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SEMINAR DESCRIPTIONSwallowing doesn’t end at the pharynx. As such, comprehensive dysphagia interventions cannot consist solely of muscle exercises, maneuvers, compensatory postures, and diet modifications. To ensure the highest quality of care is achieved, dysphagia clinicians must consider other factors that contribute to swallowing difficulties, such as esophageal abnormalities, acid reflux disease, and pharmacology. Presented by and for the clinician in the real-world setting, this clinically relevant seminar will cover in depth:

• Esophageal Screenings and the Role of the SLP • Acid Reflux Disease and LPR in Adults and Children • Drug-Induced Dysphagia • Model for Pneumonia Risk and Prevention

This course is offered for

1.2 ASHA CEUs (Intermediate level, Professional area).

Intended Audience:Speech-Language Pathologists

and other interested professionals who

manage patients with dysphagia.

Comprehensive Dysphagia Interventions: The Esophagus, Acid Reflux Disease, Oral Hygiene and Free Water

PRICE: $295.002 or more $275.005 or more $245.00REGISTER EARLY - SPACE IS LIMITED

Late Fee: Add $20 if registering less than two weeks prior to seminar.

#1988 NASHVILLE, TN - October 2-3, 2010SPEAKER

Tom Franceschini, MS, CCC-SLP

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SEMINAR LOCATIONSOctober 2-3, 2010 / Nashville, TN

Hosted By:Skyline Medical Center3441 Dickerson Pike Nashville, TN 37207Phone: 615-769-2000

#1989 MIAMI, FL - November 6-7, 2010

Accommodations:Fairfield Inn-Opryland211 Music City CircleNashville, TN 37214 615-872-8939

November 6-7, 2010 / Miami, FL

South Miami HospitalVictor E. Clarke Education Center Auditorium6200 SW 73 StreetMiami, FL 33143Phone: 786-662-5111 or 786-662-4000

Accommodations:Marriott Courtyard Miami Dadeland9075 South Dadeland Blvd Miami, FL 33156Phone: 305-670-1220

• Free Water Protocol • Oral Hygiene Programs • Xerostomia

at www.northernspeech.com

NSS is approved as a provider of continuing education by the Florida Board Speech-Language Pathology and Audiology. Provider

#SPA-026.

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SEMINAR OUTLINE

SEMINAR OBJECTIVESAt seminar conclusion, participants will be able to:

DAY ONE7:30-7:50 Check In and Onsite Registration (Coffee and Tea)

7:55-8:00 General Seminar Information

8:00-10:00 PART I: Esophageal Considerations • Anatomy and Physiology of the Esophagus • Role of the SLP in Esophageal Screening and Referral Guidelines • Esophageal Disorders and Management Considerations

10:00-10:15 Break

10:15-10:45 Esophageal Considerations (Cont.)

10:45-12:00 PART II: Acid Reflux Disease and Laryngeal-Pharyngeal Reflux (LPR) in Adults • Etiology and Pathophysiology of Acid Reflux Disease • Oral, Laryngeal, Otological and Pulmonary Symptoms of Acid Reflux Disease and LPR

12:00-1:00 Lunch on Own

1:00-3:00 Acid Reflux Disease and LPR (Cont.) • Screening and Management Options

3:00-3:15 Break

3:15-4:30 PART III: Acid Reflux Disease and LPR in Infants, Children and Teenagers • Symptoms • Asthma and Acid Reflux Disease in the Pediatric Population • Referral Guidelines for Acid Reflux Disease in the Pediatric Population • Management Options

4:30 Adjourn and Sign Out

DAY TWO7:30-7:55 Sign In (Coffee and Tea)

8:00-9:00 PART IV: Drug-Induced Dysphagia and Pharmacological Considerations • Discussion of Harmful Drugs • Dysphagia as a Side Effect or Complication of Drugs • Medication-Induced Esophageal Injury

9:00-10:00 PART V: Predictors of Aspiration Pneumonia • The Langmore et al Study of 1998 • A Model for Pneumonia Risk and Prevention • Study Implications and Treatment and Management

10:00-10:15 Break

10:15-11:30 PART VI: The History and Development of the Free Water Protocol • Human Physiology and Water • The Development of the Protocol • Criteria for Use of the Free Water Protocol • The Supporting Research for the Protocol

11:30-11:45 Break

11:45-12:45 PART VII: Oral Hygiene Programs • Colonization of Oral Pathogens • Oral Care Interventions • Comprehensive Oral Care Protocol

12:45-1:30 PART VIII: Xerostomia • Anatomy and Saliva Production • Common Signs and Symptoms of Xerostomia • Management Options

1:30 Adjourn and Sign Out

1. Describe the anatomy and physiology of the esophagus and understand how swallowing and voice disorders occur from disorders of the esophagus.

2. Explain Laryngeal-Pharyngeal Reflux and its role in voice disorders.

3. State diagnostic and treatment options for patients with LPR and Acid Reflux Disease.

4. State the differences in the various symptoms of LPR and Acid Reflux Disease as seen in infants, children, teenagers and adults.

5. Explain the theoretical basis behind the free water protocol.

6. Identify and discuss patients who can benefit from the protocol.

7. State the risks and costs of dehydration in the elderly population.

8. List the rules of the free water protocol.

9. Explain how the colonization of oral pathogens contributes to aspiration pneumonia.

10. List components of a comprehensive oral care program.

11. List two medications that can adversely affect swallow behavior.

Participants will be empowered to develop a more complete intervention model for treating dysphagic patients while still maintaining current standards of practice. Participants will understand the larger role they can play in treating and preventing Aspiration Pneumonia and Acid Reflux Disease. They will leave feeling more comfortable when working with gastroenterologists, ENTs and referring physicians. The ultimate goal of this seminar is to improve the quality of care of patients through a more comprehensive model of service delivery.

17 Phone: 888-337-3866 | Fax: 888-696-9655 | Mail: Use Registration Form on Page 41.

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Seminar # ___ ___ ___ ___ Seminar Date_________________Seminar Title ___________________________________________________

Cancellations: Tuition will be refunded, less a $25 processing fee, if written notification is received by NSS up to two weeks prior to the seminar. Two weeks to 72 hours prior: 50% refund; 72 hours or less: no refund. Substitutions are allowed if NSS is notified in advance. NSS reserves the right to cancel the event 7 days prior to the seminar date.

SEMINAR SCHEDULE

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Aspiration Pneumonia: Differential Diagnosis and Role of SLP P 2-3#2004 KANSAS CITY, MO

Aspiration Pneumonia: Oral Care and Free Water P 4-5#1987 MORRISTOWN, NJ

Best Treatment for Language & Cognitive Disorders P 6-7#1994 CHICAGO, IL #1995 INDIANAPOLIS, IN#1993 SHREVEPORT, LA

Cognitive Rehabilitation P 8-9#2006 MINNEAPOLIS, MN

Dementia: Treatment for Communication, Cognition, and Swallowing P 10-11#2002 BRISTOL, TN/VA

Dysphagia In The Elderly: Complex Patients P 12-13#2005 ATLANTA, GA

Dysphagia In The Elderly: Current Research and Best Practice P 14-15#1999 LAS VEGAS, NV

Dysphagia Interventions: The Esophagus, Acid Reflux Disease, Oral Hygiene and Free Water P 16-17#1989 MIAMI, FL #1988 NASHVILLE, TN

Dysphagia Practice: All About Treatment P 18-19#1992 ST. LOUIS, MO#1991 HOUSTON, TX

Interventions for Cognitive Disorders P 20-21#2011 PORTLAND, OR

Head and Neck Cancer P 22-23#1990 SEATTLE, WA

Standardizing Dysphagia Practice: Using the MBS Impairment Profile P 24-25#1998 FREMONT, CA #1996 BOSTON, MA#1997 DALLAS / FT WORTH, TX

The Vulnerable Elderly Patient with Dysphagia P 26-27#2003 AVON (Hartford area), CT

Trach / Vent P 28-29#2001 OKLAHOMA CITY, OK #2000 KNOXVILLE, TN

Please Print

Mail Registration To: NSS, P.O. Box 1247, Gaylord, MI 49734 or Call: 888.337.3866 Fax: 888.696.9655 email: info@northernspeech.com

SEMINAR REGISTRATION FORMRegister online at www.northernspeech.com. Click on CE Seminars.

SPACE IS LIMITED AND REGISTRATION MUST BE CONFIRMED ON A PREPAID BASIS BY CREDIT CARD OR CHECK.

(Make check payable to NSS. Purchase orders NOT accepted.)

_______________________________________________________________

Name of Registrant _______________________________________________

ASHA Account Number ___________________________________________

State License Number ____________________________________________

Discipline required for CEU processing o SLP o Other (please specify) _____________________________________________________________

Home Address ___________________________________________________

_______________________________________________________________

_______________________________________________________________

Work Facility Name & Address ______________________________________

_______________________________________________________________

_______________________________________________________________

Please indicate numbers where you can be reached if necessary

Phone: Work (________) __________________________________________

Home (________)___________________________________________

Fax (________) __________________________________________

Email Address ___________________________________________________

Tuition Amount __________________________________________________

Credit Card # ____ ____ ____ ____ ____ ____ ____ ____

____ ____ ____ ____ ____ ____ ____ ____ (Visa, MC, Amerx, Discover)

Expiration Date __________________________ CV #* ________________*CV# is the last 3 digits on the signature panel of Visa/MC/Discover • 4 digit # above card # on front of Amx

Card Holder’s Name ______________________________________________

Card Holder’s Signature ___________________________________________

Card Holder’s Address ____________________________________________

_______________________________________________________________

Aspiration Pneumonia: