Portfolio

Your dysphagia portfolio will serve as a clinical resource and also as evidence of competence in the prevention, assessment, and treatment of dysphagia. You may turn in a draft of each portfolio assignment by the due date indicated in the course schedule if you would like feedback from Dr. Clark. The final portfolio is due July 7. Grading Sheet for Portfolio

Dysphagia Summary Sheet (60 pts)

Develop a cheat sheet that integrates information about

• the normal swallow
• variations in the normal swallow related to age, culture, bolus properties, etc
• common impairments contributing to swallowing disorders
• the clinical signs resulting from those impairments
• the physical symptoms associated with the impairments and signs
• remedial strategies addressing underlying impairments
• adaptive strategies addressing clinical signs of dysphagia
• additional information that may be clinically relevant when a dysphagic sign is present

The cheat sheet may take a variety of forms. One possible organization strategy is provided only as an example.

Clinical Protocol (15 - 20 pts)

Include in your portfolio a sample protocol for the clinical assessment of swallowing function. The protocol should include

• key historical information that should be gleaned from the medical record
• key historical information that should be obtained during the clinical interview
• assessment of underlying structure and function (i.e., oral motor examination)
• assessment of swallowing activity

The protocol may be a compilation of commercially available materials (15 points) or an original integrated protocol (20 points). In either case, appropriate citations should be included on the protocol materials

Instrumental Assessment (10 pts)

Compare and contrast the two primary instrumental assessment tools for dysphagia: MBS and FEES. The final product should in a format that will help you determine which assessment tool might be most appropriate for any given patient.

Treatment Evidence Review (10 pts)

Identify, summarize, and critique one peer-reviewed article describing the benefit of a dysphagia treatment. Include a brief summary of the review process (how was the article identified and obtained?)

Additional Features of Portfolio (5 pts)

• Table of contents
• Reference list
  • all resources consulting in the development of your portfolio should be cited, both in the text and by a reference list
  • copyright information (see below)

Students are encouraged to develop original materials for all components of the portfolio. However, if commercial or other non-original materials are included in the portfolio, a copy of the copyright information for those materials must also be included in the portfolio.

Competencies

What's a competency? ASHA requires that students demonstrate both knowledge and skills related to the management of communication and swallowing disorders. The portfolio, quizzes, and exam assess your knowledge of the course material. The competencies will assess your skill in the execution of a variety of clinical methods. All competencies are graded pass/fail. Students will repeat the competency until passing skills are demonstrated.

• Clinical (bedside) swallowing exam
  • to be conducted in class
  • each student will conduct a clinical swallowing exam, including oral motor exam, on another student
• MBS
  • to be conducted outside of class
  • in small groups, students will review and rate 5 modified barium swallow studies
• Treatment
  • to be conducted in class
  • each student will demonstrate the ability to execute two swallowing maneuvers: supraglottic swallow and Mendelsohn maneuver