Dysphagia Practice: A Comprehensive Update And Review Of The Assessment Process To Ensure Best Practice And Positive Patient Outcomes

#e19

1.5 CEUs

$149.00


Compatibility
Course Type

Description

This course will be discontinued on December 28, 2017. To earn CEUs for this course, you will need to complete and pass the test by 11:59 pm EST on December 27th, 2017.

The diagnosis of swallowing disorders is complex. Yet, understanding the nature of the patient's swallowing disorder is the foundation for optimal treatment. This audio course features 7 internationally recognized dysphagia experts discussing a variety of diagnostic tests. Highlighted will be what each test indicates, what it doesn't indicate, and which patients can be best assessed using each diagnostic tool. Also included is information on esophageal dysphagia, respiratory function during swallow, swallowing considerations for patients on trachs/vents, and pharmacology and dysphagia. Offered for 1.5 CEUs – 15 contact hours.

Topics Covered:

  • Bedside Evaluation
  • Modified Barium Swallow
  • FEES
  • Esophageal Considerations
  • Respiratory Testing
  • Pharmacology
  • Trach/Vent Patients
  • Swallowing Parameters
  • Assessing Complex Patients
  • Case Studies

Course Faculty:

  • Jeri Logemann, PhD
  • Donna S. Lundy, PhD
  • Roxann Diez Gross, PhD
  • JoAnne Robbins, PhD
  • Susan Langmore, PhD
  • James F. Naas, PhD
  • Ikuo Hirano, MD

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:

Audio with downloadable handout. Audio files may be streamed online or downloaded. This course was recorded in front of a live seminar audience in 2008 in Atlanta, GA.

Course Objectives

  1. Explain how the use of FEES during the evaluation process can be beneficial for treatment planning.
  2. Discuss how appropriate use of positioning strategies for a patient with unilateral pharyngeal paralysis can result in a safer and more efficient swallow and eliminate the need for non-oral feedings.
  3. Explain how the modified barium swallow x-ray study is both a diagnostic and treatment protocol.
  4. State how what occurs in the esophagus can influence what occurs in the pharynx during the swallow.
  5. State the relationship between lung volume and subglottic pressure and how this relationship affects swallowing.
  6. Explain how implementing a tongue exercise program can result in greater pressure on the bolus and a safer and more efficient swallow.
  7. Discuss the influence of medications on the sympathetic and parasympathetic nervous systems and how this influences the swallow.

Presenter & Disclosures

Roxann Diez Gross, PhD, CCC-SLP, is a leading expert, accomplished researcher, and frequently invited national and international lecturer. Her areas of expertise include swallowing function, esophageal dysphagia, and management of patients with tracheostomy tubes and speaking valves.

Currently, Roxann is Director of Research at The Children's Institute in Pittsburgh, PA. Prior to this position, she was Director of the Swallowing Disorders Center at the University of Pittsburgh Medical Center and Assistant Professor of Otolaryngology in the School of Medicine. She is now an adjunct assistant professor in the Department of Communication Science and Disorders at the University of Pittsburgh.

Roxann has published several scientific papers and clinical book chapters. Her primary area of research examines interactions between breathing and swallowing in neurologic and respiratory disease. Over the past 7 years, Roxann has expanded her clinical work and research to include non-pathologic forms of esophageal dysphagia.

Speaker Disclosures:

Financial — Roxann Diez Gross is presenter of online CEU courses by Northern Speech Services; receives royalties.

Financial — Roxann Diez Gross is the author of "Quick Pocket Reference for Tracheostomy Tubes and Speaking Valves" published by Northern Speech Services; receives royalties.

Nonfinancial — Roxann Diez Gross has no relevant nonfinancial relationships to disclose.

Ikuo Hirano, M.D., Gastroenterologist, is Professor of Medicine at Northwestern University Feinberg School of Medicine. He attended college at Yale University, medical school at the University of Pennsylvania and completed his medical residency and GI fellowship at Beth Israel Hospital in Boston. He took a faculty position at the West Roxbury VA Medical Center and Harvard Medical School working in esophageal swallowing physiology before coming to Northwestern in 1998. He is currently serving as Associate Chair for the American Gastroenterological Association’s Esophageal, Gastric and Duodenal (EGD) section, site principal investigator for the Consortium of Eosinophilic Gastrointestinal disease Researchers (CEGIR) and the educational co-chair for International Gastrointestinal Eosinophil Researchers (TIGERS). Dr. Hirano has written over 100 scientific papers and textbook chapters that focus on esophageal and swallowing disorders. He has active grant support from the National Institutes of Health (NIH) and Food and Drug Administration (FDA) for research in eosinophilic gastrointestinal disorders. Dr. Hirano is an Associate Editor for the American Journal of Gastroenterology and on the editorial board for Clinical Gastroenterology and Hepatology. He received the Northwestern University School of Medicine Award for Outstanding Achievement in Gastroenterology in 2002 and Distinguished Service Award in 2013. Dr. Hirano has been recognized as one of the Chicago area's "Top Doctors" by the Chicago Consumer's Checkbook and by Best Doctors in America. His clinical and academic interests are in eosinophilic esophagitis, eosinophilic gastroenteritis, gastrointestinal motility and esophageal disorders.

Speaker Disclosure:

Financial — Ikuo Hirano is presenter of online CEU courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Ikuo Hirano has no relevant nonfinancial relationships to disclose.

Susan E. Langmore, PhD, CCC-SLP, BRS-S, is an internationally known researcher and lecturer in the areas of dysphagia, aspiration pneumonia, and voice disorders. Dr. Langmore is developer of the FEES procedure. Additionally, her "Predictors of Aspiration Pneumonia" research is frequently cited by SLPs in determining which patients should and should not eat by mouth. Dr. Langmore is a Professor in both the Departments of Otolaryngology and Speech and Hearing Sciences at Boston University Medical Center in Boston, MA.

Speaker Disclosure:

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

Nonfinancial — Susan Langmore has no relevant nonfinancial relationships to disclose.

Jeri A. Logemann, PhD, CCC-SLP, BCS-S, was the Ralph and Jean Sundin Professor of Communication Sciences and Disorders in the Northwestern University School of Communication from 1995 until her death in 2014. She received all of her degrees at Northwestern and had taught and conducted research at Northwestern since 1978.

Dr. Logemann was a pioneer and leader in the study of dysphagia. She contributed significant research findings for the field of speech-language pathology over the past 35 years, including the development of the modified barium swallow study. She was a Fellow of ASHA and Fellow of the Chicago Medical Society and served as President of ASHA in 1994 and again in 2000.

Northern Speech Services wishes to recognize Dr. Logemann's significant contributions to the field of Speech-Language Pathology and NSS is honored to have partnered with her for over 25 years.

Speaker Disclosures:

Financial — Jeri A. Logemann developed this online CEU course offered by Northern Speech Services; her estate receives royalties.

Nonfinancial — Jeri A. Logemann had no relevant nonfinancial relationships to disclose with regard to this online course.

Donna S. Lundy, PhD, CCC-SLP, BRS-S, is Professor of Clinical Otolaryngology at the University of Miami Health System in Miami, FL. She is currently collaborating on a project to study the impact of early, prophylactic swallowing exercises in patients undergoing chemotherapy and radiation therapy to determine if earlier intervention can improve the outcome. She served as a local P.I. in a number of multi-institutional grants studying dysphagia (swallowing problems) related to treatment for head and neck cancer. These projects have culminated in multiple presentations at national meetings and peer-reviewed publications and have prompted further research. Dr. Lundy is also actively involved in volunteer work with the American Cancer Society (ACS) on a leadership level serving both on the Miami-Dade and the Florida Division Boards. She currently serves as Chair of the Advocacy Operating Committee on the Division Level and pushes for improved legislation for all cancer patients both on the state and federal levels.

Speaker Disclosure:

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

Nonfinancial — Donna Lundy has no relevant nonfinancial relationships to disclose.

James F. Naas, PhD, CCC-SLP, lectures nationally and internationally to Speech-Language Pathologists on pharmacology and the geriatric population. He practiced Medical Speech Pathology in the acute care environment for over 32 years. Dr. Naas continues his office practice in Owensboro, Kentucky.

Speaker Disclosure:

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

Nonfinancial — James Naas has no relevant nonfinancial relationships to disclose.

JoAnne Robbins, PhD, CCC-SLP, BCS-S, is an internationally known researcher, lecturer, author and inventor. She is a Professor in the Department of Medicine in the University of Wisconsin School of Medicine and Public Health, and she also serves as Associate Director of Research for the Geriatric Research, Education, and Clinical Center (GRECC) at the William S. Middleton Memorial Veterans Hospital in Madison, WI. Dr. Robbins has over 20 years of experience in treating dysphagic patients. Her work is known worldwide and published in numerous international and national peer-reviewed journals. She is also coauthor of the "Easy-To-Swallow, Easy-To-Chew Cookbook."

Speaker Disclosures:

Financial — JoAnne Robbins is the author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — JoAnne Robbins has ownership interest in Swallow Solutions, LLC; Board Member and Owner.

Financial — JoAnne Robbins is the co-Author of the text, "Easy-To-Swallow; Easy-To-Chew Cookbook"; receives royalty payments.

Nonfinancial — JoAnne Robbins has no relevant nonfinancial relationships to disclose.

Intended Audience/Accreditation

This program is offered for 1.5 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

"The portion on esophageal dysphagia was particularly interesting and pertinent to my practice. I liked the variety and expertise of the speakers. An improvement to the audio quality would be welcomed." – S.M. (Aug. 2017)

"The case studies were the most useful. The advanced level of content was exactly what I was seeking for con ed. Some audio was difficult to hear." – K.K. (July 2017)

"Every topic discussed is highly beneficial to my daily practice. Very organized, very informative. Excellent course content and provided different views of the practice. I wish the course was both audio AND visual. I would be willing to pay more for the course if the actual presentation was filmed and if the slides/videos presented were made available." – A.S.J. (Mar. 2017)

"Quite frankly, every last one of the sections was beneficial. They allowed me to receive up to date research and introduced information I had no idea had become so much more in depth. I loved the panel of expert speakers. Unfortunately, the static in the recordings and at times especially with Jeri Logemann made it difficult to hear what they were saying. It was so frustrating cause I so wanted to get every ounce of knowledge she and the others were providing. The stronger the voice, the more clear and satisfying the lecture was." – J.B. (Jan. 2017)

"I enjoyed reviewing the physiology information. I liked the amount of information covered and the amount of CEUs offered." – N.W. (Jan. 2017)

"I really enjoyed Dr. Logemann, such an inspiring woman full of knowledge & eager to share. She will be missed! Specifically, I enjoyed the comparison of FEES vs. Modified Barium Swallow Study. This information is good documented information to share with colleagues. I also enjoyed the discussion by Dr. Hirano which enlightened SLPs regarding Esophageal Dysphagia." – T.B. (Dec. 2016)

"I wish I could listen to Dr. Logemann on Spotify! She's the best!  Also, I enjoyed pharmacology and respiratory support. Nurses sources and respiratory are great resources, but these topics weren't covered in my grad studies extensively." – K.Z. (Dec. 2016)

"Overall was an excellent course. I would recommend it to other SLPs. I especially appreciated the discussion on respiratory testing and impact on dysphagia and esophageal dysphagia. I liked the flexibility to listen at my own pace and go back if I needed further clarification. The course covered more than I expected." – S.S. (Dec. 2016)

"I found the portions on the Modified barium swallow study and clinical swallow evaluation as well as esophageal dysphagia most beneficial. I liked being able to complete this type of a course online. I would have liked to see the person talking and to see some of the videos that were shown of the content." – M.K. (Nov. 2016)

"I learned something new in each section. I probably learned the most from the pharmacology discussion which will benefit me greatly at my job at a rehab hospital. I liked the depth of the discussions and research backing it up." – A.B. (Oct. 2016)

"I really liked the last track on Pharmacology and labs as that is an often neglected area in our field when we are taught about swallowing. I liked that the course was broken down into sections. It was very long and took me some time to complete it." – T.W. (Sept. 2016)

"I appreciated the specifics regarding FEES and therapeutic interventions." – S.E. (Aug. 2016)

"I do not have much experience with FEES, so it was nice to have an overview and comparison of FEES and MBS. I enjoyed having the discussions from different presenters, but it was difficult not being able to see the videos that encompassed much of this course." – J.S. (May 2016)

"The discussion by speakers and panels helped me improve my professional judgement. I really liked the discussion among the panel speakers." – M.P. (Apr. 2016)

"I enjoyed the case studies as well as the discussion on respiratory function and swallowing. Excellent review of swallow function." – E.V. (Mar. 2016)

"I really appreciated the portion on FEES vs. MBSS. I thought that the presentation of the case studies shed some light on everyday patients that I encounter in the hospital. It would have been helpful to directly hear the audience participation." – A.J. (Feb. 2016)

"I liked the information about elderly's swallow function. I appreciated the understanding of FEES." – G.K. (Feb. 2016)

"The discussions on pharmacology, instrumental testing, and case studies were really beneficial." – J.S. (Jan. 2016)