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Best Practice In Videofluoroscopy Part 3: Determining Swallowing Safety and Efficiency Using Videofluoroscopy

presented by Catriona Steele

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Disclosure Statement:

Financial: Catriona Steele receives an honorarium from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Catriona Steele has no non-financial interests or relationships with MedBridge.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
In this course, Catriona Steele discusses strategies for evaluating the swallowing safety and efficiency of patients via video fluoroscopy. The course reviews the relevance of measurable residue levels and visible aspiration events to swallowing impairment and gives participants an overview of the Normalized Residue Ratio Scale (NRRS) and the Aspiration-Penetration Scale (APS). Participants will learn to distinguish between normal and abnormal swallowing function, and will have the opportunity to apply their knowledge to a series of case-based scenarios.

Meet Your Instructor

Catriona Steele, PhD, CCC-SLP, F-ASHA

Dr. Catriona M. Steele is the Director of the Swallowing Rehabilitation Research Laboratory at the Toronto Rehabilitation Institute. She also teaches in the Graduate Department of Speech-Language Pathology at the University of Toronto. Prior to completing her Ph.D., Dr. Steele worked as a medical speech-language pathologist for 10 years. Dr. Steele is known for her…

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Chapters & Learning Objectives

1. Determining Swallowing Safety from Videofluoroscopy

Dr. Steele introduces swallowing safety, specifically regarding penetration-aspiration, as a major functional goal for patients, and describes the Penetration-Aspiration Scale and delineation of normal vs. abnormal function. Participants will receive practice in rating swallowing safety.

2. Determining Swallowing Efficiency from Videofluoroscopy

This chapter focuses on rating swallowing efficiency by objectively observing reside after swallowing in patients experiencing dysphagia. Among topics discussed are rating residue, decision-making regarding frame selection and delineation of normal vs. abnormal function. Participants are also given the opportunity to practice in rating residue using the ordinal rating scales and NRRS.

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