Aging in Place: Frailty, Sarcopenia, and Swallowing, OH MY!
Presented by Angela Mansolillo
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What is presbyphagia? Is it changes to swallow function in an otherwise healthy aging adult? Or a compensated swallowing disorder? Or both? And what happens when the supporting systems for swallowing begin to decompensate? The interactions between frailty, sarcopenia, and an aging swallow can result in significant swallowing difficulties in our geriatric clients and in clinical challenges for the speech-language pathologists who work with them. This course will discuss what is known about the aging swallow and will explore the relationships between swallowing, frailty, and sarcopenia in decompensating elders. Speech-language pathologists will be equipped to identify preclinical dysphagia and implement interventions to manage, and perhaps prevent, sarcopenic dysphagia.
Learning Objectives
- Differentiate between presbyphagia and dysphagia in aging individuals and identify potential causes of decompensation
- Evaluate the evidence for interrelationships between swallowing, frailty, sarcopenia and malnutrition
- Evaluate aging clients for preclinical swallowing impairments to reduce the risk of dysphagia-related complications
- Implement comprehensive treatment plans that improve nutrition, build endurance, and improve swallow function in aging individuals
Meet your instructor

Angela Mansolillo
Angela Mansolillo is a speech-language pathologist and board-certified specialist in swallowing disorders with more than 25 years of experience. She is currently a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts, where she provides evaluation and treatment services for adults and…
Chapters & learning objectives

1. The Aging Swallow
This chapter will provide you with an understanding of changes that occur in swallow function as we age, including oropharyngeal changes, esophageal changes, changes in breathing–swallow coordination, and changes in cough response.

2. What About Decompensations? Frailty, Sarcopenia, and More
What are decompensating conditions, and how do they impact swallow function? This chapter will assist you in differentiation between a number of conditions including frailty, anorexia of aging, failure to thrive, and a number of types of sarcopenia.

3. It’s All Related: Frailty, Sarcopenia, and Swallowing
What happens in one part of the body impacts what happens in other parts of the body. This chapter will illustrate the interrelationships between frailty, sarcopenia, and swallow function.

4. Early Identification and Interventions
How can we help our frail elders? This chapter will offer strategies for early identification of dysphagia and will discuss the evidence for nutritional interventions and for both whole-body and swallow exercise.
More courses in this series

Aging in Place: Cognitive Changes in Aging and Strategies for Success
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Aging in Place: Swallow Exercise—When, Who, and How Much?
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Aging in Place: Frailty, Sarcopenia, and Swallowing, OH MY!
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Aging in Place: What It Means and How We Can Help
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Aging in Place: The Importance of Saliva
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Aging in Place: Sensory Interventions to Improve Swallow Function
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