Dysphagia Diet Resources

By the American Speech-Language-Hearing Association & Nutrition411

dysphagia treatmentDifficulty in swallowing can cause food to enter the airway, resulting in choking, pulmonary problems, inadequate nutrition and hydration, weight loss, and may even lead to death from causes like aspiration pneumonia. Swallowing difficulties are commonly found in over 6 million Americans. Causes include traumatic brain injury, stroke, central nervous system infection, head and neck cancer, and degenerative diseases in young and older adults.

How is Dysphagia Treated?

Treatment outcome studies have provided evidence that compensatory strategies designed to have an immediate effect on the swallow (i.e., postural changes or diet manipulation) can improve swallowing safety and efficiency. Postural techniques eliminated aspiration on thin liquids in 75 to 80% of dysphagic patients. Likewise, data are beginning to emerge that demonstrate the utility of pharyngeal muscle strengthening exercises for improving swallowing physiology.

Treatment approaches improve nutritional status and hydration, and reduce morbidity from pneumonia. The speech-language pathologist’s intervention in swallowing disorders helps contain medical costs by reducing the length of hospital stays, decreasing the need for non-oral feedings, reducing nutritional problems, and decreasing expenses associated with pneumonia and other pulmonary complications.

According to data collected from ASHA’s National Outcomes Measurement System (NOMS), the majority of adults treated for dysphagia in home-based settings made significant functional gains. The data reveal that approximately 60% of adults who required an alternative method of feeding (e.g., nasogastric tube, PEG) at the outset of treatment progressed to a level at the end of treatment where their swallow was safe and they no longer needed an alternative method of feeding.

Speech-language pathologists assess and treat patients with dysphagia. Assessments may include clinical bedside and/or instrumental methods such as videofluoroscopy or fiberoptic endoscopy (FEES). Studies of these assessment tools have found them to be highly sensitive in diagnosing dysphagia and guiding appropriate clinical decisions and treatments.

In some cases, dysphagia is treated with surgery or medication. In others, treatment might involve muscle exercises or using special eating techniques. Some patients must change the texture of the foods and fluids they eat to make swallowing easier. When dysphagia is severe, eating and drinking orally is not recommended. In these cases, providing nutrition via a feeding tube is recommended.

What Types of Fluid Modifications are Recommended for Dysphagia Treatment?

Sometimes when a person has dysphagia, it is necessary to thicken liquids to make swallowing them easier. Liquids are thickened to the consistency of honey, nectar (such as apricot nectar), or pudding. If thickened liquids are recommended, it is necessary to have every liquid consumed, including water, coffee, juices, and milk, of the recommended consistency.

How are Liquids Thickened?

Speech and language pathologists recommend using a commercial thickener, which is a powder that is mixed into beverages to thicken them. Many health care facilities purchase prethickened water, milk, coffee, and juice to take the guesswork out of thickening fluids. For home use, you can purchase thickening powder at drug stores.

What Types of Texture Modifications are Recommended for Foods?

The National Dysphagia Diet recommends three levels: dysphagia pureed, dysphagia mechanically altered, and dysphagia advanced.

Dysphagia pureed diet: Foods are pureed and homogenous, with all foods, including meats, vegetables, and breads, of pudding-like consistency.

Dysphagia mechanically altered diet: Foods that are moist, soft textured, and easily formed into a food bolus for swallowing are allowed. Foods are well cooked and soft. Meats are ground or minced.

The dysphagia advanced diet: Foods are of nearly regular texture, but very hard, sticky, or crunchy foods are not included.

A registered dietitian or speech-language pathologist can provide specific information about what foods are allowed on each diet.

Helpful Handouts:

Dysphagia: Scoop It, Mold It, Pipe It—Rice and Pasta

Dysphagia Level 1 Diet (dysphagia pureed)

Dysphagia Level 2 Diet (mechanically altered)

Dysphagia Level 3 Diet (dysphagia advanced)

Related Online Continuing Education Course:

Dysphagia: Guide to Establishing a Restorative Mealtime Program is a 2-hour online CE/CEU course that will enable therapists in long-term care or post-acute rehabilitation facilities to present staff training that offers strategies and techniques for implementing a Restorative Mealtime Program (RMP). The purposes of such a program are to make dining safe and enjoyable, to increase resident independence at mealtimes, and to create a mechanism for monitoring declining abilities as disease processes progress. Also included are descriptions of dysphagic indicators, lists of aspiration precautions, methods for ascertaining needed levels of assistance, case studies, and a method for monitoring adherence to swallow safety standards. The author includes useful forms, checklists, and diagrams with limited permission for course participants to reproduce handouts for their own use in daily practice. Course #20-26 | 2013 | 37 pages | 20 posttest questions

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for all programs and content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the California Board of Behavioral Sciences; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board; the South Carolina Board of Professional Counselors & MFTs; and by theTexas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners.

Visuals for Autism – New ASHA Video CE Course

By: Anna Fredman, MS, CCC-SLP

Visuals for Autism: Beyond the Basic Symbols is a 2-hour online video continuing education (CE/CEU) course that demonstrates how the use of symbols to create and implement individualized visuals will help our students learn and communicate more comprehensively.

Visuals for AutismIt is well-established by research that many learners on the autism spectrum benefit from the use of visuals. How can we go beyond a basic use of symbols to create and implement individualized visuals that will help our students learn and communicate more comprehensively? Participants will learn about considerations and strategies to take into account in order to put more effective visuals in place for their students on the autism spectrum. Topics covered include: broadening symbol selection, adding layers and additional components to visuals in order to make them more motivating and meaningful, providing visuals for a wide variety of expressive communicative functions, and using visuals for comprehension and organization as well as expression. The course video is split into 2 parts for your convenience: part 1 is 56 minutes and part 2 is 57 minutes. Course #20-94 | 2015 | 14 posttest questions

This online video streaming course provides instant access to the course video, course handout and CE test. Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. You can print the test (download test from My Courses tab of your account) and mark your answers on while viewing the video. Then submit online when ready to receive credit. Email any questions to [email protected] – we’re here to help!

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for all programs and content. Professional Development Resources is also approved by the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the California Board of Behavioral Sciences; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board; the South Carolina Board of Professional Counselors & MFTs; and by theTexas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners.

 

Communication with Elders – New ASHA CEU Course

By Laura More, MSW, LCSW; Edie Deane-Watson, MS, CCC-A, CCM

Communication with Elders is a new 2-hour online continuing education (CE/CEU) course approved for ASHA CEUs that provides an overview of aging changes that affect communication, dysfunctional communication habits to avoid, and strategies for appropriate communication with elders.

Communication with EldersWith the increasing number of older people in the United States, it is vital for healthcare professionals to communicate effectively and respectfully with elders. Effective, appropriate communication with elders is important for many reasons. For speech-language pathologists and audiologists, communication is the foundation of service delivery. Communication is required for assessment of the person prior to treatment. Symptoms are, after all, subjective and must be reported by the person to the clinician. Effective communication also contributes to health literacy; the person’s understanding of her condition, treatment options, and the treatment plan to be followed. A person cannot comply with a treatment program unless the program is communicated clearly enough for the person to understand it. The more effective the communication, the more effective treatment will be – and the more cost effective. Communication also helps the clinician understand the whole person: the emotional, social, and financial realities that affect response to treatment and ability to comply. This course provides an overview of aging changes that affect communication, dysfunctional communication habits to avoid, and strategies for appropriate communication with elders. Course #20-95 | 2015 | 26 pages | 15 posttest questions

This online course provides instant access to the course materials (PDF download) and CE test. Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. You can print the test (download test from My Courses tab of your account after purchasing) and mark your answers on while reading the course document. Then submit online when ready to receive credit.

Click here to enroll.

Professional Development Resources is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA #AAUM) to provide continuing education activities in speech-language pathology and audiology. We will report to ASHA for you if you select yes to ASHA reporting in your account profile. Please note that the completion date that appears on ASHA transcripts is the last day of the quarter, regardless of when the course was completed. Professional Development Resources is also approved by the Florida Board of Speech-Language Pathology and Audiology and is CE Broker compliant (courses are reported within one week of completion)

Alzheimer’s Caregiver Guide Approved for ASHA CEUs

By the National Institute on Aging (NIA)

Alzheimer's Caregiver Guide and Tips on Acute HospitalizationAlzheimer’s Caregiver Guide and Tips on Acute Hospitalization is a new online continuing education course approved by ASHA for 0.1 CEUs. This course is presented in two parts. Part 1 offers strategies for managing the everyday challenges of caring for a person with Alzheimer’s disease, a difficult task that can quickly become overwhelming. Research has shown that caregivers themselves often are at increased risk for depression and illness. Each day brings new challenges as the caregiver copes with changing levels of ability and new patterns of behavior. Many caregivers have found it helpful to use the strategies described in this course for dealing with difficult behaviors and stressful situations. Part 2 includes tips on acute hospitalization, which presents a new environment filled with strange sights, odors and sounds, changes in daily routines, along with new medications and tests. This section is intended to help professionals and family members meet the needs of hospitalized Alzheimer’s patients by offering facts about Alzheimer’s disease, communication tips, personal care techniques, and suggestions for working with behaviors and environmental factors in both the ER and in the hospital room. Course #10-81 | 2010 | 17 pages | 7 posttest questions

Click here to learn more!

This online course provides instant access to the course materials (PDF download) and CE test. Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. You can print the test (download test from My Courses tab of your account after purchasing) and mark your answers on while reading the course document. Then submit online when ready to receive credit.

Click here to order now!

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists; by the National Board of Certified Counselors (NBCC ACEP #5590); by the Association of Social Work Boards (ASWB Provider #1046, ACE Program); by the American Occupational Therapy Association (AOTA Provider #3159); by the American Speech-Language-Hearing Association (ASHA Provider #AAUM); by the Commission on Dietetic Registration (CDR Provider #PR001); by the California Board of Behavioral Sciences (#PCE1625); by the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), Speech-Language Pathology and Audiology, and Occupational Therapy Practice (#34); by the Ohio Counselor, Social Worker & MFT Board (#RCST100501); by the South Carolina Board of Professional Counselors & MFTs (#193); and by the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).

 

50% Off Weekly Deals + Back to School Savings!

By Gina Ulery

New Weekly Deals are in with 50% off Video and Online CE courses. And don’t forget you can Buy 2 Get 1 FREE during our Back to School sale, now through Labor Day! https://www.pdresources.org/

Weekly-Deals-8-21-14

 

Professional Development Resources is approved to offer continuing education courses by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the California Board of Behavioral Sciences; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board; the South Carolina Board of Professional Counselors & MFTs; and by the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners.

Pennsylvania Speech Language Pathologists Continuing Education and License Renewals

pennsylvania speech language pathologists continuing education and license renewalsPennsylvania-licensed speech language pathologists have a biennial license renewal with a July 31st deadline, even years. Twenty (20) continuing education hours are required for licensure, and all hours are allowed from home study if ASHA approved. Office management/practice building courses are not accepted.

Professional Development Resources is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM) to provide continuing education activities in speech-language pathology and audiology. See course page for number of ASHA CEUs, instructional level and content area. ASHA CE provider approval does not imply endorsement of course content, specific products or clincial procedures. CEUs are awarded by the ASHA CE Registry upon receipt of the CEU Participant Form from the ASHA Approved CE Provider. Please note that the completion date that appears on ASHA transcripts is the last day of the quarter, regardless of when the course was completed.

Continuing Education Requirements

Speech language pathologists licensed in the state of Pennsylvania have a license renewal every two years, even years. The deadline to renew is July 31st. Twenty (20) continuing education hours are needed in order to renew a license, and all hours are allowed from home study with ASHA approval. Office management/practice building courses are not accepted.

Information obtained from the Pennsylvania Board of Speech, Language and Hearing Examiners on July 17, 2014.

Speech Language Pathologists Online Continuing Education Courses:

 

Mississippi Speech Language Pathologists Continuing Education and License Renewals

mississippi speech language pathologists continuing education
Mississippi-licensed speech language pathologists have a biennial renewal with a June 30th deadline, even years. Twenty (20) continuing education hours are required to renew a license. There are no limits on home study if ASHA approved. Ten (10) hours must directly relate to clinical practice.

Professional Development Resources is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM) to provide continuing education activities in speech-language pathology and audiology. See course page for number of ASHA CEUs, instructional level and content area. ASHA CE provider approval does not imply endorsement of course content, specific products or clincial procedures. CEUs are awarded by the ASHA CE Registry upon receipt of the CEU Participant Form from the ASHA Approved CE Provider. Please note that the completion date that appears on ASHA transcripts is the last day of the quarter, regardless of when the course was completed.

Continuing Education Requirements

Speech language pathologists licensed in the state of Mississippi have a license renewal every two years with a June 30th deadline, even years. Twenty hours of continuing education are required for license renewal. There are no limits on home study if ASHA approved. Ten continuing education hours must directly relate to clinical practice.

Information obtained from the Mississippi Speech Language Pathology/Audiology Advisory Council on May 19, 2014.

Continuing Education Courses for Speech Language Pathologists:

 

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Arkansas Speech Language Pathologists Continuing Education and License Renewals

arkansas speech language pathologists continuing education and license renewalsArkansas-licensed speech language pathologists have an annual license renewal with a June 30th deadline. Ten (10) continuing education hours are required for license renewal. Fifteen (15) hours are required if dual licensed. There are no limits on home study. A minimum of five hours from Content Area I (professional) (2 related) are required.

Professional Development Resources is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA Provider #AAUM) to provide continuing education activities in speech-language pathology and audiology. See course page for number of ASHA CEUs, instructional level and content area. ASHA CE provider approval does not imply endorsement of course content, specific products or clinical procedures. CEUs are awarded by the ASHA CE Registry upon receipt of the CEU Participant Form from the ASHA Approved CE Provider. Please note that the completion date that appears on ASHA transcripts is the last day of the quarter, regardless of when the course was completed.

Continuing Education Requirements

Speech language pathologists licensed in the state of Arkansas have an annual license renewal with a June 30th deadline. Ten (10) hours of continuing education are required to renew a license. Fifteen (15) hours are required if dual licensed. There are no limits on home study. A minimum of five hours from Content Area I (professional) (2 related) are required.

Information gathered from the Arkansas Board of Examiners in Speech Language Pathology/Audiology on April 23, 2014.

Continuing Education Courses for Speech Language Pathologists: https://www.pdresources.org/courselisting/newarrival/3

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New Mexico Speech Language Pathologists Continuing Education and License Renewals

new mexico speech language pathologist continuing educationNew Mexico-licensed speech language pathologists have an annual license renewal with a January 30th deadline. Twenty (20) continuing education hours are required every two years for licensing. There is no limit on home study if ASHA approved, and courses must be in the field of licensure.

Continuing education ensures the highest possible standards for the speech language pathology profession. All licensees are required to complete continuing education as a licensing condition.

Professional Development Resources is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech-language pathology and audiology. See course website for number of ASHA CEUs, instructional level and content area. ASHA CE Provider approval does not imply endorsement of course content, specific products or clincial procedures. CEUs are awarded by the ASHA CE Registry upon receipt of the CEU Participant Form from the ASHA Approved CE Provider. Please note that the completion date that appears on ASHA transcripts is the last day of the quarter, regardless of when the course was completed. Provider #AAUM

Requirements for Continuing Education

Speech language pathologists licensed in the state of New Mexico have a license renewal every year with a deadline of January 30th. Twenty hours of continuing education are required for licensing every two years. There are no home study limits if ASHA approved, and all courses must be in the field of licensure.

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Wyoming Speech Language Pathologists Continuing Education and License Renewals

wyoming speech language pathologists continuing education and license renewalsWyoming-licensed speech language pathologists have an annual license renewal with continuing education due by December 31st. Twelve (12) hours of continuing education are required for licensure. There are no limits on home study if ASHA approved, and courses must be in or directly related to area of licensure.

Continuing education assures the greatest possible standards for the speech language pathology profession. All licensees are required to complete continuing education as a condition of licensing.

Professional Development Resources is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech-language pathology and audiology. See course website for number of ASHA CEUs, instructional level and content area. ASHA CE Provider approval does not imply endorsement of course content, specific products or clincial procedures. CEUs are awarded by the ASHA CE Registry upon receipt of the CEU Participant Form from the ASHA Approved CE Provider. Please note that the completion date that appears on ASHA transcripts is the last day of the quarter, regardless of when the course was completed. Provider #AAUM

Continuing Education Requirements

Speech language pathologists licensed in the state of Wyoming have a yearly license renewal with continuing education due by December 31st. Twelve (12) hours of continuing education are required for licensure. There are no limits on home study if ASHA approved, and courses must be in or directly related to area of licensure.

Information gathered from the Wyoming Board of Speech Language Pathology/Audiology on December 20, 2013.

 

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