Course content – Day 1

Introduction to working with dysphagia

Session Aim

Content
1 To ensure that delegates have a sound understanding of the normal development of eating and drinking.

Normal development of eating and drinking in children up to the age of two will be outlined and supported with video. Anatomy and anatomical changes. Reflexes Sucking Nutrition
2 To ensure that all delegates have a sound understanding of the anatomy and physiology of both the normal & abnormal swallowing process.

Anatomy of the head and neck.
Normal swallow including Huckabees rehabilative approach & Logemanns phases.
Cranial nerves & muscles involved in swallowing.
Neurophysiology of swallowing.
Aspiration/penetration.
Disordered swallow;
Problems with anticipation.
Oral parameters.
Timing.
Pharyngeal parameters.
Laryngeal/cricopharyngeal parameters
3 To ensure that delegates are aware of the importance and significance of respiration during dysphagia management. To inform delegates of the research and enable them to become familiar with equipment and its application.

Mechanism of ventilation.

Relationship between respiration and swallowing.

Respiratory based dysphagia.

Pulse oximetry – evidence base.

Equipment.

Practical exercise.

Clinical issues.
4 To highlight factors which influence normal development, to inform history taking, to develop the knowledge base on which hypotheses are formed.

Medical conditions including:

  • Prematurity
  • Gastrointestinal problems
  • Respiratory difficulties
  • Cardiac conditions
  • Neurological conditions

Syndromes with associated swallowing problems.

Environmental factors.

Medication;