FEEDING AND SWALLOWING DISORDERS ACROSS THE LIFESPAN CSDS 610 Instructor: Dr. Michele Norman Office: Hull 224 Office Hours: Monday 4-6:LCCLL; Tuesday 2-4: Hull 224 Telephone: 434-395-2341 Class: Mondays 1- 3:45 E-mail: normanml@longwood.edu Course Description Assessment and treatment strategies for infants, children, and adults with feeding and/or swallowing disorders 3 credits Required Texts Logemann, J. A. (1998). Evaluation and Treatment of Swallowing Disorders. 2nd Edition, Austin: Pro-Ed Wolf, L.S. & Glass, R.P. ( 1992). Feeding and Swallowing Disorders in Infancy. San Antonio, TX: Psych Corp., Inc. Supplemental Text Arvedson, J. C. & Brodsky, L. (2002). Pediatric Swallowing and Feeding: Assessment and Management, 2nd Edition, Singular Publications Course Objectives The following conceptual framework competencies guide the planning and delivery of instruction in this course. Specific course objectives reflect this framework as they focus on the needs of the students for developing skills as professionals who will be knowledgeable, caring and ethical decision-makers. Longwood Conceptual Framework Competencies CFC 1 – Plan for Instruction CFC 2 – Implementation and Management of Instruction CFC 3 – Evaluation and Assessment CFC 4 – Knowledge of Subject CFC 5 – Behavior Management CFC 6 – Communication Skills CFC 7 – Professional Responsibilities CFC 8 – Technology CFC 9 – Diversity ASHA KASA Standards (applicable to this course) Standard III-B. Demonstrate knowledge of basic human communication and swallowing processes, including their biological, neurological, acoustic, psychological, developmental, and linguistic and cultural bases Standard III-C Demonstrate knowledge of the nature of speech, language, hearing, and communication disorders and differences and swallowing disorders, including their etiologies, characteristics, anatomical/physiological, acoustic, psychological, developmental, and linguistic and cultural correlates. Standard III-D: The applicant must possess knowledge of the principles and methods of prevention, assessment, and intervention for people with communication and swallowing disorders, including consideration of anatomical/physiological, psychological, developmental, and linguistic and cultural correlates of the disorders. Upon completion of this course, students should be able to: 1. demonstrate understanding of normal development of swallowing (KASA IIIB; CFC 4) 2. demonstrate an understanding of the neurophysiology and etiology of swallowing disorders (KASA III-C, CFC 4) 3. demonstrate an understanding of the methods of evaluation and assessment of swallowing disorders (KASA III-D; CFC 3,4) 4. demonstrate the ability to formulate and implement direct and indirect intervention strategies (KASA III-D; CFC 1,2,8,9) 5. demonstrate an understanding of the concomitant factors influencing the diagnosis and treatment of swallowing disorders (KASA III-C; CFC 3,4,9) Course Requirements 1. Attendance and Class Participation- Students are expected to attend each class and participate in all discussions. All absences should be discussed with the instructor prior to any absence, if possible. 2. Examinations – Midterm and Final 3. Abstracts- One for pediatric and one for adult population 4. Clinical report – Each student will create a clinical diagnostic report based on a give patient profile 5. Group Project – Students will develop an advertisement with information brochures: 1) to help parents understand feeding and swallowing disorders, intervention strategies, and local resources and 2) to help adults understand swallowing disorders, intervention strategies, and local resources. Honor Code Students are expected to abide by the Longwood University Honor Code at all times. Any suspicion of a violation will be immediately investigated and college policy will be followed. Attendance Policy Students are expected to attend all classes. It is the responsibility of the student to notify faculty of all absences. In accordance with the Longwood University Attendance Policy, the class grade may be lowered one letter grade if a student misses 10% of the class meetings, and a grade of F may be assigned if a student misses 25% of class meetings. Policy on Late Work: All assignments are due to the instructor on the assigned due date. Work submitted late will be accepted, however a penalty will be incurred. Five % of the total point value of the assignment will be lost for each calendar day beyond the required submission date. Disability Statement The instructor is willing to make reasonable accommodations for any student's documented disability. The student should bring the supporting material to the instructor during the first week of class, including the accommodations needed, as outlined by the Learning Center at Longwood University. Grading Scale Abstracts 20 pts 280-286=A- 287-293=A 294-300=A+ Exams 100 pts 250-259=B- 260-269=B 270-279=B+ Clinical Report 100 pts 220-229=C- 230-239=C 240-249=C+ Team Project 70 pts Team Presentations 10 pts TOTAL 300 pts <219 F Class Schedule (This schedule will be adjusted if necessary during the semester) Date Jan 19 Topic Readings Assignment No Class 26 Anatomy & Physiology of Normal Swallowing Logemann 1, 2; Wolf Feb 2 Normal development Instrumentation used for evaluation Logemann 3 Wolf Abstract #1 due 9 Evaluation and assessment Pediatric swallowing & feeding disorders 16 Management Logemann 4, 5 Wolf 23 Management Logemann 6, 11, 13 Wolf Clinical Reports due Abstract #2 due March 2 Midterm 9 No Class 16 Special populations in adult swallowing disorders 23 Trachs and Vents in dysphagia Logemann 7, 8, 9, 10 30 Frazier Water Protocol Article& Handout Special populations in pediatric swallowing Wolf 13 Swallowing disorders in diverse populations Clinical decision making Logemann 12; Wolf; 20 Project Presentation 27 Final Examination April 6 Projects due Additional Readings Groher, M (1997), Dysphagia: Diagnosis and Management. Butterworth Heinemann Hall, K. D. (2001). Pediatric Dysphagia Resource Guide. San Diego: Singular Publications Huckabee, M. L. & Pelletier, (1999), Management of Adult Neurogenic Dysphagia. Singular Publishing Group Web resources ASHA practice guidelines http://www.asha.org/members/slp/topics/dysphagia/default ASHA standardizing the dysphagia diet http://www.asha.org/about/continuinged/ASHA-courses/T/T0412.htm Dysphagia Grand Rounds http://www.asha.org/about/continuing-ed/ASHAcourses/SSV/SSV4185.htm Passy-Muir Inc. http://www.passy-muir.com/products/educational/freematerials.aspx Dysphagia Resource Center http://www.dysphagia.com