosures:

Financial: Angela Mansolillo has an employment relationship with Cooley Dickinson Hospital. She receives a speaking honorarium from PESI, Inc.

Non-financial: Angela Mansolillo is board certified specialist, Swallowing and Swallowing Disorders of the American-Speech-Language-Hearing Association.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.




Registered Dietitians & Dietetic Technicians
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PESI, Inc. PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2019 through June 30, 2022. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This program/material is designated as LEVEL 2.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists
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PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.


Occupational Therapists & Occupational Therapy Assistants
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PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.


Physical Therapists & Physical Therapist Assistants
This activity consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary per state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Maryland Physical Therapists & Physical Therapist Assistants: This course has been submitted to the Maryland Board of Physical Therapy Examiners for review.

Virginia Physical Therapists & Physical Therapist Assistants - Credit Available Until: 10/31/2020
This course has been approved for 6.25 contact hours by the Virginia Physical Therapy Association. Approval #: CEUL038241.


Speech-Language Pathologists
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This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).

** Please note that Speech-Language Pathologists must complete the post-test and evaluation within two weeks of attending the live event if they would like their participation submitted to the ASHA CE Registry. Detailed instructions will be provided the day of the program under the Handouts section of the online program.


Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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