Adults With Dysphagia: Case Studies for Interactive
Problem-Solving (Recorded Webinar)
Presented by Michael Groher
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Nonfinancial: Michael Groher has no competing non-financial interests or relationships with regard to the content presented in this course.
This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from standard MedBridge courses.
How one develops critical thinking skills in the medical environment has been the focus of numerous empirical studies. From these studies, it has been suggested that the use of case examples that guide one through a series of decisions with direct feedback about those decisions is a valuable method of developing critical thinking skills. This webinar will present four case studies that will use this method in a series of four adult patients with dysphagia with diagnostically challenging presentations. All of these cases were referred by a physician into an outpatient setting; however, one may see similar cases across multiple settings. The format for each case will follow a general progression: the patient’s history, what additional information might be necessary, what one would do next, an imaging study, interpretation of the study, next steps, and recommendations for treatment, including any referrals.
Meet your instructor
Michael Groher
Michael Groher is an emeritus professor of the Department of Communicative Disorders at the University of Redlands in Redlands, California. Dr. Groher has spent most of his career working as a medical speech pathologist in acute and long-term care settings. The majority of his hospital work was done for the Department of…
Chapters & learning objectives
1. Case Number One: Food Seems to Stick in My Throat
This first case study looks at a woman who complains of food sticking in the back of her throat. The format for the case will follow a general progression: the patient’s history, what additional information might be necessary, what one would do next, an imaging study, interpretation of the study, next steps, and recommendations for treatment, including any referrals.
2. Case Number Two: I Can’t Seem to Swallow My Vitamins
It is rare that someone has a complaint on one specific item; this second case looks at someone complaining about difficulties swallowing vitamins. The format for the case will follow a general progression: the patient’s history, what additional information might be necessary, what one would do next, an imaging study, interpretation of the study, next steps, and recommendations for treatment, including any referrals.
3. Case Number Three: Easy to Miss the Problem
Reviewing the x-ray swallowing study in slow motion is often very useful in detecting the swallowing complaint. The format for the case will follow a general progression: the patient’s history, what additional information might be necessary, what one would do next, an imaging study, interpretation of the study, next steps, and recommendations for treatment, including any referrals.
4. Case Number Four: Constant Cough With Bronchitis
Bronchitis as a diagnosis may be a red herring for someone who also complains of a swallowing disorder. The format for the case will follow a general progression: the patient’s history, what additional information might be necessary, what one would do next, an imaging study, interpretation of the study, next steps, and recommendations for treatment, including any referrals.
5. Question and Answer Session
This chapter is a viewer-submitted question and answer session facilitated by Michael Groher.