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Webinar: Advanced Dysphagia Practice

  • 27 Apr 2024
  • 9:00 AM - 1:00 PM
  • Zoom


  • For Students Members Only.


Webinar: Advanced Dysphagia Practice

Saturday, April 27, 2024

Members: $40
Non-Members: $100
Students: Pay What you Can

9:00 a.m. - 1:00 p.m.


Part I:

Tracheostomy Education for the Medical SLP: Navigation from Trauma to Transplant is a dive into the SLP world of tracheostomies from different etiologies and overall complexity. This lecture will briefly introduce two branches of tracheostomy placement as well as review similar components including use of speaking valve use, ventilator advanced knowledge and development for much needed Tracheostomy Teams. The lecture includes breakdown of SLP role within these populations, how treatment roles can differ based on population, dysphagia/communication deficits with a tracheostomy, overall speaking valve use, ventilator advanced knowledge, and introduction to tracheostomy team research. The vision for this lecture is to provide a niche view into these two vastly different populations whom share tracheostomy placement, typically managed by the SLP. The goal for this lecture is to feel more comfortable and to have a more in-depth understanding of tracheostomies so you can feel confident with any these patient populations.

Part II:

This 2-hour webinar provides an in-depth analysis of Lateral Medullary Syndrome (Wallenberg Syndrome) including discussion of the neurophysiological changes after lateral medullary infarct, the critical natural of early intervention and education, and the importance of incorporating motor learning principles when working with this population. All topics reviewed within this webinar are discussed in the context of a single case study in order to provide concrete examples of dysphagia characteristics, approaches to rehabilitation, and to highlight the importance of person-centered care when working with someone with severe dysphagia. Although this discussion focuses primarily on dysphagia rehabilitation, this webinar is intended for any SLP working with adults across the continuum of care.

Rachael Silveira, M.A CCC-SLP
Madeleine Foley, CCC-SLP

Learner Outcomes
Part I:

  1. Participants will learn indications and etiology of both trauma and transplant related tracheostomies
  2. Participants will understand different thought processes and considerations associated with each population (trauma/transplant)
  3. Participants will recall benefits and considerations for a speaking value of both mechanically ventilated and non-ventilated patients regarding dysphagia and communication deficits.
  4. Participants will summarize basic dysphagia and communication deficits associated with tracheostomy related SLPs evaluation and treatment.
  5. Participants will be able to explain different mechanical ventilation modes, types and settings as well as determine patent's candidacy for speaking valve use on a ventilator. 
  6. Participants will understand the foundation and research behind developing a tracheostomy team for both populations.

Part II:

  1. Participants will be able to describe the importance of the medulla as it pertains to swallowing.
  2. Participants will be able to list 3 features of Wallenberg Syndrome.
  3. Participants will be able to define motor learning in the context of dysphagia therapy.
  4. Participants will be able to list 3 methods for promoting experience-dependent plasticity/neuroplasticity for patients with Wallenberg Syndrome.

Time-Ordered Agenda

Part I: Tracheostomy for the Medical SLP - Navigation from Trauma to Transplant

9:00-9:05 am: Introduction

9:05-9:09 am: Trauma SLP/type of population

9:09-9:13 am: Transplant SLP/type of population

9:13-9:16 am: Indications for tracheostomy

9:16-9:21 am: Dysphagia associated with trach

9:21-9:26 am: Dysphagia research/considerations trauma

9:26-9:31 am: Dysphagia research/considerations transplants

9:31-9:36 am: Communication associated with trachs

9:36-9:44 am: Passy Muir Valve/Considerations/Research

9:44-9:45 am: Familiarize yourself with ventilators

9:45-9:50 am: Ventilator Basics and modes

9:50-10:05 am: Introduction to modes: AC/VC, SIMV, Spontaneous

10:05-10:15 am: Pertinent Ventilator Settings

10:15-10:23 am: Inline PMV basics/application

10:23-10:28 am: Trach Team purpose/outcomes

10:28-10:30 am: Why start a team?

10:30-10:38 am: Inconsistencies in care

10:38-10:46 am: Research- Communication/decannulation/LOS

10:46-10:56 am: Team members/SLP involvement 

10:56-10:58 am: Challenges

10:58-11:00 am: References/Questions

Part II: Prioritizing Neuromuscular Re-Education with Wallenberg Syndrome

11:00-11:10 am: Objectives and Introductions

11:10-11:15 am: Meet Tim

11:15-11:45 am: What is Wallenberg Syndrome?

11:45-12:20 pm: Dysphagia Rehabilitation: What it Is, What it Isn't

12:20-12:45 pm: Neuromuscular Re-Education: Promoting Functional Practice

12:45-1:00 pm: Questions

About the Presenters


Rachael Silveira is an ASHA licensed/credentialed Speech-Language Pathologist currently working at a Level 1 Trauma/Transplant Hospital in Miami specializing in dysphagia and communication disorders, with diverse training in dysphagia management associated with respiratory compromised/artificial airways and medically complex neurogenic populations.

Rachael strives to be a lifelong student by earning yearly ACE (awards of continuing education) recognition and continually supporting the SLP community by providing clinical mentorship as well as providing supposed for Medical SLP platforms to promote continued growth for SLPs. Rachael has made patient advocacy and improving overall patient quality of life a personal mission and goal. She has spearheaded a robust multidisciplinary Tracheostomy Team in her facility with a mission of providing exceptional care to the population by utilizing standardized protocols to streamline care, now being spread to multiple facilities for implementation. In addition, Rachael has curated multiple avenues for education for SLPs, including a "Badge Buddy Series" and an open collaborative called TRACHtalks, for promoting tracheostomy evidence-based research in an accessible manner.

As our field is growing rapidly, Rachael focuses on continued efforts to improve medical SLP education with ongoing participation in national and international conference lectures, active IRB research, and guest lectures to multiple universities and hospitals.

Madeleine Foley is employed full time as a senior SLP in a level 1 trauma center in the Bronx and works per diem in acute rehab and subacute rehab settings. They are passionate about facilitating person-centered and accessible approaches to dysphagia rehabilitation across the continuum of care. Madeleine is a New York Medical College graduate, 4-time ASHA ACE award recipient, and S.T.E.P mentor.

Disclosure Statements

Financial: Rachael receives a salary as an SLP at a Level 1 Trauma/Transplant Hospital. Rachael is receiving an honorarium for her presentation.

Non-financial: Rachael is a member of ASHA.

Financial: Madeleine receives a salary as a senior SLP in a level 1 trauma center. Madeleine is receiving an honorarium for their presentation.

Non-financial: Madeleine is a member of ASHA.

ASHA requires participation in the CEU Registry to receive CEUs. If you are not part of ASHA’s CEU Registry, the Certificate of Completion will serve as documentation for ASHA CMHs.

ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.

If you have any questions, contact our office at 781-647-7031 or by email at

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