Description

A unique, key and decisive specialization experience to boost your professional development and make you a first-class nurse"

Dysphagia is a little known disease, but it considerably worsens the quality of life of people who suffer from it. This difficulty in swallowing, which occurs especially at older ages, can lead to malnutrition or dehydration problems, but also to respiratory problems. 

The people most affected by this pathology are geriatric residents and stroke patients, as well as Alzheimer's or Parkinson's patients. The fact that it significantly affects the elderly suggests that this disease is on the rise, due to the gradual aging of the population.  

On the other hand, voice alterations are a more frequent problem, and also cause secondary problems in people who suffer from them. Especially when dysphonia or voice alterations occur on a constant basis.  

As a result, there is a wide professional demand for specialization in order to acquire the necessary competencies to enable nurses to provide a comprehensive health and clinical response in the patient's best interests. Both nurses and clinicians will benefit from training actions that integrate the vision of clinical nursing and the needs of an educational response that demands nursing also in the school environment, without forgetting the clinical and sanitary environment.  

This Postgraduate Diploma in Dysphagia and Voice Rehabilitation for Nurses responds to the demand for continued specialization of health and educational agents, and is aimed primarily at nursing professionals. With this training action, the professional will acquire competencies to manage and treat speech therapy disorders in different types of patients. In addition, these studies can facilitate access to employment in this field, due to the high demand for this type of professional, whether in the health, clinical or educational fields. 

This is the best Postgraduate Diploma you can find, with which you will receive a certificate endorsed by TECH Technological University"

This Postgraduate Diploma in Dysphagia and Voice Rehabilitation for Nurses the most complete and up to date scientific program on the market. The most important characteristics of the Postgraduate Diploma are:

  • The development of a large number of case studies presented by experts in dysphagia and voice rehabilitation. The graphic, schematic, and eminently practical contents with which they are created provide scientific and practical information on the disciplines that are essential for professional practice
  • New developments in the use of dysphagia and voice rehabilitation 
  • Practical exercises where the self-assessment process can be carried out to improve learning
  • Algorithm-based interactive learning system for decision-making in the situations that are presented to the student
  • Special emphasis on evidence-based methodologies in dysphagia and voice rehabilitation
  • Theoretical lessons, questions to the expert, discussion forums on controversial issues and individual reflection papers
  • Content that is accessible from any fixed or portable device with an Internet connection

Improve your knowledge in dysphagia and voice rehabilitation through this program, where you will find the best didactic material with real clinical cases”

It includes in its teaching staff professionals belonging to the field of dysphagia and voice rehabilitation and nursing who pour into this specialization the experience of their work, in addition to recognized specialists belonging to reference societies and prestigious universities. 

The multimedia content developed with the latest educational technology will provide the professional with situated and contextual learning, i.e., a simulated environment that will provide an immersive training program to train in real situations. 

The design of this program is based on problem-based learning, by means of which the professional must try to solve the different professional practice situations that arise throughout the course. To this end, the professional will be assisted by an innovative interactive video system developed by recognized experts in the field of dysphagia and voice rehabilitation, with extensive teaching experience. 

Nursing professionals will be able to continue with their specialization, combining it with their work, thanks to this 100% online Postgraduate Diploma"

Follow your specialization with us to give the best attention to your students"

Syllabus

The structure of the contents has been designed by a team of professionals from the best educational centers, universities and companies in the national territory, aware of the relevance of current specialization in order to intervene in the treatment and support of patients with this type of dysfunction, and committed to quality teaching through new educational technologies. In this way, these contents will allow you to train with greater guarantees and will provide you with the necessary knowledge to work successfully in the sector. 

In this Postgraduate Diploma you will find the best content on the market. This will ensure that, upon completion of the specialization, you will have increased your competencies as a nurse"

Module 1. Anatomy and Physiology of the Voice 

1.1. Anatomy of the Voice

1.1.1. Laryngeal Anatomy
1.1.2. Respiratory Structures Involved in Phonation

    1.1.2.1. Chest
    1.1.2.2. Airways
    1.1.2.3. Respiratory Musculature

1.1.3. Laryngeal Structures Involved in Phonation

    1.1.3.1. Laryngeal Bone Skeleton
    1.1.3.2. Laryngeal Cartilages
    1.1.3.3. Joints
    1.1.3.4. Musculature
    1.1.3.5. Innervation

1.1.4. Structures of the Vocal Tract Involved in Phonation

    1.1.4.1. Linear Source-Filter Model
    1.1.4.2. Non-linear Source-Filter Model

1.2. Voice Physiology

1.2.1. Histology of Vocal Folds
1.2.2. Biomechanical Properties of the Vocal Folds
1.2.3. Mucoondulatory Theory and Aerodynamic-Myoelastic Theory

1.3. The Pathological Voice

1.3.1. Euphonia Vs. Dysphonia
1.3.2. Vocal Fatigue
1.3.3. Acoustic Signs of Dysphonia
1.3.4. Classification of Dysphonia

1.4. Medical-surgical Treatment of Vocal Pathologies

1.4.1. Phonosurgery
1.4.2. Larynx Surgeries
1.4.3. Dysphonia Medication

1.5. Physical and Acoustic Aspects of the Voice

1.5.1. Physical Aspects of the Voice

    1.5.1.1. Types of Waves
    1.5.1.2. Physical Properties of Sound Waves
    1.5.1.3. Sound Transmission

1.5.2. Acoustic Aspects of the Voice

    1.5.2.1. Intensity
    1.5.2.2. Pitch
    1.5.2.3. Quality

1.6. Objective Voice Evaluation

1.6.1. Morphofunctional Exploration
1.6.2. Electroglottography
1.6.3. Aerodynamic Measurements
1.6.4. Electromyography
1.6.5. Video-chemography
1.6.6. Acoustic Analysis

1.7. Perceptual Evaluation

1.7.1. GRBAS
1.7.2. RASAT
1.7.3. GBR Score
1.7.4. CAPE-V
1.7.5. VPAS

1.8. Functional Assessment

1.8.1. Fundamental Frequency
1.8.2. Phonetogram
1.8.3. Maximum Phonatory Times
1.8.4. Velo-Palatine Efficiency
1.8.5. VHI

1.9. Assessment of Vocal Quality

1.9.1. Vocal Quality
1.9.2. High Quality Voice Vs. Low Quality Voice
1.9.3. Assessment of Vocal Quality in Voice Professionals

1.10. Medical History

1.10.1. The Importance of the Clinical History
1.10.2. Characteristics of the Initial Interview
1.10.3. Sections of the Clinical History and Implications in the Voice
1.10.4. Proposal of an Anamnesis Model for Vocal Pathology

Module 2. Vocal Rehabilitation

2.1. Speech Therapy for Functional Dysphonia

2.1.1. Type I: Isometric Laryngeal Disorder
2.1.2. Type II: Lateral Glottic and Supraglottic Contraction
2.1.3. Type III: Anteroposterior Supraglottic Contraction
2.1.4. Type IV: Conversion Aphonia/Dysphonia AND Psychogenic Dysphonia with Arched Vocal Chords
2.1.5. Transitional Dysphonias of the Adolescent

2.2. Speech Therapy for Organic Dysphonias

2.2.1. Introduction
2.2.2. Speech Therapy for Dysphonia of Congenital Organic Origin
2.2.3. Speech Therapy in Acquired Dysphonia of Organic Origin

2.3. Speech Therapy Treatment of Organic-Functional Dysphonias

2.3.1. Introduction
2.3.2. Objectives in the Rehabilitation of Organic-Functional Pathologies
2.3.3. Proposal of Exercises and Techniques According to the Rehabilitation Objective

2.4. Voice in Acquired Neurological Problems

2.4.1. Dysphonia of Neurological Origin
2.4.2. Speech Therapy

2.5. Childhood Dysphonia

2.5.1. Anatomical Characteristics
2.5.2. Vowel Characteristics
2.5.3. Intervention

2.6. Hygienic Therapy

2.6.1. Introduction
2.6.2. Harmful Habits and their Effect on the Voice
2.6.3. Preventive Measures

2.7. Semi-occluded Vocal Tract Exercises

2.7.1. Introduction
2.7.2. Justification
2.7.3. TVSO

2.8. Estill Voice Training as a Technique to Improve Vocal Function

2.8.1. Jo Estill and the Creation of the Model
2.8.2. Estill Voice Training Principles
2.8.3. Description

Module 3. Evaluation and Intervention in Dysphagia of Neurological Origin in Adults

3.1. Swallowing. Definition and Anatomy

3.1.1. Definition of Swallowing
3.1.2. Anatomy of Swallowing. Structures

    3.1.2.1. Oral Cavity
    3.1.2.2. Pharynx
    3.1.2.3. Laringe
    3.1.2.4. Oesophagus

3.1.3. Anatomy of Swallowing. Neurological Control

    3.1.3.1. Central Nervous System
    3.1.3.2. Cranial Nerves
    3.1.3.3. Autonomic Nervous System

3.2. Swallowing. The Swallowing Process

3.2.1. Swallowing Phases

    3.2.1.1. Preoral Phase
    3.2.1.2. Oral Phase

        3.2.1.2.1. Oral Preparatory Phase
        3.2.1.2.2. Oral Transport Phase

    3.2.1.3. Pharyngeal Phase
    3.2.1.4. Esophageal Phase

3.2.2. Valve System
3.2.3. Biomechanics of Swallowing

    3.2.3.1. Swallowing of Liquids
    3.2.3.2. Semi-solid Swallowing
    3.2.3.3. Swallowing of Solids. Chewing

3.2.4. Breathing-deglutition Coordination

3.3. Introduction to Dysphagia

3.3.1. Definition
3.3.2. Etiology and Prevalence

    3.3.2.1. Functional Causes
    3.3.2.2. Organic Causes

3.3.3. Classification

    3.3.3.1. Types of Dysphagia
    3.3.3.2. Severity of Dysphagia

3.3.4. Differentiation of Structural Dysphagia versus Neurogenic Dysphagia
3.3.5. Signs and Symptoms of Dysphagia
3.3.6. Safety and Efficiency Concepts

    3.3.6.1. Security Complications
    3.3.6.2. Efficacy Complications

3.3.7. Dysphagia in Brain Injury
3.3.8. Dysphagia in the Elderly

3.4. Medical Assessment of Dysphagia

3.4.1. Medical Anamnesis
3.4.2. Assessment and Screening Scales

    3.4.2.1. EAT-10
    3.4.2.2. MECV-V. Volume-viscosity Clinical Examination Method

        3.4.2.2.1. How to Perform the MECV-V? 
        3.4.2.2.2. Useful Tips When Applying the MECV-V

3.4.3. Instrumental Tests

    3.4.3.1. Fibroendoscopy (FEES)
    3.4.3.2. Videofluoroscopy (VFD)
    3.4.3.3. Fibroendoscopy Vs. Videofluoroscopy
    3.4.3.4. Pharyngoesophageal Manometry

3.5. Speech Therapy Assessment of Dysphagia

3.5.1. Anamnesis
3.5.2. General Patient Assessment

    3.5.2.1. Physical Examination 
    3.5.2.2. Cognitive Exploration

3.5.3. Clinical Examination of the Patient

    3.5.3.1. Valuation of Structures
    3.5.3.2. Exploration of Oral Motor and Sensitivity
    3.5.3.3. Assessment of Cranial Nerves
    3.5.3.4. Assessment of Reflexes
    3.5.3.5. Exploration of Swallowing by Phases ( Without Bolus)
    3.5.3.6. Use of Auscultation and Sound Assessment
    3.5.3.7. Respiratory and Phonation Assessment

3.5.4. Assessment in the Patient with Tracheostomy
3.5.5. Severity and Quality of Life Scales

3.6. Assessment of Nutritional Status

3.6.1. Importance of Nutrition
3.6.2. Screening Scales in Nutrition

    3.6.2.1. Malnutrition Universal Screening Tool (MUST)
    3.6.2.2. Mini Nutritional Assessment (MNA)
    3.6.2.3. Nutritional Risk Screening 2002 (NRS 2002)

3.6.3. Nutritional Assessment
3.6.4. Malnutrition
3.6.5. Dehydration
3.6.6. Nutritional Supplements
3.6.7. Alternatives to Oral Feeding

    3.6.7.1. Enteral Nutrition

        3.6.7.1.1. Naso/orenteral Tube Nutrition
        3.6.7.1.2. Gastrostomy Nutrition
        3.6.7.1.3. Comparison of the Kinds of Enteral Nutrition

    3.6.7.2. Parenteral Nutrition

3.7. Dysphagia Rehabilitation with Compensatory Techniques

3.7.1. Rehabilitation Treatment Objectives
3.7.2. Postural Techniques
3.7.3. Consistency Modifications
3.7.4. Modification of the Volume and Speed of Intake
3.7.5. Perceptual Modification of the Food
3.7.6. New Textures
3.7.7. Adaptation of Utensils for Ingestion
3.7.8. Guidelines to the Patient and Family

    3.7.8.1. Adaptation of the Environment
    3.7.8.2. Drug Administration
    3.7.8.3. Oral Hygiene

3.8. Rehabilitation of Dysphagia with Rehabilitation Techniques I

3.8.1. Inclusion/exclusion Criteria for Inclusion/exclusion to Treatment with Rehabilitative Techniques
3.8.2. Swallowing Maneuvers
3.8.3. Techniques to Exercise the Muscles Involved in Swallowing

    3.8.3.1. Orofacial Myofunctional Therapy

        3.8.3.1.1. Soft Tissue Manipulation
        3.8.3.1.2. Sensory Enhancement Techniques
        3.8.3.1.3. Specific Exercises for: 

            3.8.3.1.3.1. Tongue
            3.8.3.1.3.2. Lips/buccinators
            3.8.3.1.3.3. Masticatory Muscles
            3.8.3.1.3.4. Palate Veil

    3.8.3.2. Techniques to Stimulate the Swallowing Reflex
    3.8.3.3. Bolus Propulsion Exercises
    3.8.3.4. Exercises for Laryngeal Elevation (Hyoid Excursion)
    3.8.3.5. Exercises to Improve Glottic Closure

3.9. Rehabilitation of Dysphagia with Rehabilitation Techniques II

3.9.1. Treatment of Dysphagia Based on Symptomatology
3.9.2. Breathing Treatment
3.9.3. Positioning:
3.9.4. Diet Implementation
3.9.5. Use of Botulinum Toxin
3.9.6. Neuromuscular Taping

    3.9.6.1. Rigid Bandages
    3.9.6.2. Flexible Bandages

3.9.7. Electrotherapy in Swallowing
3.9.8. New Technologies

3.10. Content to Help the Speech Therapist who Intervenes in Dysphagia

3.10.1. CPR in Feeding
3.10.2. Food Rheology
3.10.3. Extra Information on Each of the Topics Studied

A unique, key, and decisive postgraduate course experience to boost your professional development”