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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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Best Practice in the Treatment of the High Risk Elder with Neurogenic Dysphagia

# e83   Best Practice in the Treatment of the High Risk Elder with Neurogenic Dysphagia

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

0.4 CEUs

$ 79.00

This online course presents evidence-based interventions for diagnostic groups including COPD, Parkinson's disease, CVA, ALS, MS, and dementia. Discussed will be determining appropriate patient intervention, including which patients would benefit from rehabilitation to improve function, which patients should receive compensatory strategies to improve or maintain function when active rehabilitation is not appropriate, and suggestions for palliative care. 

A broad spectrum of clinically relevant topics will be presented including best and evidence-based practice for determining interventions for specific swallowing disorders. Review of videofluorographic studies will be included to help participants link specific disorders with evidence-based outcomes. Also discussed will be factors that can predict when clients are at high risk for aspiration pneumonia, including a clinical decision process for recommending non-oral feedings, as well as when to terminate therapy.  Offered for 0.4 ASHA CEUs – 4 contact hours.

Sections Include:

  • Evidence-Based Treatments For Stroke, MS and ALS (1:34:15) 
  • Evidence-Based Treatments for Patients with Parkinson's Disease and Dementia (0:59:42)
  • Treatment Decision-Making When a Patient's Prognosis Is Declining (1:23:33) 

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 video & audio files.  Audio can be listened to online or downloaded as mp3 files. Audio recorded in front of a live audience in February 2012.

At eCourse conclusion, participants will be able to:

  1. Discuss the role of the Speech-Language Pathologist with a patient with MS who is cognitively alert but aspirating on all food consistencies.
  2. Discuss the role of active oral muscle exercise for a patient with early stage ALS.
  3. Explain why patients with Parkinson's disease are at risk for aspiration.
  4. Identify an oral stage dysphagia associated with dementia.

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 0.4 CEUs (Intermediate level; Professional area).

Offered for 4 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 04/30/2015.

  • 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: 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
e68 Head and Neck Cancer Across the Continuum of Care: Addressing Swallowing Challenges
Paula Sullivan, MS, CCC-SLP, BCS-S
0.9 $129.00
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

"The whole course was informative, but the section on palliative care was especially excellent. The instructor had an excellent speaking voice, way and organizational approach." – T.H. (Dec. 2016)

"I liked the discussion of which swallow strategies to use with different types of patients with neurogenic conditions." – A.B. (Nov. 2016)

"I really appreciated the portions on end of life; deconditioning; frail elders and management of tube feeds and recommendations." – R.T. (Oct. 2016)

"There were many excellent references and suggestions given for improving clinical practice. I enjoyed the discussion regarding comfort/palliative care and learning more about considerations and approaches to feeding options." – L.K. (Sept. 2016)

"I appreciated the discussions on the free water protocol, the importance of oral hygiene, and the multi factors contributing to aspiration pneumonia. I liked the vidoes of the swallowing studies and the case examples. The handout of the lecture was beneficial." – C.A.S. (Sept. 2016)

"Going over the appropriateness of feeding tubes and also how to recommend a comfort approach was very helpful. The presenter was excellent." – M.M. (Aug. 2016)

"I enjoyed the discussion to be able to expand the topic/recommendations for patients with neurogenic disorders. This is much needed in my facility to assist with decreased hospital stay, patient satisfaction of diet and safety. I enjoyed the specific examples and case studies of patients the presenter had experience with to help me assess current patient on my caseload." – J.G. (June 2016)

"The therapies used for swallow were very interesting. The course gave me new wording to use for my goals and a stronger belief in some of the therapies I use." – E.C. (Apr. 2016)

"I appreciated the specific techniques and studies around ALS/Parkinson's/ and Alzheimers as well as current trends in treating patients with dementia and feeding disorders." – E.M. (Apr. 2016)

"I liked the realistic approach utilizing current evidence for practicing with this population. I found the information regarding presbyphagia vs. dysphagia, considerations regarding role of SLP in palliation, updated evidence regarding exercises and their proper practice all very excellent." – J.V.R. (Apr. 2016)

"The information on palliative care and end of life issues relevant to the role of the SLP were new to me. I liked the document tips." – D.S. (Mar. 2016)

"I liked the functional information for my practice." – K.S. (Feb. 2016)

"The "Resources for the Clinician" portion was most useful." – M.F. (Feb. 2016)

"Beneficial exercise in neurogenic dysphagia. I expected more functional treatment examples, though." – K.H. (Feb. 2016)

"Organized, practical." – S.M. (Feb. 2016)

"The Treatment strategies and rationales behind their use were really beneficial. I liked the variety of disorders and treatment strategies - variety of resources also." – C.K. (Jan. 2016)

"Paula Sullivan's personal experiences as they relate to the frail elderly were extremely helpful. I liked the practical applications of safe swallowing treatment." – D.S.E.P. (Jan. 2016)

"I found the review of the exercises and which are contra-indicated for specific diagnoses really useful as well as the review of free water protocol and that it is NOT for everyone!" – C.B. (Jan. 2016)

 

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