Angela Mansolillo – Breathing, Digestion and Swallowing. Best Practices in Dysphagia Management

 

Assessment of the Interrelationships Between Respiratory Functions and Gastroesophageal Systems
The American Speech-Language-According to the Hearing Association, more than 15,000,000 people are enrolled in hearing aids. in Dysphagia is common in the United States. A treatment plan that works is essential for dysphagia, which is a common condition in the United States. Dysphagia often occurs in conjunction with other medical conditions like gastrointestinal problems and nervous system disorders. and There are many conditions that can cause respiratory problems. These medical conditions can exacerbate the patient’s dysphagia and This can complicate the assessment process. Clinicians who do not recognize the interrelationships among the respiratory system and the patient’s health can cause problems in the assessment process. and It is possible that the gastroesophageal system may be too complex.-treating the patient’s condition.

This recording will give physicians a better understanding of the respiratory system. and The relationship between the gastrointestinal and respiratory systems and Their impact on dysphagia management. Aspiration pneumonia is a particular focus of disease processes and We will discuss gastroesophageal reflux diseases and strategies for clinical management. Finalize your assessment with the necessary skills and Treat the entire patient and not just the symptoms.

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1. Discuss the development and Interrelationships among the respiratory system and Gastroesophageal Systems
2. Discuss the effects of respiration and The effect of swallowing on the gastrointestinal function
3. Recognize your respiratory system and Dysphagia can be a sign of gastroesophageal diseases.
4. Define the evidence supporting diagnostic tools like pulse oximetry or reflex cough testing. and Clinical and Assessment of instrumental swallowing
5. Recognize common signs of reflux and What impact they have on the treatment process
6. Discuss with your doctor which patients are most susceptible to developing aspiration pneumonia

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RESPIRATORY SYTEMS

• Overview of the systems – anatomy/physiology
• Breathing/Swallowing coordination
• The apneic signal
• The relation between coordination and aspiration
• Chemical Responses of the Larynx (LCRs).
• Reflexive cough

GASTROESOPHAGEAL SYTEMS

• Esophageal function
• Reflux Barriers
• Saliva swallows
• Digestive acids
• Reflux mechanisms
• Relationship between feeding disorders and eating disorders
• GERD signs and These are the symptoms
• When does GER become GERD?
• Reflux, feeding and Behaviors of swallowing
•  Dysphagia and its relationship

RELATIONSHIPS GI/RESPIRATORY

• Relationships under pressure and They have a positive effect on the environment.
• Asthma/gastroesophageal reflux connection
• Laryngopharyngeal Reflux (LPR)

ASPIRATION

• Clearance Mechanisms for Pulmonary Disease
• Aspiration in Infancy
• What is the limit of how much?
• Predictors of pneumonia in various populations
• Aspiration and Hygiene of the mouth

RESPIRATORY DIISEASE PROCESSES

• Infant Respiratory Stress Syndrome (IRDS).
• Bronchopulmonary Dysplasia, (BPD),
• Respiratory Synctial Virus (RSV)
• Congenital Heart defects
• Obstructive Sleep Apnea and Dysphagia
• Congestive Heart Failure (CHF).
• Obstructive conditions
• Restrictive Conditions
• Pneumonia vs Pneumonitis
• Pneumonia acquired in the community
• Pneumonia acquired in healthcare
• Aspiration Pneumonia

AIRWAY MANAGEMENT

• Non-invasive positive pressure ventilation
• High flow nasal cannula
• Intubation
• Post-extubation dysphagia
• Tracheostomies
• Tracheotomy: Physiological Changes

ASPIRATION ASSESSMENT

• What are the requirements for clinical assessment?
• Cognitive assessment
• Pitch elevation
• Serial swallows
• Oral mechanism
• Respiratory factors
• Cough
• Strengthen your respiratory muscles
• Instrumental assessment
• Studies on Modified Barium Swallow
• Fiberoptic Endoscopic Evaluation of Swallowing
• Water tests for 3 ounces
• Understanding lab values

ASPIRATION MANAGEMENT

• Diet modifications
• Dietary changes and their implications
• Compliance questions
• Thick liquids
• Thickening is complicated by many factors
• Water protocols
• Strategies for compensatory compensation
• Sensory interventions
• Principles of exercisephysiology
• Lingual strengthening
• Take a slow, deliberate swallow
• Mendolsohn maneuver
• Masako maneuver
• Shaker head lift
• For resistance, chin tuck
• Head extension exercise
• Jaw opening exercise
• Tongue pulling back
• Effortful pitch glide
• Exercises to build muscle strength

REFLUX ANALYSIS

• Upper GI studies
• Monitoring by Ph
• Esophagoscopy
• Scintigraphy

REFLUX MANAGEMENT

• Lifestyle modifications
• Positioning
• Diet modifications
• Medications
• Acid suppression effects
• Surgical interventions
• New directions in reflux management
• Endoscopic procedures
• Melatonin
• Acupuncture
• Magnetic Sphincter Augmentation

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