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At the completion of this program, you should be able to:

1. Identify key elements necessary for the development of a comprehensive dysphagia evaluation.
2. Examine contributing factors to dysphagia such as: medications, lab values and cranial nerve dysfunction.
3. Interpret modified barium swallow study results.
4. Choose the best and most rational therapeutic treatments for your patients.
5. Specify and utilize Outcome Measures in your practice to track progress.
6. Identify and utilize online and technological resources for Dysphagia Assessment and Treatment.

1. Assessment
1. Chart Review
1. Disease Processes
2. Respiration
3. Lab Values
4. Medications
   
2. Patient/Staff Concerns
3. Oral Mech Exam
1. Cranial Nerve Examination
4. Clinical Assessment
1. What’s in your toolbag?
5. Cervical Auscultation
6. Palpation
7. Trial Consistencies
1. 3-Ounce Water Swallow Test
8. Instrumental Assessment
1. MBSS
2. FEES
9. Symptoms/Indications from the Swallow Assessment
10. Treatment
1. Neural Plasticity
2. Swallowing Facts
3. Exercise Principles
4. Treatment Outcomes
5. Tools of the Trade
11. Techniques
1. Kinesio Taping
2. EMST/IMST
3. ROM Exercises
4. Effortful Swallow
5. Thermal
6. FMEP
7. LSVT
8. MDTP
9. Pharyngeal Exercises
10. DPNS
11. NMES
12. Myofascial Release
12. Exercises
1. Mendelsohn Maneuver
2. Masako
3. Shaker
4. Oral Manipulation
5. Effortful Swallow
6. Lingual with Resistance
7. Mastication
8. Weighted Bolus
9. IOPI
13. Stretches
1. Myofascial Release
2. Beckman Program
14. Modalities
1. sEMG
2. NMES
3. TTS
4. Pressure Biofeedback
15. Postures
1. Chin Tuck
2. Head Turn
3. Supra and Super-Supra Glottic Swallow
4. Head Back/Chin Up
5. Side Lying
16. Frazier Water Protocol
17. PEG Tube and Functional Dysphagia Therapy
18. Predictors of Aspiration
19. Outcomes Tracking
20. Technology in Dysphagia Therapy
21. Online Dysphagia Resources

Tiffani L. Wallace has been assessing and treating patients of all ages with dysphagia for over 10 years. She recently earned her Board Recognized Specialty in Swallowing and Swallowing Disorders (BRS-S). She is certified in Vitalism, Deep Pharyngeal Neuromuscular Stimulation (DPNS), McNeill Dysphagia Therapy Program (MDTP), and LSVT Loud and is a Modified Barium Impairment Profile Registered Clinician (MBSImP). Tiffani currently works in a 25-bed critical access hospital, evaluating and treating inpatients and outpatients, including the completion of all modified barium swallow studies. She has learned how to work on a limited budget to provide the best therapy possible for her patients.

Tiffani writes a blog, Dysphagia Ramblings (dysphagiaramblings.blogspot.com), about various aspects of swallowing and swallowing disorders. She is very involved in social media and is on the public relations/social media committees for BRS-S and for the Indiana Speech and Hearing Association (ISHA). Tiffani has started 3 dysphagia groups on Facebook: Dysphagia Therapy Group, Dysphagia Therapy Group Professional Edition and Dysphagia Support. Tiffani is also an active SLPeep on Twitter. Speaker Disclosures:

Financial: Tiffani L. Wallace receives compensation for serving on the Advisory Board for Smarty Ears Inc. She receives royalties from the sale of Dysphagia2Go. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Tiffani L. Wallace created and administers the Facebook groups: Dysphagia Therapy Group, Dysphagia Therapy Group Professional Edition, and Dysphagia Therapy Group-Professional Edition. She writes a blog on swallowing and swallowing disorders at dysphagiaramblings.blogspot.com. She is on the public relations/social media committees for BRS-S and for the Indiana Speech and Hearing Association.

For U.S. and Canadian customers, CE is available for $20 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion will be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**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.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Registered Dietitians & Dietetic Technicians

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 5.5 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 self-study program/material is designated as LEVEL 2.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 7/14/2017
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.8 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.6 continuing education credits.

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Speech-Language Pathologists & Audiologists
This course contains 5.5 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

California Speech-Language Pathologists/Audiologists: PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 5.5 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

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Other Professions
This self-study activity qualifies for 5.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Speech-Language Pathologists, Registered Nurses, Rehabilitation Nurses, Restorative Nursing Staff, Directors of Nursing, Certified Nursing Assistants, Occupational Therapists, Occupational Therapy Assistants, Rehabilitation Managers Dietitians, Respiratory Care Practitioners