BR

ISTOL, TN

/VA

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, NC

over 20 additional CEEvents across the country,including Nashville, Charleston,and Jacksonville. Visit

BRISTOL, TNApril 20-21, 2013

CHARLOTTE, NCFebruary 2-3, 2013

325 Meecher Road | P.O. Box 1247 Gaylord, MI | 49734

Sponsored by:

888.337.3866www.northernspeech.com

SPEAKER: Tom Franceschini, MS, CCC-SLP

SPEAKERBonnie Martin-Harris,

PhD, CCC-SLP, BRS-S

Prsrt Std.U.S. Postage

PAIDNorthern Speech

ServicesSPEAKER

Tom FranceschiniMS, CCC-SLP

SAVE!! ...up to $40 with our group tuition rates – see inside!

1.2 ASHA CEUs INCLUDED

BRISTOL, TN/VAApril 20-21, 2013

CHARLOTTE, NCFebruary 2-3, 2013

Continuing Education Seminars For Speech-Language Pathologists

BRISTOL, TN/VAApril 20-21, 2013

A 30-year history of providing quality continuing

education programs.

See more details on this seminar: Comprehensive Dysphagia Interventions: The Esophagus, Acid Reflux Disease, Oral Hygiene and Free Water

See more details on this seminar: The MBSImP©™ And Dysphagia Practice: Targeted Intervention Through Standardized Physiologic Swallow Assessment

www.northernspeech.com Phone: 888-337-3866 Fax: 888-696-9655

CHARLOTTE, NCFebruary 2-3, 2013

SPEAKER: Bonnie Martin-Harris,PhD, CCC-SLP, BRS-S

Sponsor: Northern Speech Services Printed in the USA

www.northernspeech.com

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:

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

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. Over 98% of past participants would recommend this seminar to a colleague.

CEUs for SLPs

#8

CHICAGO, ILOctober 20-21, 2012

Learn:n To detect mild to profound deviations in swallow function using the evidence-based MBSImP scoring system

n Standardized reporting of results, impairment profiles and outcome indicators

n Targeted, evidence-based intervention for swallowing-specific impairment

nObjective documentation to treatment response and patient outcome

Appropriate for all speech-language pathologists who evaluate or treat adults with dysphagia in any clinical setting.

The MBSImP©™

And Dysphagia Practice: Targeted Intervention Through Standardized Physiologic Swallow Assessment

The MBSImP©™

And Dysphagia Practice: Targeted Intervention Through Standardized Physiologic Swallow Assessment

1.0 ASHA CEUs

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

Learn:

n Esophageal abnormalities and when to refer to  radiology / gastroenterology

n Etiology, symptoms, and management of Acid Reflux Disease 

nWhen to recommend and how to implement free water protocols

n Your role in coordinating oral hygiene programs

The MBSImP©™

And Dysphagia Practice: Targeted Intervention Through Standardized Physiologic Swallow Assessment

Become a Registered MBSImP Clinician:The only way to become a Registered MBSImP Clinician is to complete the MBSImP Online Training, which is separate from this above seminar and worth an additional 2.1 CEUs. Those attending this CE Seminar will receive a $200 credit toward enrollment in the MBSImP online training. Learn more at www.northernspeech.com/MBSImP. The online training is open only to speech-language pathologists.

SEMINAR DESCRIPTIONThis seminar addresses the adult population and is designed for clinicians who conduct MBS

exams, treat patients following an MBS exam, or both, in any setting along the healthcare

continuum. The format includes an evidence, case-based approach to learning the implementation

and interpretation of a standardized modified barium swallowing examination using the MBSImP.

Participants will learn to execute a standardized and efficient examination that permits flexibility

for safe and immediate introduction of interventions based on the nature of impaired components.

Implications of the MBSImP approach on radiation safety will be presented. Performing and

treating clinicians will learn to link oropharyngeal physiologic components to potential levels of

disruption in sensor-motor control across patient diagnoses.

Participants will learn to detect mild to profound deviations in normal function across various ages

based on new evidence using the MBSImP component scoring system. The potential application for

neuroprotective and neurorehabilitative exercises will be presented. The functional relationships

between esophageal clearance abnormalities and oropharyngeal swallowing disorders will be

discussed. The application of targeted interventions and treatment planning based on specific

impairments of swallowing will be covered. Participants will receive sample reports and learn to

create electronic, web-based patient reports based on MBSImP findings.

Outcome tracking within a single healthcare facility or healthcare system that supports the value

of the MBS study and swallowing treatment will be demanded in a climate of healthcare reform. To

that end, participants will learn to set appropriate goals and identify and track patient outcomes.

Participants will also learn how de-identified MBSImP data creates opportunity for participation

in multi-site clinical research and advancement of swallowing practice in the speech-language

pathology community. (Seminar focus is the adult population. Pediatric dysphagia will not be

presented.)

SPEAKER

Bonnie Martin-Harris, PhD, CCC-SLP, BRS-S,

is an internationally renowned

lecturer, researcher and

clinician. She is a Professor

at the Medical University of

South Carolina as well as the

Director of the MUSC Evelyn

Trammell Institute for Voice

and Swallowing in Charleston,

SC. Her latest research

project was a rigorous, five-

year study to test whether

it would be possible to

standardize swallow evaluation

via the MBSS. This study

produced the MBS Impairment

Profile (MBSImP).

Speaker Financial Disclosure: Presenter is employed by the Medical University of South Carolina (MUSC). MUSCreceives royalty payments fromNorthern Speech related toenrollment tuition of the MBSImPOnline Training.

Nonfinancial – none.

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

1.2 ASHA CEUs

1.2 ASHA CEUs

Tom Franceschini, MS, CCC-SLP, is a highly sought-after speaker on the topic of Dysphagia Management, having educated thousands of Speech-Language Pathologists, Nurses and other healthcare professionals throughout North America and Europe. With 30 years in the field, Tom has accumulated a high level of experience in all areas of medical speech pathology and continues to pursue a special interest in the esophageal stage of the swallow, and how this impacts swallowing disabilities and voice disorders.

Tom is nationally known for the role he has played in the development of the Free Water Protocol, and he routinely provides consultation to hospitals and other institutions on establishing heartburn and swallowing disorders centers, on developing free water protocols, and on implementing oral hygiene programs. Currently, Tom is a practicing clinician at Scott & White Healthcare in Killeen, TX.

Speaker Disclosure:Employer: Scott & White Healthcare, Temple, Texas. Financial — Author of online CEU courses by Northern Speech Services; receives royalty payments.Financial — Member of Speakers’ Bureau, Sage Products, Inc; receives speaking fees. Nonfinancial — None.

Comprehensive Dysphagia Interventions: The Esophagus, Acid RefluxDisease, Oral Hygiene andFree Water

l Free Water Protocolsl Oral Hygiene Programsl Xerostomia

“By far, the most dynamic and interesting speaker I have had the privilege

of hearing.”

CHARLOTTE, NC February 2-3, 2013

BRISTOL, TN/VAApril 20-21, 2013

Over 98% of past participants would

recommend this seminar to a colleague.

1.0 ASHA CEUs

Enroll in an e-course and earn CEUs online at www.northernspeech.com.

PRICE: $299.002 or more $279.005 or more $259.00REGISTER EARLY - SPACE IS LIMITED

CHARLOTTE, NC February 2-3, 2013

SEMINAR LOCATION

Space is limited. Register today at www.northernspeech.com/seminars Phone: 888-337-3866 Fax: 888-696-9655

BRISTOL, TN/VA APRIL 20-21, 2013

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

MBSImP (#2163)

CHARLOTTE, NCFEBRUARY 2-3, 2013

Comprehensive Dysphagia Interventions (#2174)

BRISTOL, TN/VAAPRIL 20-21, 2013

SEMINAR OUTLINE

1.2ASHA CEUs

RegisterToday!

Space is limited. Register today at www.northernspeech.com/seminars Phone: 888-337-3866 Fax: 888-696-9655

Printed in the USA

View all seminars: www.northernspeech.com/seminars

Intended Audience:Speech-Language Pathologists in clinical practice who evaluate and treat adults with dysphagia.LEVEL: Intermediate.

This course is offered for 1.0 ASHA CEUs (Intermediate level, Professional area).

PRICE: $299.002 or more $279.005 or more $259.00REGISTER EARLY - SPACE IS LIMITED

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

SEMINAR LOCATIONHilton Charlotte Executive Park5624 Westpark DriveCharlotte, NC 28217

Phone: 704-527-8000Parking: Free.Room Block: Please make reservations at least 35 days prior and request the Northern Speech rate of $109.

BRISTOL, TN/VAApril 20-21, 2013

Bristol Regional Medical CenterConference Center – Walnut Room1 Medical Park BlvdBristol, TN 37620

Phone: 423-844-1121

Parking: Free. Use main hospital lot.

Accommodations: Hampton Inn Bristol3299 West State StreetBristol, TN 37620Phone: 423-764-3600

The Hampton Inn is 0.2 miles from the Medical Center. Request the Wellmont Health System rate of $79. The Hampton Inn controls the number of rooms available at this rate.

SEMINAR REGISTRATION FORMRegister Online: www.northernspeech.com/seminars

SPACE IS LIMITED AND REGISTRATION MUST BE CONFIRMED BY CREDIT CARD, CHECK OR PURCHASE ORDER.

(Make check payable to NSS.)

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The MBSImP©™And Dysphagia Practice:  Targeted Intervention Through Standardized Physiologic Swallow Assessment

SEMINAR OUTLINE DAY ONE

7:30-7:55 Check In and Onsite Registration (Coffee and Tea)

8:00-12:00 Session One (break from 9:30 to 9:45) • Neural underpinnings of physiologic components of oropharyngeal swallowing

• Review and radiographic identification of 17 physiologic components of swallowing

• Clinical symptom correlates of physiologic swallowing impairment and aspiration

• MBSImP findings traced to neuromotor control mechanism

12:00-1:00 Lunch on Own1:00-4:00 Session Two (break from 2:30 to 2:45)

• Review of commonly occurring types of swallowing impairment: interdependency, levels of severity, clinical implications

• What’s normal “impairment” across the aging continuum?

• SLP’s role in assessment of esophageal function: implications of esophageal impairment on oropharyngeal swallowing disorders and approaches to treatment

• Identification of mild-profound dysfunction and implications for neuroprotective and neurorehabilitative exercise

• Targeted, evidence-based intervention for swallowing-specific impairment

4:00 Adjourn and Sign Out

DAY TWO

7:30-7:55 Sign In (Coffee and Tea)8:00-12:00 Session Three (break from 9:30 to 9:45) • Standardized reporting of results, impairment profiles and outcome indicators (health, quality of life, oral intake and nutritional status) using the MBSImP approach

• Mapping swallowing profiles across the natural history of disease and recovery

• SLP to Clinical Researcher: opportunity for multi-site clinical investigations and advancement of dysphagia research

• Patient cases: acute neurologic (CVA, trauma), pulmonary disease (obstructive/restrictive/mixed), head & neck cancer, chronic and progressive neurologic disease

• Initial assessment (identification and scoring)

• Targeted, evidence-based treatments

• Objective documentation to treatment response and patient outcome

12:00 Adjourn,SignOut,andCertificates

SEMINAR OBJECTIVES At seminar conclusion, participants will be able to:

• Conduct and advocate for standardized, valid and reliable approaches to MBS assessment that maximize clinical yield and minimize radiation exposure.

• Identify 17 physiologic components of swallowing function and detail levels of impairment.

• Differentiate normal function from impairment across the aging continuum.

• Interpret MBSImP reports from referring clinicians and execute a targeted, evidence-based treatment.

• Develop standardized patient reports including goal setting and outcome tracking.

• Develop clinical competency measures for conducting swallowing assessments using the MBSImP approach.

• Create profiles of swallowing impairment across the natural history of a condition or course of recovery.

Become a Registered MBSImP Clinician! Learn more at www.northernspeech.com/MBSImP

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

1.0 ASHA CEUs

ACCREDITATION

Online CEUs: www.northernspeech.com/CEUs

DAY ONE - SATURDAY7:30-7:50 Check In and Onsite Registration (Coffee and Tea)

7:55-8:00 General Seminar Information

8:00-9:00 PARTI:ConflictsinDysphagia • Where have we been and where are we going?

9:00-10:00 PART II: 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 (continued)

10:45-12:00 PARTIII:AcidRefluxDiseaseandLaryngeal- PharyngealReflux(LPR)inAdults • 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 AcidRefluxDiseaseandLPR(continued) • Screening and Assessment • Radiographic Evaluation and Interpretation • Developing a Plan of Care

3:00-3:15 Break

3:15-4:30 AcidRefluxDiseaseandLPR(continued) • Management Options • Counseling • Medications • Surgical Interventions

4:30 Adjourn and Sign Out

DAY TWO - SUNDAY7:30-7:55 Sign In (Coffee and Tea)

8:00-9:00 PARTIV:AcidRefluxDiseaseandLPRinInfants & Children • Symptoms • Asthma and Acid Reflux Disease in the Pediatric Population • Referral Guidelines for Acid Reflux Disease in the Pediatric Population

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 PARTVI:TheHistoryandDevelopmentofthe 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 PARTVII:OralHygienePrograms • 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,SignOutandCertificates

SEMINAR OBJECTIVES At seminar conclusion, participants will be able to:

Intended Audience: Speech-Language Pathologists in clinical practice who evaluate and treat clients with dysphagia. Level: Intermediate.

This course is offered for 1.2 ASHA CEUs (Intermediate level, Professional area).

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

2013 Charleston Swallowing ConferenceCutting Edge Assessment & Treatment

October 11 – 13, 2013Embassy Suites Hotel, North Charleston, SC

Joan Arvedson, Ph.D.Peter Belafsky, M.D.

Donald Castell, M.D.Michael Crary, Ph.D.

Caryn Easterling, Ph.D.Susan Langmore, Ph.D.

Cathy Lazarus, Ph.D.Maureen Lefton-Greif, Ph.D.

Rebecca Leonard, Ph.D.Jeri Logemann, Ph.D.

Christy Ludlow, Ph.D.Giselle Mann, Ph.D.Bonnie Martin-Harris, Ph.D.Gary McCullough, Ph.D.Timothy McCulloch, M.D.David McFarland, Ph.D.JoAnne Robbins, Ph.D.Jay Rosenbek, Ph.D.And more

– Speakers –

– Program Director –Bonnie Martin-Harris, Ph.D.

OtOlaryngOlOgy - Head & neck SurgeryHOSt OrganizatiOn PrOgram SPOnSOr

info@northernspeech.com NorthernSpeech.com/Charleston 888-337-3866

New instrumental and behavioral interventions for persons with dysphagia have recently emerged. The 2013 Charleston Swallowing Conference will bring together the leading and highly respected master clinicians in the field of dysphagia to share cutting edge and evidence-based assessments and treatments that will influence best practice in dysphagia service delivery. Stay on the cutting edge and join us for this clinically focused program in the beautiful and historic city of Charleston, South Carolina.

Mark YourCalendar!

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.