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Digital Seminar

It’s More than Just Swallowing – Examining Breathing, Digestion, and Deglutition


Speaker:
Angela Mansolillo, MA/CCC-SLP, BCS-S
Duration:
Approx 6 hrs
Copyright:
Aug 29, 2025
Product Code:
POS065591
Media Type:
Digital Seminar - Also available: Digital Seminar | Live Webinar

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Description

This program will examine the inter-relationships between respiration, gastrointestinal function, sensori-motor function, and swallowing to allow clinicians to better identify the underlying causes of their client’s swallowing difficulties.

We’ll look at specific respiratory and GI diagnoses and their impact on what, when, how much, and how safely our clients eat.

Using clinical case studies, we’ll examine the evidence to provide you with the tools you need to perform a thorough multi-disciplinary assessment and implement a comprehensive treatment plan that takes into account all of the potential contributing factors.  Sometimes, it’s about more than just swallowing. 

Credit

Planning Committee Disclosure - No relevant relationships

All members of the Сòòò½ÊÓÆµ. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - Self-Study CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CE hours may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.



Speaker

Angela Mansolillo, MA/CCC-SLP, BCS-S's Profile

Angela Mansolillo, MA/CCC-SLP, BCS-S Related seminars and products


Angela Mansolillo, MA/CCC-SLP, BCS-S, is a speech-language pathologist and board-certified specialist in swallowing disorders with more than 30 years of experience. She is a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she provides evaluation and treatment services for adults and children with dysphagia and is involved in program planning and development including quality improvement initiatives, patient education, and clinical policies and protocols. She is also adjunct faculty at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts and a guest lecturer in the Department of Communication Disorders at the University of Massachusetts. Over the course of her career, she has worked in a variety of clinical settings with children and adult populations with a career-long focus on feeding and swallowing disorders. Recently, she authored Let’s Eat!: A Clinical Guide to the Management of Complex Pediatric Feeding and Swallowing Disorders. Angela is a recent recipient of the Massachusetts Speech and Hearing Association’s Award for Clinical Excellence and is a sought-after speaker for both live and online continuing education courses as she seamlessly blends current research with clinical experience.

 

Speaker Disclosures:
Financial: Angela Mansolillo has an employment relationship with Elms College, the University of Massachusetts, and Cooley Dickinson Hospital. She is a consultant with Dysphagia Services and receives speaking honorarium from Medbridge, Colibri Group, HomeCEUconnection.com, speechpathology.com; occupationaltherapy.com, respiratorytherapy.com, earlychildhood.com and Continued. Angela Mansolillo receives a speaking honorarium, recording, and book royalties from Сòòò½ÊÓÆµ. She has no relevant financial relationships with ineligible organizations.
Non-financial: Angela Mansolillo is a member of ASHA.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Use your understanding of the interrelationships between the respiratory and gastrointestinal systems to identify and treat the causes and not just the symptoms of dysphagia in your pediatric and adult clients.
  2. Evaluate the impact of respiratory and gastrointestinal functions on swallowing systems in order to choose targeted interventions and increase your effectiveness in reducing aspiration risk.
  3. Design effective multi-disciplinary treatment plans for clients with respiratory and GI disease processes including COPD, respiratory failure, and GERD.
  4. Expand your diagnostic tool box to include cough testing, water screenings, pulse oximetry, respiratory muscle strength testing, sensorimotor assessment, and other evidence-based tools.
  5. Develop successful treatment plans by identifying reflux disease and its impact on swallowing function in your clients.
  6. Design assessment strategies that allow you to identify those clients who are more likely or less likely to get sick as a result of aspiration

Outline

Breathing/Swallowing Coordination
Respiratory System

  • Anatomy and physiology
  • Coordination and aspiration
  • Airway protective mechanisms
  • Impact of various respiratory diseases

Gastroesophageal System

  • Esophageal and digestive functions
  • GERD and feeding/swallowing difficulties
  • Reflux mechanisms
  • Esophageal/Pharyngeal inter-relationships

GI/RESPIRATORY RELATIONSHIPS   
What’s the connection?

  • Pressure, energy, and innervation
  • Extra-esophageal reflux
  • Aspiration and the Airway
  • Risk factors for pneumonia
  • Aspiration and Oral Hygiene – It Takes a team

Disease Processes and Impact on Breathing, Digestion, and Swallowing

  • Airway Management, biopsychosocial factors, and implications for feeding and swallowing
    • Intubation, tracheostomies, nasal cannula and more
    • Implications for feeding

Reflux, biopsychosocial factors, and implications for feeding and swallowing

  • Interpreting test results and implications for treatment
  • Lifestyle factors

Swallow Assessment


Determine Aspiration Risk


Cognitive, Sensorimotor, and Respiratory Muscle Strength Assessment Tools


3 oz Water Test, Pulse Oximetry and More


Understanding lab values

Instrumental assessment:

  • Modified barium swallow studies
  • Fiberoptic endoscopic evaluation of swallowing

Feeding Interventions

  • Multisensory cues
  • Utensil selection
  • Environmental modifications
  • Assisted feeding options
  • Feeding schedules
  • Behavioral interventions

Aspiration Management
Diet modifications – Not such a benign intervention

  • Implications of dietary changes
  • Compliance issues
  • Thick liquids – pros and cons
  • Water protocols

Strategies and Exercises – What does the evidence tell us?

  • Compensation
  • Sensory interventions
  • Principles of exercise physiology
    • Motor learning principles
    • Exercise dose
    • Skill training vs strengthening
    • Biofeedback
  • Lingual strengthening
  • Pharyngeal strengthening
  • Expiratory muscle strength training
  • Modifications and adaptations: impairment specific strategies

REFLUX ASSESSMENT
What do these tests tell me?

  • Upper GI studies
  • Ph Monitoring
  • Esophagoscopy
  • Scintigraphy

REFLUX MANAGEMENT
What’s the dysphagia clinician to do?

  • Lifestyle modifications
  • Positioning
  • Diet modifications
  • Medications
  • Effects of acid suppression
  • Surgical interventions
  • New directions in reflux management
     

Target Audience

  • Speech-Language Pathologists
  • Speech-Language Pathology Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Respiratory Therapists
  • Nurses
  • Nursing Assistants
  • Restorative Nursing Staff
  • Dietitians
  • Dietary Managers
  • Long-Term Care Professionals

Reviews

5
4
3
2
1

Overall:      4.9

Total Reviews: 35

Comments

Michele D

"This was the best continuing education class I've ever taken - just amazing!! I want to take more from Ms. Mansolillo now!"

Kathleen L

"Excellent training! Thank you."

Alexa P

"Extremely useful, plan to share course with all my colleagues. Thank you!!!"

Alison K

"Great presentation! Information was organized and thorough per topic."

Pamela D

"Best course in my 40 years experience!!"

Amy H

"This was a great course. Very informative and presenter was knowledgeable. Highly recommend"

Lori G

"Excellent Course!"

Nelia G

"This was the best course EVER! Very informative and Mrs. Mansolillo demonstrated to be very knowledgeable of the topics."

Susan D

"Excellent course"

Norma W

"Placed on quiz. Many thanks!"

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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