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

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.
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Information

Faculty:
Angela Mansolillo
Duration:
5 Hours 56 Minutes
Format:
Audio and Video
Copyright:
Nov 01, 2019

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, 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 recording describes complex feeding and swallowing disorders as they manifest themselves in children who have a variety of diagnoses.

Attendees 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.

Arm yourself with practical suggestions and tactics for improving function in these challenging children, as well as strong evidence to support those strategies!

Handouts

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
  • 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 for 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 

Faculty

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

Angela Mansolillo, MA/CCC-SLP, BCS-S Related seminars and products: 10


ANGELA MANSOLILLO, MA/CCC-SLP, BCS-S, is a Speech-Language Pathologist and Board-Certified Specialist in Swallowing Disorders with more than 30 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 inpatient and outpatient programming including quality improvement initiatives, patient education, and clinical policies and protocols. In addition, she is an adjunct faculty member at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts. Over the course of her career, she has worked in a variety of clinical settings, provided numerous regional and national presentations, and lectured at several colleges and universities throughout Massachusetts. Angela is a sought-after speaker for both live and online continuing education courses as she seamlessly blends current research with clinical experience. She is a recent recipient of the Massachusetts Speech and Hearing Association’s Award for Clinical Excellence.

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.