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Dysphagia, Nagging Cough & Aging: What Are The Links?

 Wednesday, March 6 ,2019

1:00-2:30 p.m.

In this session, the attendee will gain an in-depth understanding of cough and airway reactivity in relation to swallowing. Potential mechanisms are presented in this session with a view to taking research findings to clinical practice implementation. (each presentation is 20 minutes)

 Moderators:

Doug Van Daele, MD

Laura Baijens, MD, PhD


 

Dysphagia and the Nagging Cough: What Are the Causal and Ameliorating Mechanisms? 

James Coyle, PhD, CCC-SLP, CLC, CNT, BCS-S

Cough is an impediment to swallowing and does not go well across the age spectrum. Dysphagic mechanisms causing cough and what restores normalcy will be discussed during this presentation. 

 After this presentation, attendees will be able to:

  • Identify causes of causes of cough related to orophayrngeal dysphagia.
  • Identify causes of cough not related directly to oropharyngeal dysphagia.

GERD and Cough: Mechanisms of Post-Swallow Dysphagia and Implications for Management

Joel Richter, MD

Gastroesophageal reflux is common but is also a commonly misunderstood problem. The mechanisms of cough in this setting are several; pharmacological, dietary, and surgical therapies have both, effects and after-effects on modifying swallowing and lung disease. A discussion on this will be undertaken during this presentation. 

 After this presentation, attendees will be able to:

  • Review the complex relationship between cough and GERD.
  • Discuss the role of diagnostic test especially impedance-pH testing.
  • Discuss the roles of dietary, medical (PPIs, gabapentin) and surgical therapy in GERD related cough.

Implementation of Cough Testing in Clinical Practice

Karen Hegland, PhD, CCC-SLP

Measuring airway reactivity at bedside, and the scope of testing modalities DIGEST, EMST, provocative testing (capsaicin or citric acid) will be discussed during this presentation.

 After this presentation, attendees will be able to: 

  • Identify three types of cough.
  • Discuss the methods for cough assessment.
  • Identify the possible deficits that can be present when measuring cough. 

An Understanding of Deglutitive Disorders in the Settings of Stroke and Aging

Pere Clave, MD, PhD

Processing all the data and putting into dysphagia practice can be difficult in the setting of the chronic lung disease. An understanding of deglutitive disorders in the settings of stroke and nursing homes will be undertaken during this presentation.

 After this presentation, attendees will be able to:

  • Understand the ESSD Perspective of Oropharyngeal dysphagia as a Geriatric Syndrome.
  • Understand the diagnosis of treatment of oropharyngeal dysphagia in older persons.
  • Understand minimal-massive intervention.

 

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3/6/2019 » 3/9/2019
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3/6/2019 » 3/9/2019
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