Overview
In this unit, you will learn about the development of feeding and the progression of swallowing across the lifespan. You will advance your competency in the assessment, analysis, planning and treatment of swallowing and feeding difficulties across the lifespan. You will consider the aetiology, diagnosis and management of swallowing and feeding in the context of the International Classification of Functioning, Disability and Health (ICF) framework. Evidence based practice will provide the foundation for your learning in all stages of diagnosis and management.
Details
Pre-requisites or Co-requisites
Pre-RequisitesALLH12006 Evidence Based Practice for Health ProfessionalsSPCH12003 Functional Anatomy of the Head, Neck, and ThoraxSPCH12007 Speech Pathology Work Integrated Learning 2SPCH13004 Communication Goals and Needs Across the School Years
Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).
Offerings For Term 1 - 2023
Attendance Requirements
All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).
Recommended Student Time Commitment
Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.
Class Timetable
Assessment Overview
Assessment Grading
This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Policy for more details of interim results and final grades.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure – International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback – Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
Feedback, Recommendations and Responses
Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.
Feedback from Student verbal feedback in class.
Having actors coming into class has been helpful for increasing experiential learning opportunities and developing verbal scripting ability.
It is recommended that opportunities continue to be provided for students to learn from a variety of delivery methods to increase depth of understanding and knowledge regarding the clinical theory of dysphagia and its application in diagnosis, planning and intervention.
Feedback from Lecturer self-reflection
Explore adding more time in class dedicated to clinical documentation to improve assessment performance in this area and meet time deadlines.
It is recommended that the allocated teaching time for clinical documentation be reviewed to ensure students are receiving adequate write-up practice post role play scenarios.
- Describe the mechanism of a safe swallow and its variation across the lifespan
- Analyse swallowing and feeding behaviour using both formal and informal assessment techniques, and make appropriate recommendations for the management and rehabilitation of swallowing and feeding difficulties
- Adapt communication to provide information and counselling to clients and others about swallowing and feeding difficulties and implications for safety, nutrition, and hydration
- Demonstrate ethical practice while making independent holistic decisions
Alignment of Assessment Tasks to Learning Outcomes
Assessment Tasks | Learning Outcomes | |||
---|---|---|---|---|
1 | 2 | 3 | 4 | |
1 - Objective Structured Clinical Examinations (OSCEs) - 50% | ||||
2 - Objective Structured Clinical Examinations (OSCEs) - 50% |
Alignment of Graduate Attributes to Learning Outcomes
Graduate Attributes | Learning Outcomes | |||
---|---|---|---|---|
1 | 2 | 3 | 4 | |
1 - Communication | ||||
2 - Problem Solving | ||||
3 - Critical Thinking | ||||
4 - Information Literacy | ||||
5 - Team Work | ||||
6 - Information Technology Competence | ||||
7 - Cross Cultural Competence | ||||
8 - Ethical practice | ||||
9 - Social Innovation | ||||
10 - Aboriginal and Torres Strait Islander Cultures |
Textbooks
Clinical management of swallowing disorders
5th Edition (2018)
Authors: Murry, T., Carrau, R.L., & Chan, L.
Plural
ISBN: 13: 978-1-63550-228-2
Binding: Paperback
Additional Textbook Information
The prescribed textbook can be accessed online at the CQUniversity Library website. If you would prefer your own copy, purchase either paper or eBook versions at the CQUni Bookshop here: http://bookshop.cqu.edu.au (search on the Unit code)
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
All submissions for this unit must use the referencing style: American Psychological Association 7th Edition (APA 7th edition)
For further information, see the Assessment Tasks.
s.walker3@cqu.edu.au
Module/Topic
Lecture Topics
- Introduction to the typical swallow
- What is dysphagia?
- Prevalence of dysphagia
- Diagnosis of dysphagia
Tutorial Topics
- Case History
- Oromotor examination
- Introduction to dysphagia screening
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- The Clinical Swallow assessment
- Instrumental assessment of the swallow function
Tutorial Topics
- Understanding the oromotor assessment
- Information gathering in dysphagia
- Introduction to dysphagia screening
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- Decision making in dysphagia
- Dysphagia management and rehabilitation part 1
- Introduction to texture modified food and fluids
- Dysphagia in acquired brain injury
Tutorial Topics
- The clinical swallow assessment
- Introduction to texture modified food and fluids
- Compensatory strategies in dysphagia management
- Rehabilitation strategies in dysphagia management
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- Dysphagia management and rehabilitation part 2
- Dysphagia in the head and neck cancer population
- Documentation in dysphagia
Tutorial Topics
- Case studies in dysphagia
- Outcome measures in dysphagia
- Documentation in dysphagia
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- Dysphagia and end of life care
- "Risk Feeding"
- Dysphagia in disability
- Dysphagia in complex medical presentation
- Dysphagia in progressive neurological conditions
- Ethical issues in dysphagia
Tutorial Topics
- Case studies in dysphagia
- Ethical issues in dysphagia
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- There is no lecture content this week
Tutorial Topics
- Case studies in dysphagia and practical time
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- Overview of development of body systems involved in feeding
- The typical infant swallow
- Transition to typical mature swallow
- Dysphagia in the paediatric population
Tutorial Topics
- Case History and information gathering
- Oromotor examination
- Similarities and differences in adult and paediatric dysphagia
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- The clinical swallow assessment
- Instrumental assessment of the swallow function
- Family and community roles in feeding and swallowing
- Treatment strategies 1
Tutorial Topics
- Case history taking in paediatric feeding and swallowing
- The clinical swallow assessment
- Instrumental swallow assessment
- Positioning for swallowing assessments
- Treatment strategies 1
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- Decision making in paediatric feeding and swallowing
- Treatment strategies 2
Tutorial Topics
- Decision making in paediatric feeding and swallowing
- Treatment strategies 2
- Outcome measurement in paediatric feeding and swallowing
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- Treatment strategies for children with specific needs
Tutorial Topics
- Decision making in paediatric feeding and swallowing
- Treatment strategies 1
- Mealtime management
- Case studies
Chapter
Events and Submissions/Topic
Module/Topic
Lecture Topics
- There is no lecture content this week
Tutorial Topics
- Case studies in paediatric feeding and swallowing
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
For each topic covered this term, the majority of the content will be delivered during the face to face scheduled classes. Some weeks there might be some additional readings or pre-recorded content, you will need to engage with this content and complete the learning activities before attending your face-to-face classes. The classes will require significant input from the student, please ensure that you review the weekly Moodle tile prior to attending the class to ensure that you are prepared .
Assessment Cupboard Access
Students will require access to the CQU Speech Pathology assessment cupboard to prepare for their OSCEs. Students will be provided with scheduled weekly access to the Speech Pathology assessment cupboard, the available dates and times will be outlined on Moodle.
Office Hours
If you wish to arrange a meeting with the Unit Coordinator (Susan Walker) please send her an email (s.walker3@cqu.edu.au) and a mutually agreeable time can be arranged to meet via Zoom.
1 Objective Structured Clinical Examinations (OSCEs)
A full description will be posted on Moodle in the Assessment section.
For this assessment task, (conducted face to face), you will be required to complete an Objective Structured Clinical Examination based an an adult clinical swallowing scenario. An actor will play the role of the "client/caregiver"
A brief outline of each timed section is provided below with additional details provided on Moodle.
1. Interpret background information and plan case history interview (15 minutes)
You will be given a brief written case history on a client with a swallowing disorder. In this 15 minutes you will prepare for your interview with the client/carer and the subsequent swallow assessment. You will need to consider your questioning and what materials you will need for the interview
2. Interview client and/or carer- case history (5 minutes)
You will be required to interview the client and/or carer and take an appropriate case history, using information you obtained from the initial referral, and take relevant notes, identify any missing information required to conduct the assessment and develop recommendations and a management plan.
3. Consider case history findings and plan assessment (5 minutes)
You will have 5 minutes to consider the information you obtained from the case history and consolidate your assessment plan based on the new information.
4. Report on assessment plan (5 minutes)
You will be asked to describe your assessment plan to an assessor and provide and explanation of: 1) What you will assess; 2) How you will assess; and 3) Why you will assess these areas. You will need to verbally demonstrate your clinical reasoning and justification of decision making.
5. Conduct an oromotor examination and clinical swallow assessment (5 minutes)
You will conduct an oromotor examination and clinical swallow assessment using appropriate food/fluid textures for the situation/client. You will need to demonstrate a comprehensive oromotor examination and clinical swallow assessment and respond in real time to the client and their response to the scenario.
6. Consider assessment findings and plan intervention (5 minutes)
You will have 5 minutes to consider the information you obtained from the oromotor assessment and clinical swallow examination and plan your swallow intervention.
7. Report on intervention plan (5 minutes)
You will be asked to describe your intervention plan to an assessor and provide and explanation of the education and swallow intervention you intend to implement. You will need to verbally demonstrate your clinical reasoning and justification of decision making.
8. Implementation of swallow interventions (10 minutes)
You will explain your findings from the swallow assessment to the client/carer demonstrating clear clinical reasoning and problem solving skills. You will also negotiate an EBP therapy plan with the simulated client/carer and then implement it, demonstrating two compensatory and two rehabilitative therapy techniques with your client/carer. The most suitable treatment options for the presenting issues should be demonstrated. You will need to facilitate active participation by the client/caregiver and provide feedback on their responses. You will be required to respond to any clinical questions that the client/carer has regarding their dysphagia.
9. Reflect on session (10 Minutes)
You will be required to reflect on the clinical session with the assessor using critical reasoning as you discuss your performance and thoughts for ongoing management of the client.
Week 7 Wednesday (26 Apr 2023) 8:00 am AEST
An individually scheduled time and day for the viva will be outlined on Moodle no later than three weeks before the due date
Week 9 Thursday (11 May 2023)
Feedback will be provided to you via Moodle
Full assessment criteria will be available on Moodle. A summary is below.
You will be assessed using criteria outlined in Speech Pathology Australia's Professional Standards. This includes your reasoning, professional conduct and reflective practice skills. To pass this task, You MUST PASS each section of the rubric in order to pass this assessment.
A summary of the behavioural expectations for a pass mark are listed below:
• Your clinical reasoning demonstrates accurate integration of theory (i.e., knowledge from unit content and readings) and case information (i.e., the client background/needs and the service delivery setting)
• You demonstrate that you can integrate some knowledge obtained via independent study (i.e., additional reading).
• When working with simulated clients you demonstrate the ability to maintain complete focus on the client in a routine situation (i.e., there are no unexpected responses from the client, you may have lapses in professionalism when presented with unexpected situations).
• When working with simulated clients you demonstrate knowledge and application of culturally safe (i.e., communicate in a manner that is appropriate for that client’s background) and responsive communication (i.e., you respond to their interactions) and service .
• You can develop complete assessment and intervention plans that consider all aspects of the client including other health conditions or cultural and linguistic differences.
• You can reflect on your performance and what factors may be contributing to your interpretation of information and/or the conclusions and recommendations you make, showing self-awareness.
Late Arrivals:
You should aim to arrive at least 15 minutes prior to the official assessment commencement time. In the extraordinary circumstance you are late you will be permitted late entry to your assessment of up to 10 minutes after the official commencement time. The period of lateness will be deducted from you overall assessment time. If you are denied access to the assessment due to lateness (i.e. arriving beyond the permitted late entry period), you should make an online application for deferred assessment (which may or may not be granted in line with CQU policy). If your application for deferred assessment is denied, you will receive a score of zero percent (0%) for your assessment item but may be eligible for a supplementary assessment in line with CQU policy.
- Describe the mechanism of a safe swallow and its variation across the lifespan
- Analyse swallowing and feeding behaviour using both formal and informal assessment techniques, and make appropriate recommendations for the management and rehabilitation of swallowing and feeding difficulties
- Adapt communication to provide information and counselling to clients and others about swallowing and feeding difficulties and implications for safety, nutrition, and hydration
- Demonstrate ethical practice while making independent holistic decisions
2 Objective Structured Clinical Examinations (OSCEs)
A full description will be posted on Moodle in the Assessment section.
For this assessment task, (conducted face to face), you will be required to complete an Objective Structured Clinical Examination based on a paediatric clinical swallowing scenario. An actor will play the role of the " caregiver" and the child “client” will be represented with a simulation doll.
A brief outline of each timed section is provided below with additional details provided on Moodle.
1. Interpret background information and plan case history interview (15 minutes)
You will be given a brief written case history on a client with a swallowing disorder. In this 15 minutes you will prepare for your interview with the carer and the subsequent swallow assessment. You will need to consider your questioning and what materials you will need for the interview.
2. Interview carer- case history (5 minutes)
You will be required to interview the carer, taking an appropriate case history, using information you obtained from the initial referral, and take relevant notes, and identify any missing information required to conduct the assessment and develop recommendations and management plan. You should also observe the client and their behaviours.
3. Consider case history findings and plan assessment (5 minutes)
You will have 5 minutes to consider the information you obtained from the case history and consolidate your assessment plan based on the new information.
4. Report on assessment plan (5 minutes)
You will be asked to describe your assessment plan to an assessor and provide and explanation of: 1) What you will assess; 2) How you will assess; and 3) Why you will assess these areas. You will need to verbally demonstrate your clinical reasoning and justification of decision making.
5. Conduct an oromotor examination and clinical swallow assessment (5 minutes)
You will conduct an oromotor examination and clinical swallow assessment using appropriate food/fluid textures for the situation/client. You will need to demonstrate an appropriate oromotor examination and clinical swallow assessment and support the carer to feed the client. The carer will let you know how the child responds i.e., the carer will say "they coughed on that biscuit".
6. Consider assessment findings and plan intervention (5 minutes)
You will have 5 minutes to consider the information you obtained from the oromotor assessment and clinical swallow examination and plan your swallow intervention.
7. Report on intervention plan (5 minutes)
You will be asked to describe your intervention plan to an assessor and provide and explanation of the education and swallow intervention. You will need to verbally demonstrate your clinical reasoning and justification of decision making.
8. Implementation of swallow interventions (10 minutes)
You will explain your findings from the swallow assessment to the carer demonstrating clear clinical reasoning and problem-solving skills and, negotiate an EBP therapy plan with the carer and then implement it, demonstrating two compensatory and two rehabilitative therapy techniques with the carer and client. . The carer will let you know how the client responds e.g., the carer will say “they swallowed that water”. You will need to support the carer, if required, during this process.
The most suitable treatment options for the presenting issues should be demonstrated. You will need to facilitate active participation by the carer and provide feedback on their responses. You will be required to respond to any clinical questions that the carer has regarding their dysphagia.
9. Reflect on session (10 Minutes)
You will be required to reflect on the clinical session with the assessor using critical reasoning as you discuss your performance and thoughts for ongoing management of the client.
Exam Week Tuesday (13 June 2023) 8:00 am AEST
Students will be advised of the assessment time on Moodle no later than week 9
Exam Week Friday (16 June 2023)
Feedback will be uploaded to Moodle
Full assessment criteria will be available on Moodle. A summary is below.
You will be assessed using criteria outlined in Speech Pathology Australia's Professional Standards. This includes your reasoning, professional conduct and reflective practice skills. To pass this task, You MUST PASS each section of the rubric in order to pass this assessment.
A summary of the behavioural expectations for a pass mark are listed below:
• Your clinical reasoning demonstrates accurate integration of theory (i.e., knowledge from unit content and readings) and case information (i.e., the client background/needs and the service delivery setting)
• You demonstrate that you can integrate some knowledge obtained via independent study (i.e., additional reading).
• When working with simulated clients you demonstrate the ability to maintain complete focus on the client in a routine situation (i.e., there are no unexpected responses from the client, you may have lapses in professionalism when presented with unexpected situations).
• When working with simulated clients you demonstrate knowledge and application of culturally safe (i.e., communicate in a manner that is appropriate for that client’s background) and responsive communication (i.e., you respond to their interactions) and service .
• You can develop complete assessment and intervention plans that consider all aspects of the client including other health conditions or cultural and linguistic differences.
• You can reflect on your performance and what factors may be contributing to your interpretation of information and/or the conclusions and recommendations you make, showing self-awareness.
Late Arrivals:
You should aim to arrive at least 15 minutes prior to the official assessment commencement time. In the extraordinary circumstance you are late you will be permitted late entry to your assessment of up to 10 minutes after the official commencement time. The period of lateness will be deducted from you overall assessment time. If you are denied access to the assessment due to lateness (i.e. arriving beyond the permitted late entry period), you should make an online application for deferred assessment (which may or may not be granted in line with CQU policy). If your application for deferred assessment is denied, you will receive a score of zero percent (0%) for your assessment item but may be eligible for a supplementary assessment in line with CQU policy.
- Describe the mechanism of a safe swallow and its variation across the lifespan
- Analyse swallowing and feeding behaviour using both formal and informal assessment techniques, and make appropriate recommendations for the management and rehabilitation of swallowing and feeding difficulties
- Adapt communication to provide information and counselling to clients and others about swallowing and feeding difficulties and implications for safety, nutrition, and hydration
- Demonstrate ethical practice while making independent holistic decisions
As a CQUniversity student you are expected to act honestly in all aspects of your academic work.
Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.
When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.
Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.
As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.
What is a breach of academic integrity?
A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.
Why is academic integrity important?
A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.
Where can I get assistance?
For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.