Tackling Palliative Rehabilitation: The SLP's Guide To End Of Life Services

#e183

0.45 CEUs

$85.00


Compatibility
Course Type

Description

The SLP is central to the intricate process associated with end of life, specifically due to high incidence of dysphagia, cognitive deficits, and impaired communication in this population. However, in our field, educational opportunities on this topic are lacking.  SLPs find themselves underprepared for challenging situations and with limited capability to advocate for our patients’ best interests.  In this course, we’ll review ways that dysphagia management, cognitive management, and communication enhancement differ in End of Life care in comparison to our other scope of practice.  We’ll address early decision making and advocacy for patients nearing the end of life and cultural competency when approaching patients with diverse backgrounds. Offered for 0.45 ASHA CEUs – 4.5 contact hours. Course includes 1 hour related to ethics and speech-language pathology practice.

Sections Include:

  1. Introduction (30:19)
  2. Dysphagia Management (1:03:31)
  3. AAC - Communication - Language (52:26)
  4. Dementia - Cognitive (38:16)
  5. Early Decision-Making (18:28)
  6. Cultural Competence (31:57)
  7. Documentation (36:48)

Ch 1: INTRODUCTION (30:19)

  • Explanation and “buy-in” on why this matters to the SLP
  • Introduction to common terminology within End of Life (EoL) care
  • Introduction to ethics at EoL

Ch 2: DYSPHAGIA MANAGEMENT (1:03:31)

  • Oropharyngeal changes in the elderly and the critically Ill
  • Dysphagia management specific to patients with dementia
  • Refusing recommendations for dysphagia treatment
  • Our role in educating staff and educating/counseling families
  • Tips for diet management and oral care at EoL

Ch 3: AAC/COMMUNICATION/LANGUAGE (52:26)

  • Characterizing the patient who needs communication treatment at EoL
  • What are communication needs at EoL
  • Feature matching between available AAC tools and the EoL patient
  • Facilitating communication through modalities at EoL

Ch 4: DEMENTIA/COGNITIVE (38:16)

  • Types & Stages of Dementia
  • The Role of the SLP in Dementia Care
  • Cognitive-linguistic testing – what’s available and how is it best used
  • Cognitive-Linguistic treatment and EoL considerations

Ch 5: EARLY DECISION-MAKING (18:28)

  • Early referrals to Palliative Care/appropriate care provider
  • Overcoming barriers to early referrals to Palliative Care
  • Tools to facilitate difficult conversations
  • The Ethics of Early Referrals

Ch 6: CULTURAL COMPETENCE (31:57)

  • Our ethical obligation to cultural competence and sensitivity
  • Factors that influence EoL decisions
  • 1990 Federal Patient Self-Determination Act
  • SLP’s role in facilitating cross-cultural conversation at the end of life

Ch 7: DOCUMENTATION (36:48)

  • Justifying the SLP’s role
  • Evaluation Writing for EoL
  • Goal writing for EoL

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 in the Presenter & Disclosures area.

Course Format

Video PowerPoint presentation with author narration & downloadable handout.

Course Objectives

  1. Differentiate Palliative Care vs. Hospice.
  2. Describe dysphagia management at End of Life and how it differs from SLP management of dysphagia in other populations.
  3. Facilitate conversation between the End of Life patient with communication disorders and care providers/partners.
  4. Identify communication strategies for patients with dementia and other cognitive impairments at End of Life.
  5. Develop a plan to enhance early advocacy about End of Life.
  6. Employ cultural competence when approaching patients of diverse backgrounds within the End of Life framework.

 

Presenter & Disclosures

Irene Gofman, MS, CCC-SLP, is the lead Speech-Language Pathologist in the sub-acute rehabilitation wing of the Hebrew Rehabilitation Center in Boston, Massachusetts. She serves on Palliative Care and Ethics Committees as the rehab representative. As a multi-lingual Speech-Language Pathologist, her personal interests include end of life care from a cross-cultural perspective, the ethics surrounding tough decision making within the world of SLP, and the geriatric population.

Speaker Disclosures:

Financial — Irene Gofman is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Irene Gofman has no relevant nonfinancial relationships to disclose.

Amanda Warren, MS, CCC-SLP, is a medical Speech-Language Pathologist practicing in the city of Boston, MA. She has extensive experience in outpatient, acute care, rehabilitative care, skilled nursing and home care environments. Amanda teaches at the undergraduate and graduate level in Speech-Language Pathology. She has a special interest in palliative dysphagia management, augmentative communication at the end of life, and patient-family advocacy and education.

Speaker Disclosures:

Financial — Amanda Warren is presenter online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Amanda Warren has no relevant nonfinancial relationships to disclose.

Intended Audience/Accreditation

This program is offered for 0.45 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • SLP

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.

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.

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.

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.

Frequently Asked Questions

Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

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.

What is an Online Course? Our Online Courses include text, audio, or video formats and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any computer, via your Northern Speech account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%) a printable certificate of completion is presented to you.

Receiving CEUs: Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to online CEUs.

Registering for an online course: You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.

Accessing your purchased course or returning to a purchased course: You will be able to access your online course by logging into your Northern Speech account and then clicking the Online Courses tab on your profile screen. Click View next to the course you’d like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.

Course completion timeframes: Nearly all our courses provide for unlimited time to complete your course. You may work at your own pace and start and stop your course as you wish. Any access limitations will be clearly noted on the individual course description page.

Course content expiration: Nearly all our courses provide for continued access to course content and materials, even after completion of the post test. Any access limitations will be clearly noted on the individual course description page.

Testing requirements: Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.

Certificate of completion: A certificate displaying participant name, date of course completion (based on the Eastern Standard Time Zone), and the number of contact hours earned is presented to participants once a score of 80% or greater is earned on the post test. Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.

ASHA CE Registry: Northern Speech will provide CEU information to the ASHA CE Registry for you. At the time of course enrollment if you select that you are taking the course for ASHA Credit and if you provide your ASHA Member Number, Northern Speech will automatically submit your hours to the CE Registry after you successfully complete the post test. Please allow 45-60 days from the date of course completion for your hours to appear on your CE transcript. Note that ASHA will record your CEUs as earned on the last day of the month in which you completed your course. For example, if you completed your course on Nov 7, the CE Registry will reflect course completion as Nov 30.

Number of CEUs offered: We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.

State licensing boards and online CEUs: NSS is an ASHA CE Provider and most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs 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 CEU limits related to home-study courses prior to enrolling in an online course.

Course formats: Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.

Course handouts: Most of our non-text online courses provide a link to download the accompanying handout.

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.

Group discounts: Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.

Computer requirements: For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Internet Explorer, etc) and newest version of Flash Player. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.

Course Cancellation Policy: A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded. 

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Reviews

"I think that this course exceeds its objective of addressing the end-of-life population and has beneficial information for working with a variety of adult populations. I really enjoyed how the more didactic information was often coupled with specific examples (specific patients, "case-study" type profiles, specific goals) to really reinforce information and make it more tangible." – L.B. (Dec. 2017)

"The format was so thorough and easy to follow, really excellent and in-depth to further people's practice!" – V.L. (Dec. 2017)