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NSS - Northern Speech Services Speech-Language Pathology Continuing Education
and Treatment Resources
speech pathology continuing education email alerts
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Prevention of Aspiration Pneumonia: Oral Care and Free Water

# e81   Prevention of Aspiration Pneumonia: Oral Care and Free Water

by Kathy Panther, MS, CCC-SLP

0.6 CEUs

$ 99.00

Dehydration is a serious condition affecting many patients with dysphagia. Use of thickened liquids only to maintain proper hydration is often inadequate. However, the decision to give free water to dysphagic patients remains controversial, causing many clinicians to be reluctant to offer free water. Just how risky is free water? What is the correlation between free water and aspiration pneumonia? What are the risk factors to monitor when providing free water?

This dynamic e-course will provide answers to these questions by examining the pulmonary literature for effects of water in the lungs. Aspiration pneumonia myths and facts will be addressed. The critical role of oral hygiene will be discussed. The specifics of the Free Water Protocol will be covered in great detail including which patients can and cannot be managed safely on free water.

The presenter's hospital, Frazier Rehab Institute in Louisville, KY, has successfully managed free water with thousands of dysphagic patients since 1984. What she has learned about aspiration pneumonia, thickened liquids and dehydration will be shared. Participants will gain a new perspective on free water and the knowledge to implement effectively oral hygiene, hydration, and free water protocols in their facilities.  Offered for 0.6 CEUs – 6 contact hours.

Content Disclosure: The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab.

Course Format: Audio with downloadable handout that follows along with the audio files. Audio can be listened to online or downloaded as mp3 files.  Audio recorded in front of a live audience in March 2012. 

At audio course conclusion, participants will be able to:

  1. State the risks and costs of dehydration in the elderly population.
  2. Explain the theoretical basis behind the free water protocol.
  3. Identify and discuss patients who can benefit from the free water protocol.
  4. Explain how to implement the free water protocol.
  5. Explain how the colonization of oral pathogens contributes to aspiration pneumonia.
  6. List components of a comprehensive oral care protocol.

A score of 80% or better must be received on the post test in order
to receive a certificate of completion.

Kathy Panther, MS, CCC-SLP, is the Inpatient Rehab Director at Frazier Rehab Institute in Louisville, Kentucky. She is also Director of Frazier's Brain Injury and Stroke Rehab Programs. She has over 25 years experience working as a clinician in the medical setting. Kathy was one of the first SLPs in the United States to develop and implement a Free Water Protocol (The Frazier Water Protocol).  Since 1984 she has successfully managed thousands of dysphagia patients on free water. For the past 20 years Kathy has been educating healthcare professionals on implementing free water protocols at hospitals, rehab centers and long-term care facilities.

 

Speaker Disclosures:

Financial — Kathy Panther is author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Kathy Panther is presenter of CE seminars sponsored by Northern Speech Services; receives honorarium. 

Nonfinancial — Kathy Panther has no relevant nonfinancial relationships to disclose.  

 


Intended Audience

  • SLP

This program is offered for 0.6 CEUs (Intermediate level; Professional area).

Offered for 6 CEEs. Northern Speech Services’ continuing education activities are eligible for Speech-Language and Audiology Canada (SAC) Continuing Education Equivalents (CEEs) in speech-language pathology. An activity’s eligibility for CEEs does not imply SAC’s endorsement of its content or any associated products or procedures.

Content Disclosure: The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab.

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of CEUs is noted above. Note that 0.1 CEU = 1 contact hour = equals 1 CEE.

Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.

ASHA CE Registry:  During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

ASHA CEUS: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.

Additional accrediting agencies by which Northern Speech is an approved CE provider:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.
  • Peer Reviewed: This course was peer reviewed and registered with ASHA on 11/01/2015.

  • Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.

  • Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the E-Courses tab, and then viewing your desired course.

  • Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).

  • ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

  • Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.

  • More FAQ: Please click here.

More Offerings by: Kathy Panther

Ecourses

  E-Course # Course Title & Author CEUs Price  
e07 Dysphagia Practice: Moving Toward More Comprehensive Treatment Protocols
Robert Arnold, SLP.D., CCC-SLP, BCS-S and Jennifer Brush, MA, CCC-SLP and Roxann Gross, PhD, CCC-SLP and Ianessa Humbert, PhD, CCC-SLP and Cathy Lazarus, PhD, CCC-SLP, BCS-S and Kathy Panther, MS, CCC-SLP
1.2 $149.00

"It gave me confidence in giving my patients water without thinking they would die because of it." - J.P., 12/30/2014

"The speaker was easy to listen to." - E.S., 12/29/2014

"The presenter was very easy to understand and follow using the print outs." - N.B., 12/28/2014

"The guidelines for the FWP, along with the suggestions on how to educate and train staff regarding oral hygiene and the FWP will benefit my practice.  Thank you!" - K.S., 12/21/2014

"I can now identify patients that are appropriate for free water protocol." - J.R., 12/14/2014

"Down to earth speaker." - M.M., 12/13/2014

"This course was very informative and, I hope, will help many patients in the facility I pracitce." - M.F., 11/18/2014

"The introduction of The Free Water protocol is very interesting and should possibly be introduced into many Long Term Care settings to avoid the onset of dehydration by residents receiving thickened water." - T.B., 11/14/2014

"Easy to understand and well organzied." - W.S., 11/11/2014

"It opened my eyes regarding thin liquids and aspiration.  Very interesting information." - S.N., 11/2/2014

"The education and prevention of dehydration and how much lack of liquids contributes to success of treatment will be beneficial to my practice." - K.M., 10/31/2014

"The instructor explained things very well.  I liked the research to back things up and all the info presented was sufficient and will-organized." - M.W., 10/30/2014

"Excellent presenter and easy to follow outline." - J.B., 10/26/2014

"Although it was a long presentation, I liked the presenter's syle--very informal and easy to follow." - C.P., 10/26/2014

"The presenter was very clear and easy to understand.  Her repetition of important points really helped to reinforce the importance of how to prevent or reduce the risk of aspiration with good oral care and allowing patients free water between meals." - M.R., 10/21/2014

"The entire course is extremely useful to someone like me working in an acute rehabilitation setting." - A.E., 10/18/2014

"I like the fact that it gives hope for providing increased quality of life for many persons with swallowing disorders." - C.R., 10/16/2014

"Lots of good info." - D.W., 10/16/2014

"I will be able to bring the oral care guidelines along with evidenced based practice research to my LTC.  This will help me establish oral care protocols." - B.M., 10/15/2014

"Well organized, good literature." - J.K., 10/3/2014

"The slides were easy to follow." - Y.R., 6/25/2014

"Very informational and thorough." - A.C., 6/24/2014

"Good information on oral care and hygiene. Excellent content and background, speaker was engaging and easy to follow." - K.G., 4/2/2014

"Liked the research based evidence." - P.P., 3/11/2014

"Different, informative, and challenging. Excellent and interesting course." - J.R., 3/2/2014

"Liked the water protocol and oral care, the information on dehydration." - A.L., 2/17/2014

"Liked the speaker's pace and clarity in presentations." - T.D., 2/8/2014

"Benefitted from the information re: better understanding how the lungs function, how water is a near neutra pH, general rationale." - E.C., 1/30/2014

"Oral mouth care is vitally important, as well as hydration. Useful information." - R.S., 1/26/2014

"The oral care topic was most beneficial." - R.F., 1/13/2014

"Liked the ease of completion. Online. Convenient." - P.C., 1/8/2014

 

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