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1. Describe a cranial nerve assessment and the function of the cranial nerves.
2. Identify key elements necessary for the development of a comprehensive dysphagia evaluation.
3. Summarize therapeutic treatment strategies to increase the functional swallow.
4. Examine contributing factors to dysphagia such as: medications, lab values and cranial nerve dysfunction.
5. Explain neuroplasticity principles to increase swallow function.
6. Identify ways that technology can be incorporated in dysphagia therapy.

PART 1: ASSESSMENT

Chart Review

• Disease Processes
• Respiration
• Lab Values
• Medications

Oral Mech Exam

• Cranial Nerve Examination

Clinical Assessment

• Cervical Auscultation
• Palpation
• Ounce Water Swallow Test

Instrumental Assessment

• MBSS
• FEES
• Symptoms/Indications from the Swallow Assessment

PART II: TREATMENT

Techniques

• Kinesio Taping®
• EMST/IMST
• Thermal
• Pharyngeal Exercises
• NMES
• Myofascial Release

Exercises

• Mendelsohn Maneuver
• Masako
• Shaker
• Oral Manipulation
• Effortful Swallow
• Lingual with Resistance

Stretches

• Myofascial Release
• Beckman Program

Modalities

• sEMG
• NMES
• TTS
• Pressure Biofeedback

Postures

• Chin Tuck
• Head Turn
• Supra and Super-Supra Glottic Swallow
• Head Back/Chin Up
• Side Lying

Technology in Dysphagia Therapy

• iPad®/iPhone® apps
• Android apps for dysphagia
• Online Dysphagia Resources

Meghan Schaufele, MA, CCC-SLP, BCS-S, is a certified and licensed Speech-Language Pathologist, specializing in the treatment of patients with swallowing disorders. Meghan works with a team of therapists to provide patients at a Level One Trauma Center and Comprehensive Stroke Center with evaluation and treatment of speech, language, cognition, and dysphagia. Her work includes conducting and interpreting modified barium swallow studies. During her career, she has developed and initiated new therapeutic dining programs, and created & implemented an armband system to assist with identifying diet levels for residents and patients while protecting their medical privacy.

Meghan completed her undergraduate and graduate studies at the University of Tennessee, receiving ASLHA's Students Pursuing Academic and Research Careers (SPARC) Award. Meghan is responsible for teaching and supervising speech pathology Master's students completing an externship at her facility. She regularly provides education to medical students and residents about the field and scope of speech pathology. She also provides training sessions to nursing staff with a focus on dysphagia and stroke. Today, Meghan serves as a team and committee member for the Southeast Regional Stroke Center, the first and only accredited Comprehensive Stroke Center in the Chattanooga area.

Speaker Disclosures:

Financial: Meghan Schaufele has an employment relationship with Erlanger Health System. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Meghan Schaufele is a member of the American Speech-Language-Hearing Association.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). 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 are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 3/31/2020
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 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 6.0 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 6.3 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.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

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 6.3 continuing education credits.

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Speech-Language Pathologists & Audiologists
This course contains 6.0 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 6.0 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.

Kansas Speech-Language Pathologists: Approved for 7.5 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.

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Other Professions
This self-study activity qualifies for 6.25 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.

Registered Dietitians & Dietetic Technicians, Nurses, Occupational Therapists & Occupational Therapy Assistants, Respiratory Care Practitioners, Speech-Language Pathologists and other Healthcare Professionals