I have heard of the term ‘sarcopenia’ and want to know if it can be rehabilitated.
We can rehabilitate sarcopenia. It is just reconditioning. It is more likely to happen in elderly folks and happen more quickly and can be more severe. So again, the literature (not only in swallowing disorders but exercise science) has shown that strength can improve with exercise in elderly patients with sarcopenia. That's why it is important for all healthy elders to be doing exercise, and Dr. Robbins has even talked about doing a swallowing maintenance program even on healthy elders, not just those with dysphagia. So, yes, we can rehabilitate sarcopenia and should definitely try to do that.
Lori Burkhead earned a Ph.D. from the University of Florida in 2005, focusing on using exercise-based principles in dysphagia diagnosis and management. She has presented domestically and internationally, published peer-reviewed articles and a book chapter relating to dysphagia. Her current research focuses on developing more effective approaches for dysphagia evaluation and treatment.
Aspiration pneumonia is an important and dangerous consequence of dysphagia but every patient with swallowing impairment does not necessarily develop pneumonia. Dysphagia clinicians must consider a number of factors that potentially increase the risk of pneumonia in our patients with swallowing disorders. This course will review the evidence base in the areas of aspiration and aspiration pneumonia and assist in answering the question “Who Gets Sick?”
In this changing health care environment, the SLP should work closely with the patient in establishing goals that focus on function and aim to achieve the desired, measurable outcome. Medicare guidelines stipulate that services must be provided at a level of complexity requiring the services of a speech-language pathologist. Even when Medicare guidelines are followed in the provision of services, the documentation sometimes does not demonstrate the focus on function or that a skilled service was provided. This course will address how to write measurable, functional goals and provide tips on how to accurately document skilled services.
As claim scrutiny increases, it becomes critical that rehab professionals understand Centers for Medicare & Medicaid Services (CMS) requirements, and how to craft content that shows how our services met those requirements. This course will teach the requirements for services to be reimbursable by Medicare, as well as how to present SLP services through quality documentation.
Medications can contribute to/exacerbate a patient’s dysphagia. This course will discuss the absorption and metabolism of medications, intended and unintended impact of medications, physiologic changes in the older adult and possible interactions that may occur with drugs, herbs and foods. A list of resources will be provided. (Part 2 - Course #6623)
Medications can contribute to/exacerbate a patient’s dysphagia. This course will discuss meds and the phases of the swallow; physiologic changes in the older adult; possible interactions that may occur with drugs, herbs and foods; and impact of meds on taste/smell. Medications can also create a chronic cough and increased secretions, which may be mistaken as a dysphagia. A list of resources will be provided. (Part 1 - Course #6608)