$69.00 USD

99% rating - reviews

0.3  ASHA CEUs

Water Protocols: The Supportive Evidence, the Limited Evidence, and the Importance of Clinical Judgment #e271


Presenter: Kathy Panther, MS, CCC-SLP, CBIST

This course covers the evolution of water protocols including why they were developed and why they continue to be relevant today.


"I better understand now the research behind Frazier Water Protocol. Course had nice pace, comprehensive review of research with practical application."

– J.N., prior course participant

Water protocols have long been controversial as dysphagia management practices and likely will continue to be controversial for the foreseeable future. This course covers the evolution of water protocols including why they were developed and why they continue to be relevant today.

Water protocol studies published by clinician researchers as well as supportive literature from the related fields of nutrition, nursing, pulmonology, dentistry and periodontology, and infectious disease are discussed. The integration of the interdisciplinary views of dysphagia, aspiration pneumonia, dehydration, hydration, optimal wellness, and quality of life form the basis for consideration of this humane approach to dysphagia intervention.

Offered for 0.3 CEUs – 3 contact hours.

Course Overview – Run Time: 3:15:04

  1. The History of the Frazier Water Protocol
  2. Aspiration Pneumonia Risk
  3. Thickened Liquid Usage
  4. Dehydration and Hydration Management
  5. Quality of Life
  6. Fluid Absorption of the Lung
  7. Evidence Base for Water Protocols
  8. Frazier Water Protocol Methods and Guidelines
  9. Frazier Water Protocol Implementation Strategies
"I liked the information on dehydration; how it affects the elderly and gave me ideas to have in-services with facility staff on dehydration and symptoms to look for, as well as possibly establishing a water protocol or hydration protocol."

– M.S., prior course participant

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. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.

Reviews

"Being provided with more information related to dehydration and the effects on overall health in the elderly was good.  The speaker did a nice job presenting the information at a pace that was easy to follow." J.M. (Dec. 2022)

"I liked how the video was broken up into smaller portions." S.M. (Dec. 2022)

"The research supporting the need for water protocol was helpful. Patient-focused research with emphasis on quality of life was included in this course as well." T.B. (Nov. 2022)

"The supporting evidence in this course is beneficial. Learning about reduced intake factors was new knowledge for me and I will be able to discuss with my patients and families. The educational information that I can take back to my patients and families is so valuable." A.S. (Nov. 2022)

"I learned how to identify patients who are appropriate for implementing freewater protocol." A.P. (Nov. 2022)

"Learning importance of oral care and the accessibility of the course." V.C. (Nov. 2022)

"This course was interesting." A.M. (Oct. 2022)

"I liked learning how the FWP can be implemented." D.O. (Oct. 2022)

"I would recommend this course." C.I. (Sept. 2022)

"Good review of the evidence." A.S. (Aug. 2022)

"It was nice to have handouts and recommendations with experience. I liked the research information and specific guidelines for the protocols." J.S. (Aug. 2022)

"Informative course. I liked the research citations." K.R. (July 2022)

"I liked learning about the history of the free water protocol. Course provided good data." C.B. (June 2022)

"I better understand now the research behind Frazier Water Protocol. Course had nice pace, comprehensive review of research with practical application." J.N. (May 2022)

"I liked the considerations for applying course content/research to the acute care setting. Comprehensive review of research available." J.B. (May 2022)

"Solid background info and research citations. I liked the information regarding dehydration." A.H. (Mar. 2022)

"I liked the information on dehydration. Very practical information for outpatient rehab." R.J. (Mar. 2022)

"I liked the research presented on water protocols and the actual protocol section as well as history of development." A.J. (Mar. 2022)

"Research based with contraindications for FWP. Super thorough, lots of research included." M.K. (Mar. 2022)

"I liked the functional information for justifying water protocols in the hospital setting." J.B. (Feb. 2022)

"I liked the review of evidence-based tips for implementation of a FWP." F.S. (Jan. 2022)

"Easy to understand and follow, the slides matched the presentation. I liked the team approach to the protocol." J.L. (Jan. 2022)

"Details about the protocols relates directly to my daily work. Practical implementation of water protocols." S.B. (Jan. 2022)

"The multitude of research that was discussed was extremely beneficial, as well as the practical application of the research findings." C.B. (Dec. 2021)

"I liked the information on dehydration; how it affects the elderly and gave me ideas to have in-services with facility staff on dehydration and symptoms to look for, as well as possibly establishing a water protocol or hydration protocol." M.S. (Dec. 2021)

"Much needed update for me. Liked all the supportive research that was covered." D.H. (Dec. 2021)

"Information regarding Frazier Water Protocol was helpful as well as recommendations on types of patients to use the FWP with." M.S. (Dec. 2021)

"Guidelines for oral care and the ideas to get staff members on board." E.H. (Nov. 2021)

"Presenter provided quantifiable evidence through longitudinal studies." R.A. (Dec. 2021)

"I liked speaker's rate of presentation; amount of research shared to support FWP." E.H. (Oct. 2021)

"I like how the content was broken down into sections." K.F. (Sept. 2021)

"The information on medications given with thick liquids and what effects it can have was helpful. I liked that I could take the course at my pace." B.L. (Sept. 2021)

"I liked the review of the literature supporting water protocols but also the limitations of the research provided was good. The course was nicely organized." K.C. (Aug. 2021)

Course Objectives

  1. Describe the likelihood of adherence to safe swallowing and other health care recommendations with realistic human behavior.

  2. Identify aspiration pneumonia and dehydration risk factors.

  3. Summarize the risks and benefits of choosing to recommend thick liquids as a dysphagia intervention.

  4. Apply informed decisions to determine patient candidacy for a water protocol.

  5. Summarize the essential guidelines of a water protocol.

Presenter & Disclosures

Kathy Panther, MS, CCC-SLP, CBIST, spent her career at Frazier Rehab Institute in Louisville, Kentucky. Kathy was a member of the team at Frazier that hatched the earliest of the free water protocols, the Frazier Water Protocol (FWP). Kathy and team, over more than three decades, managed thousands of patients with dysphagia on the FWP. Beyond her clinical work, Kathy became a leader at Frazier Rehab serving as the Inpatient Rehab Director and the Director of the Brain Injury Program. Kathy played a unique role in formally facilitating culture shaping training with colleagues in her organization while navigating health care mergers and every-present operational changes. Kathy greatly enjoyed educating health care professionals on acquired brain injury, oral care practice, hydration management, and implementing free water protocols.

Speaker Disclosures:

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

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

Intended Audience/Accreditation

asha ce approved provider

This program is offered for 0.3 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 ASHA CEUs is noted above. Note that 0.1 ASHA 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 our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.

However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.

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 My Online 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 Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). 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 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 currently not accepted for online orders, if you wish to submit a purchase order please do so at info@northernspeech.com or fax to 888-696-9655.

What is an Online Course?

Our Online Courses consist of video, audio, and/or text content 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 device, via your NorthernSpeech.com online 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 ASHA 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 CEUs earned online. Please note that courses offered for university students are not applicable for 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 My Online Courses tab on your profile screen. Click the course you would 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.

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.

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 ASHA 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. Most courses include closed captioning.

Course handouts:

Most of our online courses provide a link to download the accompanying handout as a PDF file. 

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, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. 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. 

Special Needs:

Please click here for any special needs requests, and we will do our best to accommodate them. 

Contact Us |