*****Originally Aired April 2024****

Guest: John Ashford, PhD, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/a-closer-look-at-laryngeal-aspirationits-more-than-what-you-

In this week's rewind episode of the Brainstorms Functional Neurorehab for SLPs podcast, hosted by Renee Garrett, we take a deep dive into the topic of aspiration pneumonia with Dr. John Ashford. The discussion covers the medical definitions of aspiration and aspiration pneumonia, the misconceptions that surround these conditions, and the critical role of oral care in preventing pneumonia. Dr. Ashford also explains the complex interplay between the biomechanical processes of swallowing, the immune system, and bacterial infections. Tune in for expert insights and practical advice for speech-language pathologists and healthcare providers on managing dysphagia and reducing the risk of aspiration pneumonia.

About the guest:

John R. Ashford, PhD, CCC-SLP, is Education Director and co-owner of SA Swallowing Services, Nashville, Tennessee, USA. He is a Navy Veteran, a retired Medical Speech-Language Pathologist for the Department of Veterans Affairs, and previously served as a tenured Associate Professor at Tennessee State University, adjunct Assistant Clinical Professor at Vanderbilt University School of Medicine, and guest professor at Dar Al-Hekma University, Jeddah, Saudi Arabia. He has been published and a member of ASHA for 58 years. Professional interests include understanding factors associated with pneumonia development in patients with dysphagia, and educating and training providers of FEES services.

Guest: Luis Riquelme, PhD, CCC-SLP, BCS-S

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/dementia-and-dysphagia

Join host Renee Garrett as she welcomes Dr. Luis Riquelme to discuss his extensive experience and research in the field of dysphagia, particularly in aging populations and dementia. This episode explores topics such as Presbyphagia, cognitive decline, the physiological changes in swallowing that occur with age, and the importance of individualized patient care. Dr. Riquelme shares valuable insights on the continuum of neuro-rehab for speech-language pathologists, touching on the ethical considerations and caregiver education. A must-watch for SLPs looking to deepen their understanding of neuro-rehab and swallowing disorders.

Episode Timeline:

00:00 Introduction and Disclosures

01:10 Welcoming Dr. Luis Riquelme

02:35 Dr. Riquelme's Career Journey

08:17 Aging and Dysphagia

10:52 Understanding Presbyphagia

19:44 Challenges in Diagnosing Dementia

24:37 Research on Swallowing and Dementia

32:01 Exploring Oral Pharynx Research

32:40 Cued vs. Uncued Swallows in Dementia

33:51 Epiglottic Inversion and Dementia

34:55 Retrospective Study on Thin Liquid Swallows

36:24 Prospective Study and Cognitive Status

37:37 Caregiver Burden and Management Strategies

38:21 Polypharmacy and Medication Management

43:52 Behavioral and Sensory Considerations in Eating

54:28 The Role of Singing in Dementia Care

56:15 Counseling and Ethical Considerations

01:00:28 Concluding Thoughts and Personal Stories

About the Guest:

Dr. Riquelme is Consulting Director, Rehabilitation & Speech-Language Pathology, Maimonides Health; Associate Professor, Universidad Católica del Uruguay, and Adjunct Professor, Teachers College, Columbia University. His current research focuses on changes in swallow physiology in dementia and pill swallowing. Publications also include relationships between culture and dysphagia. Luis has presented locally and internationally. He serves as Co-Chair of the IDDSI and a member of ASHA’s Healthcare Economics Committee. Recipient Honors ASHA and Fellow of ASHA.

Guest: Brooke McGivern, MS, CC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/brainstorms-exploring-unchartered-waters-a-journey-in-head-a

Join host Renee Garrett in this episode where she revisits an engaging conversation with Brooke McGivern (formerly Brooke Beilman). Brooke shares her in-depth insights on head and neck cancer, emphasizing the importance of prophylactic care, the integral role of Speech-Language Pathologists (SLPs), and the significance of lymphedema management. Renee and Brooke discuss various treatment techniques, evidence-based practices, and resources to equip clinicians in their journey supporting patients with head and neck cancer and dysphagia. The episode also covers Brooke's personal and professional experiences, patient advocacy, and strategies for developing effective programs for head and neck cancer. Tune in for a wealth of knowledge and actionable advice from seasoned experts in the field.

Episode Timeline:

00:00 Introduction and Episode Overview

01:42 Guest Introduction and Disclosures

04:29 Brooke's Journey and Early Career

05:38 Interest in Head and Neck Cancer

11:09 Challenges and Emotional Impact

17:22 Manual Therapy and Career Development

20:46 Importance of Imaging and Assessments

31:51 Financial and Logistical Barriers

33:55 Patient Case Study: Esophageal Dysfunction

35:53 Feeding Tubes and Reflux Management

38:40 Advocating for FEES Equipment

43:05 Developing a Head and Neck Cancer Program

53:34 Resources for Head and Neck Cancer

01:01:09 Conclusion

About the Guest:

Brooke McGivern (formerly Brooke Beilman), MS, CCC-SLP, is a full-time member of Tactile Medical’s Oncology team, a board member for Dysphagia Outreach Project, an affiliate for Medbridge, and has previously partnered with Speech Therapy PD and Tactus Therapy on affiliate projects. She is certified in NMES, myofascial release, and MDTP. She is the recipient of the ASHA ACE Award, co-founder of Servant Leadership, member of SIG 13, and member of the Medical SLP Collective. Brooke has presented at the state and national levels and has been a guest on the Understanding Dysphagia Podcast Episode 4. She has hosted continuing education webinars for both the Medical SLP Collective and Tactile Medical, serving as the content creator for online platforms for both organizations.