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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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Head and Neck Cancer Across the Continuum of Care: Addressing Swallowing Challenges

# e68   Head and Neck Cancer Across the Continuum of Care: Addressing Swallowing Challenges

by Paula Sullivan, MS, CCC-SLP, BCS-S

0.9 CEUs

$ 129.00

This comprehensive online course will provide the participant an in-depth examination of head and neck cancer, its presentation, functional sequelae, evaluation approaches, treatment options, and provide an evidence-based approach of optimal patterns of care for head and neck patients with swallowing dysfunction.  Types of treatment for head and neck cancer and their impact on swallowing and communication function will be described, including both surgical and organ preservation. 

Assessment and evidence-based practice relevant to the head and neck cancer population will provide support for the practitioner in developing a holistic approach to rehabilitation which will optimize functional outcomes and, most importantly, quality-of-life.  Video presentation will be an integral part of this course.  By the completion of this course, the participant will possess a comprehensive understanding of dysphagia management in this challenging and rewarding population. Offered for 0.9 ASHA CEUs – 9 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: Video PowerPoint presentation with author narration & downloadable handout.

At eCourse conclusion, participants will be able to:

  1. List the types of swallowing disorders seen in the surgically treated and organ preservation treated head and neck cancer patient.
  2. Explain the acute and chronic effects of radiation therapy on structure and function of the swallow mechanism.
  3. Identify key factors that predispose individuals to dysphagia after organ preservation treatment.
  4. Explain the impact of tumor location, stage of disease, and extent and type of treatment on post-treatment dysphagia severity.
  5. Discuss assessment tools and outcomes measures to evaluate health-related quality-of-life and functional outcomes of swallowing.
  6. Discuss patient, tumor, and treatment considerations to help identify patients that would benefit from prophylactic feeding tube placement.
  7. Discuss prophylactic intervention techniques to limit swallowing dysfunction.
  8. Explain the specific components of swallowing intervention before, during, and after cancer treatment.
  9. Discuss the physiotherapeutic, device driven, and prosthetic management strategies for swallowing dysfunction after cancer treatment.
  10. Discuss current best practice and new directions in the care of the individual with dysphagia after head and neck cancer and its treatment.  

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

Paula A. Sullivan, MS, CCC-SLP, BCS-S, currently is a Senior Speech-Language Pathologist in the Department of Neurology/Speech Section, North Florida/South Georgia Veterans Health System in Gainesville, FL.  Paula's clinical expertise and research is focused on swallowing disorders in head and neck cancer and at end-of-life.  She has been affiliated with numerous comprehensive cancer centers, including: H. Lee Moffitt Cancer Center, Tampa, FL; Sylvester Cancer Center, Miami, FL;  and the University of Wisconsin, Madison, WI.  Paula also has participated as part of numerous clinical research trials in swallowing. 

Paula served as a co-regional primary investigator for the largest controlled, randomized research trial in oropharyngeal dysphagia funded by the National Institutes of Health (Protocol 201).  Protocol 201 examined the effectiveness of chin down and thickened liquids in individuals with dementia and Parkinson's disease both with and without dementia.  Other research activities include collaborating with Dr. Jeri Logemann on numerous National Cancer Institute clinical swallowing protocols in head and neck cancer.  Additionally, Paula has published numerous articles, book chapters, and co-authored books, including:  Swallowing Intervention in Oncology and the Easy-To-Swallow, Easy-To-Chew Cookbook.  She also has co-authored multiple national guidelines, directives, and policies relating to oropharyngeal swallowing disorders for both the Veterans Health Administration and the American Speech-Language-Hearing Association (ASHA).  She is a board recognized specialist in swallowing and swallowing disorders. Paula is an ASHA Fellow and former coordinator of ASHA's Division 13, Swallowing and Swallowing Disorders.  She was named "2013 Clinician of the Year" by the Association of Veterans Affairs Speech-Language Pathologists. 

Speaker Disclosures:

Financial — Paula Sullivan is coauthor of the text, "Easy-To-Swallow; Easy-To-Chew Cookbook"; receives royalty payments.

Financial — Paula Sullivan is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Paula Sullivan has no relevant nonfinancial relationships to disclose.  


Intended Audience

  • SLP

This program is offered for 0.9 CEUs (Intermediate level; Professional area).

Offered for 9 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 11/30/2013.

  • 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: Paula Sullivan

Ecourses

  E-Course # Course Title & Author CEUs Price  
e75 Examining 4 Areas Relating To Dysphagia In The Elderly
Roxann Gross, PhD, CCC-SLP and Paula Leslie, PhD, CCC-SLP and James Naas, Ph.D., CCC-SLP and Paula Sullivan, MS, CCC-SLP, BCS-S
0.6 $99.00
e83 Best Practice in the Treatment of the High Risk Elder with Neurogenic Dysphagia
Paula Sullivan, MS, CCC-SLP, BCS-S
0.4 $79.00
e127 Parkinson's Disease, Swallowing and Best Practice
Paula Sullivan, MS, CCC-SLP, BCS-S
0.2 $39.00
e137 Dysphagia Assessment: A Comprehensive Review of Evidence-Based Practice
Roxann Gross, PhD, CCC-SLP and Jacqueline Hind, MS, CCC-SLP, BCS-S and Christy Ludlow, PhD, CCC-SLP and Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Fellow and Paula Sullivan, MS, CCC-SLP, BCS-S
1.0 $139.00
e154 Perspectives on Dysphagia Service Delivery: All About Treatment
Karen Dikeman, MA, CCC-SLP, BRS-S and Roxann Gross, PhD, CCC-SLP and Jacqueline Hind, MS, CCC-SLP, BCS-S and Marta Kazandjian, MA, CCC-SLP, BCS-S and Cathy Lazarus, PhD, CCC-SLP, BCS-S and Jan Lewin, PhD,CCC-SLP, BCS-S and Christy Ludlow, PhD, CCC-SLP and Kathy Panther, MS, CCC-SLP and Jay Rosenbek, PhD, CCC-SLP, BC-NCD and Paula Sullivan, MS, CCC-SLP, BCS-S and Jennifer Brush, MA, CCC-SLP and James Coyle, PhD, CCC-SLP, BCS-S
2.0 $199.00
e106 Dysphagia in the Medically Fragile and Frail Elder: Management, Decision-Making and Ethics
Paula Sullivan, MS, CCC-SLP, BCS-S
0.25 $44.00

"I especially appreciated the discussion re: PEG placement and the treatment information. I liked the fact that information was presented along the continuum and linked the need for SLP involvement from diagnosis through post care." – L.R. (Dec. 2016)

"All of it was beneficial! I am working with predominately HNC patients at this time in the Outpatient setting." – A.B. (Dec. 2016)

"The course addressed each phase; from diagnosis, to treatment, to what's expected once treatment is complete. I think everything was thoroughly explained." – N.T. (Dec. 2016)

"It was all very interesting as I had very little education about this topic during graduate school. I like that the course was so thorough and gave you actual goals and ideas." – N.B. (Dec. 2016)

"I liked the information on exercises for head and neck cancer patients. It verified what I was already doing and helped give me more ideas. Good information throughout the continuum of care and not just after the patient has had treatment." – T.B. (Dec. 2016)

"Treatment was the most beneficial portion -- BUT all very informative / beneficial. I'm not very disciplined, but I found myself glued to every work and every minute of this course." – J.E. (Nov. 2016)

"I enjoyed the treatment strategies / exercises; examples of ways to add resistive load to oral pharyngeal exercises; information on prosthetics; information on different QoL and dysphagia assessments; examples of different symptoms / side effects of C/RT and ways to compensate for them. Very thorough information." – K.O. (Nov. 2016)

"The discussion of the treatment of HNC patients and how to improve their QoL was most valuable for me. I liked the videos and pictures." – A.P. (Oct. 2016)

"I appreciated learning about all the different phases to treatment and when it is appropriate to intervene plus the intervention practices." – S.V. (Oct. 2016)

"Great course, both content and speaker. Very comprehensive." – T.S. (Sept. 2016)

"Paula's genuine and palpable compassion for the cases presented are a tremendous highlight to the excellence in therapy provided." – D.H. (Sept. 2016)

"Information was organized and easy to follow. Food information re: therapy goals, treatment strategies, POC, and expectations." – R.L. (Sept. 2016)

"Overall, the content was excellent-it is difficult to find higher level dysphagia courses, so the elevated content was appreciated." – C.B. (Aug. 2016)

"Thorough notes, clear examples, and multiple pictures/MBSS videos to illustrate discussion points. I especially appreciated the various exercise types and ways to adapt them to patients' needs." – K.S. (Aug. 2016)

"The information about the effects of radiation and chemotherapy as well as treating strategies was most beneficial." – T.D. (July 2016)

"I especially enjoyed the specific exercises and frequencies, info on treating/handling complications of mucositis and xerostomia. Good overall coverage of Head & Neck Cancer including diagnosis, treatment, SLP role, various components (tube feeding, tracheostomy, outcomes...)." – G.C. (June 2016)

"I liked the ideas of how to begin helping my patients immediately. This will help me develop a better protocol of how to work with my patients." – N.G. (Apr. 2016)

"It was great! Very functional information about the HNC patient as a whole (nutrition, medical issues, QoL, diet). I appreciated the treatment recommendations for before/during/after, as well as the frequency of seeing patients at each stage of recovery." – K.N. (Feb. 2016)

"The discussions on exercises and counseling were most beneficial." – L.D. (Jan. 2016)

"The coverage on treatment planning and rehabilitation was very helpful. I liked the comprehensive nature of the course." – E.F. (Jan. 2016)

 

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