Gap Education
April 20, 2024, Live, Synchronous, 7-Hour Webinar
Dysphagia Management in Patients with Pulmonary Compromise: ICU and Beyond is an immersive webinar tailored for medically focused speech-language pathologists. Offered in a live, non-recorded format, this event synthesizes critical areas of knowledge and practice relevant to managing patients with dysphagia in critical care and related healthcare environments.
​
The program features four expert presenters who will explore a range of topics. These include the anatomy and physiology of the respiratory system as it relates to deglutition, the complexities of pulmonary clearance and aspiration pneumonia, and the challenges of managing dysphagia post-mechanical ventilation. The webinar will also cover best practices for tracheostomy care and other relevant issues in dysphagia management for patients with complex pulmonary needs. A key feature is a 1-hour interactive discussion panel, designed to integrate theoretical knowledge with practical clinical application, encouraging participants to engage actively in the learning process.
This intensive program represents a crucial educational journey, empowering attendees to enhance patient care within the ICU and other settings of care for patients with complex pulmonary etiologies and comorbidities.
Martin Brodsky, PhD, ScM, CCC-SLP, ASHA Fellow
Dr. Martin Brodsky is Section Head for Speech-Language Pathology in the Head and Neck Institute at Cleveland Clinic and Adjunct Associate Professor of Physical Medicine and Rehabilitation and Pulmonary and Critical Care Medicine at Johns Hopkins University. His publications largely focus on swallowing and swallowing disorders and laryngeal injury after endotracheal intubation. Dr. Brodsky’s research is funded by the NIH studying the effects of critical illness and critical care medicine on swallowing and the airway. Click for disclosures.
Jo Puntil, MS, CCC-SLP, BCS-S, ASHA Fellow
Jo Puntil Board-Certified Specialist in Swallowing and Swallowing Disorders. She is the Past ASHA Chair of the CCFC which oversees the implementation of certification and standards of care in Speech Pathology and Audiology. She has specialized in managing communication/cognitive and swallowing disorders for over 35 years in critical and acute care. Jo has extensive experience in developing interdisciplinary rehab programs, has lectured extensively, and has numerous publications. Click for disclosures.
Kendrea Layne (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE
Dr. Kendrea Garand is an Associate Professor in the Department of Communication Science and Disorders at the University of Pittsburgh. She holds a Doctor of Clinical Science in Medical Speech-Language Pathology (CScD) from the University of Pittsburgh, and a PhD in Health and Rehabilitation Science from the Medical University of South Carolina (MUSC). She then completed her post-doctoral fellowship at MUSC Department of Otolaryngology-Head and Neck Surgery. She has been a practicing speech-language pathologist for over 15 years, and she is recognized as a Certified Brain Injury Specialist (CBIS) and Board Certified Specialist in Swallowing and Swallowing Disorders (BCS-S). She currently is the Chairperson for the American Board of Swallowing and Swallowing Disorders and Editor-in-Chief of Perspectives of the
ASHA Special Interest Groups. Her research predominantly involves studying the impact of healthy aging, neurodegenerative disease, and obstructive sleep apnea on swallowing function and responsiveness to targeted interventions. She has over 60 peer-reviewed publications, and you may find some of her work in Journal of Speech, Language, & Hearing Research, Rheumatology, Muscle & Nerve, Dysphagia, Sleep & Breathing, and the Journal of Nutrition, Health, & Aging. Click for disclosures.
George Barnes, MS,
CCC-SLP, BCS-S
George Barnes MS, CCC-SLP, BCS-S is a board-certified specialist in swallowing and swallowing disorders who has developed expertise in dysphagia management, focusing on diagnostics and clinical decision-making in the medically complex population. George yearns to make education useful and quality care accessible. With a passion for food and a deep appreciation for the joy and connection it brings to our lives, he has dedicated his life to helping others enjoy this simple but deep-rooted pleasure. Click for disclosures.
Schedule Overview
April 20th, 2024 - Times listed in Mountain Standard Time (MST)
+ 2 hours for EST, + 1 hour for CST, or subtract 1 hour for PST
Welcome / Log On
8:00 - 8:10 am (MST)
Session 3
Considerations for Dysphagia After Mechanical Ventilation
Presenter: Martin Brodsky
10:35 am - 12:35 pm
Session 1
Respiratory System 101: Crash Course in Anatomy and Physiology, and Clinical Implications for Swallowing and Airway Clearance
Presenter: Kendrea (Fotch) Garand
8:10 - 9:10 am
Session 4
Discussion Panel
Featuring:
Tim Stockdale
Jo Puntil
Marty Brodsky
Kendrea Garand
12:45 - 1:45 pm
Session 2
Aspiration Pneumonia Defined
Presenter: George Barnes
9:15 - 10:15 am
Session 5
ICU Trends: The Exquisite Role of the Speech Pathologist with Medically Fragile Pulmonary Patients and How We Impact Patient Outcomes
Presenter: Jo Puntil
2:00 - 4:00 pm
Gaps reflected in the times above are allocated for breaks
Session Details
Session 1 / Respiratory System 101: Crash Course in Anatomy and Physiology, and Clinical Implications for Swallowing and Airway Clearance
Abstract: This presentation addresses the typical anatomical and advantageous physiological relationships of the human upper aerodigestive tract, followed by how factors may influence its cross-system interactions. Considerations for how disease may influence these interactions will also be introduced.
​
Learner Objectives:
-
Identify normative reference values related to pulmonary health.
-
Explain cross-system interactions between the respiratory and swallowing systems.
-
List three factors which may influence respiratory-swallow coordination.
​
Instructor: Kendrea Layne (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE
Session 2 / Aspiration Pneumonia Defined
Abstract: Aspiration pneumonia is a serious condition that can lead to a mortality rate as high as 70%, which is up to three times more deadly than other types of pneumonia. It is not a stand-alone diagnosis but rather falls on a spectrum of diagnoses, which makes it challenging to diagnose accurately. In this talk, we will discuss ways to differentiate aspiration pneumonia from other types of pneumonia and how to assess its risk effectively.
​
Learner Objectives:
-
List the different types of pneumonia and its pathophysiology.
-
Identify the salient features of aspiration pneumonia.
-
Describe how we can best assess aspiration pneumonia risk.
​
Instructor: George Barnes, MS, CCC-SLP, BCS-S
Session 3 / Considerations for Dysphagia After Mechanical Ventilation
Abstract: Globally, more than 20 million patients are intubated in the ICU, many with dysphagia lasting months to years after hospital discharge. Unfortunately, dysphagia may be only one end result of multiple new morbidities within the scope of speech-language pathology practice. This presentation will bring to light cross-morbidity interactions that come with critical care.
Learner Objectives:
-
As a result of this discussion panel, learners will further analyze and integrate material on dysphagia in patients with pulmonary complications.
-
As a result of this discussion, learners will list 3 ways to incorporate conference material into their clinical setting.
-
Use the information and resources provided to inform post-extubation care for patients who are critically ill.
​
Instructor: Martin Brodsky, PhD, ScM, CCC-SLP, F-ASHA
Session 4 / Discussion Panel
Abstract: The discussion panel will be used to facilitate discussion and clinical integration of material presented so far in the conference. Questions and prompts will be fielded from the audience. The discussion panel should help to identify and bridge gaps toward practical implementation of best practice.
​
Learner Objectives:
-
As a result of this discussion panel, learners will further analyze and integrate material on dysphagia in patients with pulmonary complications.
-
As a result of this discussion, learners will list 3 ways to incorporate conference material into their clinical setting.
​
Moderator:
Tim Stockdale, SLPD CCC-SLP
Panel Members:
Martin Brodsky, PhD, ScM, CCC-SLP, F-ASHA
Jo Puntil, MS, CCC-SLP, BCS-S, F-ASHA
Kendrea Layne (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE
Session 5 / ICU Trends: The Exquisite Role of the Speech Pathologist with Medically Fragile Pulmonary Patients and How We Impact Patient Outcomes
Abstract: Current trends in the ICU should incorporate a team effort to provide best practices, reduce length of stay and decrease mortality and co-morbidities. The Speech Pathologist plays an integral role in the ICU the team. Prolonged intubation, delirium, and remaining sedated in bed have deleterious effects on patients. Early Speech Pathology intervention/education to the patient/family members is key for better outcomes in the patient’s ability to swallow, provide effective communication, and stabilize their cognitive issues. This course will focus on integrating ICU bundles and establishing the vital role the SLP plays in patient centered care, especially pulmonary patients on high-flow, tracheostomy, on or off of mechanical ventilation. Discussion on how to assess patients for delirium, when to screen patients post extubation, clinical swallowing evaluations and critical decision making in the patient’s goals of care will be covered.
​
Learner Objectives:
-
As a result of this discussion panel, learners will further analyze and integrate material on dysphagia in patients with pulmonary complications.
-
As a result of this discussion, learners will list 3 ways to incorporate conference material into their clinical setting.
-
Analyze the appropriate timeline to screen for swallowing post extubation.
-
Distinguish the timing and goal for a clinical swallowing evaluation for respiratory compromised patients.
​
Instructor: Jo Puntil, MS, CCC-SLP, BCS-S, F-ASHA
Disclosures
Martin Brodsky, PhD, ScM, CCC-SLP, F-ASHA (Instructor)
Financial Disclosures
Salary: Cleveland Clinic
Research funds: NIH, FDA
Royalties: MedBridge, Inc.
Consulting: Phagenesis, Inc.
Speaking Fee: Gap Education, LLC
Non-financial Disclosures
Consulting: SwalTech, LLC
Associated editor: Dysphagia
Section editor: Archives of Physical Medicine and Rehabilitation
Jo Puntil, MS, CCC-SLP, BCS-S, F-ASHA (Instructor)
Financial Disclosures
Speaking Fee: Gap Education, LLC
Non-financial Disclosures
Professional: Past Chair CFCC of ASHA
​
Kendrea Layne (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE (Instructor)
Financial Disclosures
Salary: University of Pittsburgh
Honoraria: ASHA
Speaking Fee: Gap Education, LLC
Non-financial Disclosures
Professional (Member): Northeast ALS Consortium, ASHA, Dysphagia Research Society
Professional (Chair): ABSSD
​
George Barnes, MS, CCC-SLP, BCS-S (Instructor)
Financial Disclosures
Royalties: Northern Speech, Medbridge
Speaking Fee: Gap Education, LLC
Non-financial Disclosures
None
​
Tim Stockdale, SLPD, CCC-SLP (Organizer and Panel Moderator)
Financial Disclosures
Salary: Rocky Mountain University of Health Professions (adjunct), University of Hawaii (adjunct), The Ensign Group, Inc (PRN), Gap Education, LLC
Ownership: Gap Education, LLC
​
Non-financial Disclosures
Professional: ASHA SIG-13 Professional Development Committee Member
