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Digital Seminar

As Breathing Changes, So Does Swallowing: Dysphagia in Individuals with Respiratory Compromise


Speaker:
Angela Mansolillo, MA/CCC-SLP, BCS-S
Duration:
2 Hours 04 Minutes
Format:
Audio and Video
Copyright:
Apr 29, 2025
Product Code:
POS065585
Media Type:
Digital Seminar

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Description

Clinicians are often asked to evaluate medically complex patients with respiratory disease or comorbidities, including COPD, ARDS, and COVID-19. Some of these patients have been or are ventilator dependent, some are using non-invasive airways, some have tracheostomy, and all have varying degrees of breathing compromise. What do we know about swallowing in these patients? What is the risk of aspiration? Of aspiration pneumonia? We’ll talk about what we know about breathing and swallowing coordination, how to recognize disordered respiratory-swallow patterning, and how to evaluate swallowing in a patient with respiratory compromise.

Credit

Handouts/Brochure

Speaker

Angela Mansolillo, MA/CCC-SLP, BCS-S's Profile

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


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 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 including quality improvement initiatives, patient education, and clinical policies and protocols. She is also adjunct faculty at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts and a guest lecturer in the Department of Communication Disorders at the University of Massachusetts. Over the course of her career, she has worked in a variety of clinical settings with children and adult populations with a career-long focus on feeding and swallowing disorders. Recently, she authored Let’s Eat!: A Clinical Guide to the Management of Complex Pediatric Feeding and Swallowing Disorders. Angela is a recent recipient of the Massachusetts Speech and Hearing Association’s Award for Clinical Excellence and is a sought-after speaker for both live and online continuing education courses as she seamlessly blends current research with clinical experience.

 

Speaker Disclosures:
Financial: Angela Mansolillo has an employment relationship with Elms College and Cooley Dickinson Hospital. She is a consultant with Dysphagia Services and receives speaking honorarium from ContinuEd, Medbridge, Advantage CE, and Dilgem Continuing Education. Angela Mansolillo receives a speaking honorarium, recording, and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Angela Mansolillo is a member of ASHA.


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Objectives

  1. Describe three components of respiratory-swallow coordination.
  2. Identify three indicators of breathing-swallow discoordination identifiable during clinical evaluation.
  3. Describe compensatory strategies utilized to improve breathing-swallow coordination in individuals with respiratory compromise.

Outline

UNDERSTANDING RESPIRATORY-SWALLOW PATTERNING
  • Breathing/Swallow coordination
  • Coordination and aspiration
  • Airway protective mechanisms
  • Reflexive cough
RESPIRATORY DISEASE PROCESSES – What do we need to know?
  • Obstructive Sleep Apnea (OSA)
  • COPD
  • ARDS
  • Asthma
  • COVID 19
  • Pneumonia
AIRWAY MANAGEMENT – What’s the impact on swallowing?
  • Non-invasive positive pressure ventilation
  • High flow nasal cannula
  • Intubation and Ventilation
  • Tracheostomies
SWALLOW ASSESSMENT – What are we looking for?
  • Respiratory factors
  • Cough
  • Respiratory muscle strength
COMPENSATIONS AND THERAPEUTIC STRATEGIES
  • Compensatory strategies
  • Skill training
  • Exercise
CASE REVIEW

Target Audience

  • Speech Language Pathologists 
  • Speech Language Assistants  
  • Physical Therapists 
  • Physical Therapist Assistants 
  • Occupational Therapists 
  • Occupational Therapy Assistants 
  • Respiratory Therapists

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