Unit rationale, description and aim
Swallowing and mealtime difficulties can have a profound impact on general health, nutrition, hydration and quality of life. Working with individuals who have swallowing, feeding and mealtime difficulties is a key aspect of speech pathology practice. As such, swallowing is a designated Range of Practice Area in which speech pathology students are expected to demonstrate competency in order to meet professional Entry-Level requirements..
In this unit, students will explore the socio-cultural importance, development, and maintenance of swallowing, feeding,, and mealtime, skills across the lifespan. This unit will cover normal development as a basis for understanding limitations of function and the impact on nutrition, general health, and psychosocial wellbeing. Causal and contributing factors to swallowing , feeding, and mealtime difficulties will be explored, including developmental and acquired conditions, congenital conditions, behaviours of concern, and personal and environmental factors. Students will be introduced to current evidence-based, person-centred, culturally responsive assessment and management approaches for swallowing, feeding and mealtime difficulties, Ethical and medicolegal considerations will be explored and discussed.
As such, this unit provides a theoretical base, and opportunities to apply knowledge in practical activities to ensure successful preparation for future professional practice in the area of swallowing, feeding and mealtime difficulties.
Learning outcomes
To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.
Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.
Explore the graduate capabilities.
Demonstrate knowledge of common causes and factors...
Learning Outcome 01
Analyse and interpret assessment information to ac...
Learning Outcome 02
Formulate and justify person-centred, culturally r...
Learning Outcome 03
Demonstrate evidence-based speech pathology interv...
Learning Outcome 04
Critically reflect on ethical and medicolegal impl...
Learning Outcome 05
Content
Topics will include:
Background to swallowing, feeding, and mealtime disorders
- Contexts of clinical practice
- Working within an interprofessional healthcare team
- Application of the International Classification of Functioning, Disability, and Health (ICF) to the assessment and management of mealtime, feeding, and swallowing difficulties across the lifespan
- The social, cultural, psychological, medical, and nutritional impact of swallowing, feeding, and mealtime difficulties
- Epidemiology of mealtime, feeding, and swallowing difficulties
- Ethical and medicolegal issues in the management of swallowing, feeding, and mealtime difficulties
The normal swallow
- Application of anatomy, physiology and neurology to the function of swallowing
- Embryonic development and swallowing function
- Development of and change in normal mealtime, feeding, and swallowing skills across the lifespan
- The impact of the ageing on swallowing , feeding, and mealtime skills
Common causes of mealtime, feeding, and swallowing difficulties across the lifespan
- Developmental swallowing, feeding, and mealtime difficulties (associated with prematurity; developmental disability; cleft palate/lip; respiratory conditions; cognitive and Behavioural difficulties etc.)
- Acquired swallowing , feeding, and mealtime difficulties (arising from acute neurological causes such as stroke and brain injury; progressive neurological conditions such as Parkinson’s Disease or Motor Neurone Disease; structural causes such as surgery, progressive transformations of pharynx/esophagus, following head and neck and chemotherapy/radiation; ; respiratory conditions, and associated with ageing).
- Tracheostomy – a basic introduction to principles of assessment and management
Assessment and management of mealtime, feeding, and swallowing difficulties across the lifespan
- Evidence-based assessment principles, skills, and tools
- Clinical, medicolegal, and ethical considerations in assessment and management
- Undertaking and interpreting case history information
- Undertaking and interpreting non-instrumental assessment
- Rationales and principles underlying instrumental assessment: an introduction
- Integration of the principles of E3BP to develop an interprofessional management plan (including
- assessment information, client preferences clinical and research based evidence) Considerations for providing person-centred and culturally responsive management in paediatric and adult populations.
- Utilisation of outcome measures in the management of swallowing, feeding, and mealtime difficulties
- Rehabilitation and maintenance of swallowing, feeding and mealtime, skills
- Compensatory considerations in the management of swallowing , feeding, and mealtime skills
- Assessment and management of personal factors and environmental influences on swallowing, feeding, and mealtime difficulties
- Assessment and management of swallowing, feeding, and mealtime, skills, and ethical considerations during end-of-life care
Assessment strategy and rationale
This unit takes an authentic assessment approach allowing students to demonstrate their learning and competency in clinically relevant scenarios.
Assessment 1 (quizzes), provides students with an opportunity to receive feedback about their acquisition of theoretical knowledge before application of this knowledge in the authentic assessment tasks of Assessment 2 and Assessment 3.
Assessment 2 and Assessment 3 are case based assessment tasks that require students to apply their theoretical knowledge and clinical reasoning skills consistent with the Speech Pathology Australia Competency Based Occupational Standards (CBOS); Units 1- 4. The format of Assessment 2 and 3 reflect skills required by speech pathologists working in clinical settings, such as the ability to present clinical handover to an inter-professional team and write client reports.
The ungraded hurdle task provides students with an opportunity to demonstrate their skills in evaluation and/or remediation of swallowing, feeding and mealtime difficulties, prior to external professional practice placement with adult clients who may experience these difficulties.
Overview of assessments
Clinical Skills Exam Students demonstrate clinica...
Clinical Skills Exam
Students demonstrate clinical skills in the evaluation and/or remediation of swallowing, feeding and mealtime difficulties.
Hurdle
Assessment 1: Quizzes Students complete quizzes t...
Assessment 1: Quizzes
Students complete quizzes to evaluate their acquisition of knowledge relating to feeding, swallowing and mealtimes in adult and paediatric populations.
30%
Assessment 2: Adult Case Study Adult case based ...
Assessment 2: Adult Case Study
Adult case based dysphagia task whereby students must demonstrate capacity to develop a management plan, based on analysis of assessment results, and describe intervention
40%
Assessment 3: Paediatric Task Paediatric case bas...
Assessment 3: Paediatric Task
Paediatric case based feeding task whereby students must demonstrate capacity to analyse and interpret assessment data, and discuss management
30%
In order to successfully complete this unit, students
must submit and make a credible attempt at all assessment tasks and are required to:
- obtain a cumulative mark that is equal to or greater than 50% of the possible marks available; AND
- pass the ungraded hurdle
Learning and teaching strategy and rationale
This unit uses a multimodal learning approach supporting flexibility in student learning and placing the student at the centre of their learning. Teaching and learning strategies may include online lecture and learning modules; and face-to-face tutorials/workshops and interprofessional simulations. Online lectures and learning modules will provide core theoretical content and opportunity for independent student revision throughout the unit.
Face-to-face tutorials/workshops and interprofessional simulations will build on the theoretical knowledge presented in the online modules providing students with the opportunity to apply this knowledge in individual and small group discussion and case based activities. Throughout the unit emphasis is placed on self-directed learning and peer discussion to develop critical thinking, clinical decision making, and problem solving skills essential to speech pathology practice.
Students are expected to take responsibility for their learning, to prepare for, attend, and actively participate in all learning activities demonstrating respect for the individual as an independent learner, and respect for peer learning and engagement.