HS836-7-AU-CO:
Speech and Language Therapy - Adults 1
2024/25
Health and Social Care (School of)
Colchester Campus
Autumn
Postgraduate: Level 7
Current
Tuesday 01 October 2024
Friday 01 August 2025
15
17 May 2024
Requisites for this module
(none)
(none)
(none)
(none)
(none)
MSC B62024 Speech and Language Therapy (Pre-Registration)
This module builds on knowledge from year 1 of the programme, introducing core adult pathology of dysphagia. Shared anatomy, physiology and neurology underpin understanding of the typical and pathological processes of the aero digestive tract.
Attention is paid throughout to the quality of life impact of difficulties. Where information regarding disease process is required (Stroke & progressive neurological disease & cancer) this is provided at introductory level throughout the programme.
The aims of this module are:
- To have knowledge of the nature, aetiology and impact of dysphagia and be able to assess and differentially diagnose these disorders.
- To use critical clinical reasoning to develop evidence based management and rehabilitation with reference to patient safety, choice and quality of life.
On successful completion of this module, the learner will have achieved the Eating, Drinking and Swallowing (EDS) pre-registration competencies, in line with RCSLT specifications.
By the end of this module, the learner will have knowledge of:
- Neuroanatomy and neurology involved in oropharyngeal function.
- The influence of EDS on health and general wellbeing.
- Normal EDS anatomy, and physiology of the upper gastro-intestinal tract over the life span.
- Factors causing or associated with EDS difficulties and the progress of conditions.
- Basic principles underlying health and safety policies and procedures, and application to professional working and to service users at risk of EDS difficulties.
- The role and scope of practice of the SLT working in the area of EDS.
- The roles and scope of practice of MDT members working in the area of EDS.
- Appropriate terminology in EDS and impairment, assessment, and management.
- A range of evidence-based rehabilitation and compensatory techniques.
- The need and routes for appropriate referral to other MDT members.
- The impact of local policies and procedures on case management.
- Appropriate review timelines across different scenarios.
- Factors to consider for discharge planning.
- Indicators for appropriate instrumental assessment.
- Broad issues relating to users with complex conditions including neonates, people with tracheostomies, those who are ventilator-dependant, and rare conditions and situations that require development beyond entry-level qualification.
- Service delivery and caseload management policies and strategies, including escalation processes
- Ethical, legal, cultural and service influences on decision-making.
This module builds upon the underlying knowledge gained in earlier modules to prepare the student for the practice of speech and language therapy with the adult client.
In keeping with the approach adopted in first year modules the emphasis here is on the application of underlying knowledge to the understanding of aspects of speech and language disorders and the work of the speech and language therapist within current legislative, national and professional guidelines.
In this module students are introduced to some common difficulties found in the adult SLT caseload.
This module considers the nature and effects of physical, psychological, social, behavioural and neurological difficulties resulting in oral, pharyngeal and laryngeal dysfunction and dysphagia, and the SLT role in reducing the impact of these difficulties.
This module combines the use of lectures to introduce topics, interactive lecture, workshops and problem based learning enable to student to critically appraise their learning throughout delivery, grounding theoretical learning in practice. Students will also have the opportunity to develop clinical skills through their SLT clinical placement.
Lectures
- Fixed resource sessions.
- The fixed resource sessions consist of interactive seminars which will include lectures, discussion of course text and class based workshops.
EBL sessions.
- In the EBL or Enquiry based learning sessions key topic areas are developed further to emphasize their clinical application.
Independent.
- Self guided learning.
- This involves the student in self guided study using learning resources including recommended reading , course study notes, library resources and appropriate tutorial support: this is essential for all IBL, Placement and completion of summative assessment
Online
- Resources are available through Moodle and also websites of patient organisations in the third sector.
- Students are encouraged to understand the requirements of people with dysphagia and dysphonia through listening to the patient voice through these materials. Additionally central guidance on intervention strategies are available on line (e.g. DoH, NICE)
Tutorials
- Students are encouraged to access individual or small group tutorial support for areas of difficulty.
- Academic staff make themselves available for tutorial support by appointment.
Skills
- Skills of identification of key aspects of dysphagia and dysphonia are taught in the classroom, this is further embedded through opportunities on clinical placements.
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Atkinson, M.E. and McHanwell, S. (2018) Basic medical science for speech and language therapy students. Second edition. Guildford, England: J&R Press.
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Seikel, J.A., Drumright, D.G. and Hudock, D.J. (2021)
Anatomy & Physiology for Speech, Language, and Hearing. 6th edn. San Diego, US: Plural Publishing. Available at:
https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=2318113.
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Rouse, M.H. (2020)
Neuroanatomy for Speech-Language Pathology and Audiology. 2nd edn. Burlington, US: Jones & Bartlett Learning. Available at:
https://ebookcentral.proquest.com/lib/universityofessex-ebooks/detail.action?docID=5621983.
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Susan K. Hillman (no date) ‘Anatomy.tv | 3D Human Anatomy | Primal Pictures’. Primal Pictures Ltd. Available at:
https://www.anatomy.tv/.
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Health and Social Care: Anatomy and Physiology (2021). University of Essex. Available at:
https://library.essex.ac.uk/hsc/anatomy.
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MacKenzie, S. (2024) Working with Adults with Eating, Drinking and Swallowing Needs. London: Taylor & Francis Ebooks.
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Cichero, J.A.Y. and Murdoch, B.E. (2006)
Dysphagia: Foundation, Theory and Practice. Chichester, UK: Wiley. Available at:
https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=164781.
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Groher, M.E. and Crary, M.A. (2020)
Dysphagia. 3rd edition. St Louis: Elsevier - Health Sciences Division. Available at:
https://www-sciencedirect-com.uniessexlib.idm.oclc.org/book/9780323636483/dysphagia.
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Leonard, R. and Kendall, K.A. (eds) (2019)
Dysphagia Assessment and Treatment Planning: A Team Approach. 4th edn. San Diego, US: Plural Publishing. Available at:
https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=1885536.
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Logemann, J.A. (1998a) Evaluation and treatment of swallowing disorders. Second edition. Austin, Texas: PRO-ED.
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Ekberg, O. (ed.) (2018)
Dysphagia. Softcover reprint of the original 2nd ed. 2019. Cham: Springer Nature Switzerland AG. Available at:
https://ebookcentral.proquest.com/lib/universityofessex-ebooks/detail.action?pq-origsite=primo&docID=5497830.
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Body, R. and McAllister, L. (2009)
Ethics in Speech and Language Therapy. 1st edn. Chichester, UK: Wiley-Blackwell. Available at:
https://ebookcentral.proquest.com/lib/universityofessex-ebooks/detail.action?docID=427915.
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Leslie, P. and Crawford, H. (2017)
The Concise Guide to Decision Making and Ethics in Dysphagia. Guildford, UK: J & R Press Ltd. Available at:
https://ebookcentral.proquest.com/lib/universityofessex-ebooks/detail.action?docID=6552957.
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Daniels, S.K., Huckabee, M.L. and Gozdzikowska, K. (2019)
Dysphagia Following Stroke. 3rd edn. San Diego, US: Plural Publishing. Available at:
https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=2030402.
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Miller, R.M. and Britton, D. (2011)
Dysphagia in Neuromuscular Diseases. San Diego, US: Plural Publishing. Available at:
https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=842532.
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Suiter, D.M. and Gosa, M.M. (2019) Assessing and Treating Dysphagia: A Lifespan Perspective. Harrogate, UK: Thieme Medical Publishers.
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Mohammad, A. and Wadhwania, A. (2021) Head and Neck Oncology. London: Taylor & Francis Ltd.
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Ward, E.C. and As-Brooks, C.J. van (2014)
Head and neck cancer: treatment, rehabilitation, and outcomes. Second edition. San Diego, California: Plural Publishing Inc. Available at:
https://ebookcentral.proquest.com/lib/universityofessex-ebooks/detail.action?docID=1887960.
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Doyle, P.C. (ed.) (2019) Clinical Care and Rehabilitation in Head and Neck Cancer. 1st ed. 2019. Cham: Springer Nature Switzerland AG.
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Logemann, J.A. (1998b) Evaluation and treatment of swallowing disorders. Second edition. Austin, Texas: PRO-ED.
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Position paper on the use of thickened fluids | RCSLT (no date). Available at:
https://www.rcslt.org/news/new-position-paper-on-the-use-of-thickened-fluids/.
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‘RCSLT Pre-registration EDS Competencies’ (no date). London, UK: Royal College of Speech and Language Therapists. Available at:
https://www.rcslt.org/learning/pre-registration-eds-competencies/competency-document/.
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NICE Guideline [NG128] Stroke and transient ischaemic attack in over 16s: diagnosis and initial management - Section 1.6 Nutrition and Hydration (no date). Available at:
https://www.nice.org.uk/guidance/ng128/chapter/Recommendations#nutrition-and-hydration.
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NICE Guideline [CG162] Stroke rehabilitation in adults - Section 1.7 Swallowing (no date). Available at:
https://www.nice.org.uk/guidance/CG162/chapter/1-Recommendations#swallowing-2.
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RCSLT Position Paper (2013) Videofluoroscopic evaluation of oropharyngeal swallowing function (VFS): The role of speech and language therapists (no date). Available at:
https://www.rcslt.org/wp-content/uploads/media/Project/RCSLT/videofluoroscopic-position-paper.pdf.
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RCSLT Position Paper (2021) Fibreoptic Endoscopic evaluation of Swallowing (FEES): The role of speech and language therapy (no date). Available at:
https://www.rcslt.org/wp-content/uploads/2020/06/2505_FEES_position_paper_update.pdf.
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NICE Guideline: Decision-making and mental capacity (no date). Available at:
https://www.nice.org.uk/guidance/ng108.
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IDDSI – International Dysphagia Diet Standardisation Initiative (no date). Available at:
https://iddsi.org/.
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Mouth Care Matters (no date). Health Education England. Available at:
https://mouthcarematters.hee.nhs.uk.
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‘International Journal of Language & Communication Disorders’ (no date). Available at:
https://onlinelibrary.wiley.com/loi/14606984.
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McLeod, S. (ed.) (no date) ‘International Journal of Speech-Language Pathology’. Available at:
https://www.tandfonline.com/loi/iasl20.
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‘American Journal of Speech-Language Pathology’ (no date). Available at:
https://pubs.asha.org/loi/ajslp.
The above list is indicative of the essential reading for the course.
The library makes provision for all reading list items, with digital provision where possible, and these resources are shared between students.
Further reading can be obtained from this module's
reading list.
Assessment items, weightings and deadlines
Coursework / exam |
Description |
Deadline |
Coursework weighting |
Practical |
EDS Portfolio (via Epad) |
|
|
Practical |
PowerPoint Presentation Slides |
10/03/2025 |
100% |
Exam format definitions
- Remote, open book: Your exam will take place remotely via an online learning platform. You may refer to any physical or electronic materials during the exam.
- In-person, open book: Your exam will take place on campus under invigilation. You may refer to any physical materials such as paper study notes or a textbook during the exam. Electronic devices may not be used in the exam.
- In-person, open book (restricted): The exam will take place on campus under invigilation. You may refer only to specific physical materials such as a named textbook during the exam. Permitted materials will be specified by your department. Electronic devices may not be used in the exam.
- In-person, closed book: The exam will take place on campus under invigilation. You may not refer to any physical materials or electronic devices during the exam. There may be times when a paper dictionary,
for example, may be permitted in an otherwise closed book exam. Any exceptions will be specified by your department.
Your department will provide further guidance before your exams.
Overall assessment
Reassessment
Module supervisor and teaching staff
Miss Hannah Atkinson, email: hatkin@essex.ac.uk.
hscsltadmin@essex.ac.uk - 01206 874496
No
No
No
Ms Helen Raffell
Newcastle University
Senior Lecturer
Available via Moodle
Of 16 hours, 13 (81.3%) hours available to students:
3 hours not recorded due to service coverage or fault;
0 hours not recorded due to opt-out by lecturer(s), module, or event type.
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