Esophageal Dysphagia

Audience: SLP, OTR./L, COTA

Course level: Intermediate

Date: Saturday-Sunday, Sept. 25-26, 2010
Check-in time: 8:00 a.m. - 8:30 a.m.
Class time: 8:30 a.m. - 4:30 p.m.
Location: University of Minnesota Medical Center - Riverside East building, Brennan Center
Contact hours: 14.0


Julie Huffman, S.L.P., is a speech-language pathologist at Rex Healthcare in Raleigh, N.C.. She has 15 years experience in dysphagia evaluation and treatment in a variety of settings with current focuses in outpatient rehabilitation and oncology clinic. For the last eight years, she has had a special interest in esophageal disorders as they affect oropharyngeal swallowing. She has been instrumental in devising new protocols to include consideration of the esophagus for both FEES and MBS studies throughout the continuum of care in her hospital system. She has been teaching on the subject for the past four years. Julie is pursuing research opportunities related to esophageal disorders and dysphagia. Julie is a graduate of the State of University of New York at Buffalo.

Course description:
This cutting edge, two-day course is designed for the intermediate dysphagia therapist. The speech-language pathologist (SLP) will become knowledgeable on various esophageal disorders affecting the oropharyngeal stage of swallowing. Diagnostic ability and treatment planning will be dramatically improved by learning to decipher primary oropharyngeal vs. esophageal dysphagia. Learn to identify laryngopharyngeal reflux (LPR) and gastroesophageal reflux (GERD) and become knowledgeable regarding diagnostic evaluations and medical/surgical management. You will receive extensive clinical training for advanced interpretation of FEES and MBS to include implementation of the Reflux Finding Score (RFS) and esophageal sweep. You will learn to determine appropriate candidates for various tube feeding options given their effect on different stages of swallowing. Evaluation and treatment options for the xerostomic patient will be discussed.

Course objectives:
1. Define various esophageal disorders and their effect on oropharyngeal swallow function.
2. Develop proficiency in utilizing the Reflux Finding Score during FEES.
3. Develop proficiency in identifying esophageal abnormalities during the MBS esophageal sweep.
4. Determine appropriate recommendations for the patient with primary esophageal dysphagia.
5. Define Xerostomia, its relation to esophageal dysphagia and treatments.
6. Describe effects of enteral feeding on oropharyngeal and esophageal swallow function.

Course agenda:
Day One
8:00-8:30 a.m.              Registration

8:30-9:00 a.m.              Introduction to esophageal dysphagia and effects on oropharyngeal swallow function
9:00-10:15 a.m.            Anatomy and physiology of the esophagus
10:15-10:30 a.m.          Break
10:30 a.m.-Noon          Disorders of the esophagus
Noon-12:30 p.m.          Lunch
12:30-2:15 p.m.            Gastroesophageal Reflux (GERD) and Laryngopharyngeal Reflux (LPR)
2:15-3:00 p.m.               Advanced interpretation of FEES/using the Reflux Finding Score
3:00-3:15 p.m.               Break
3:15-4:30 p.m.               FEES case studies

Day Two
8:00-8:30 a.m.                Registration
8:30-9:30 a.m.                Diagnostic tests for esophageal dysphagia
9:30-10:45 a.m.              Xerostomia evaluation and treatment/effect on swallow function
10:45-11:00 a.m.           Break
11:00 a.m.-12:15 p.m.  Medical and surgical treatment for esophageal dysphagia
12:15-12:45 p.m.           Lunch
12:45-2:15 p.m.             Feeding tubes/ effect on oropharyngeal and esophageal stages of swallowing
2:15-3:15 p.m.                Advanced interpretation of MBS, the esophageal sweep
3:15-3:30 p.m.                Break
3:30-4:30 p.m.                MBS case studies

This course is eligible for American Occupational Therapy Association Approved Provider credit. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA.

This program is offered for 1.4 CEUs (professional area; intermediate level.

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