The Essentials: Dysphagia and COPD
Presented by Angela Mansolillo
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Dysphagia is a symptom, not a disease unto itself. Difficulty swallowing can be a symptom of a wide variety of medical diagnoses. The underlying diagnosis is a critical factor to consider when developing a treatment approach. Dysphagia clinicians must guard against a “one-size-fits-all” approach and instead develop an understanding of the causative factors and pathophysiology of swallowing disorders in each disease process.
This course will discuss dysphagia in the setting of chronic obstructive pulmonary disease (COPD). The characteristics of dysphagia in COPD will be reviewed. Specific considerations for assessment, including respiratory indicators, coordination of breathing and swallowing, and respiratory rate will be examined. The evidence base for treatment strategies specific to COPD will be provided, including the role of compensatory strategies in managing respiratory demands during swallowing, and participants will be provided with an opportunity for problem-solving through case review.
This course is appropriate for dysphagia clinicians working in medical settings, including acute care, outpatient rehabilitation, inpatient rehabilitation, and long-term care.
Meet your instructor
Angela Mansolillo
Angela Mansolillo is a speech-language pathologist and board-certified specialist in swallowing disorders with more than 25 years of experience. She is currently a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts, where she provides evaluation and treatment services for adults and…
Chapters & learning objectives
1. COPD: What the Dysphagia Clinician Needs to Know
This chapter will provide an overview of COPD for the dysphagia clinician. Respiratory functions, breathing/swallow coordination, aspiration risk, and the associations between COPD and GERD will be discussed to provide the clinician with an understanding of the relationship between swallowing and the respiratory disorders.
2. Dysphagia and COPD
This chapter will describe dysphagia as it manifests in COPD. Signs and symptoms of dysphagia will be reviewed, and factors specific to assessment will be discussed, including the potential impacts of respiratory rate, respiratory muscle function, breathing/swallow coordination, and dyspnea on swallow function.
3. Intervention Strategies
This chapter will provide a discussion of the evidence base for treatment strategies for dysphagia in COPD. Intervention techniques that have been specifically targeted for patients with COPD will be highlighted, including management of respiratory demand and endurance issues, management of dyspnea, and diet strategies. The role of exercise in patients with COPD and dysphagia will also be discussed.
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