This clinically focused course brings together six master clinicians to discuss evidence-based interventions that can contribute to a more comprehensive intervention approach when working with persons with dysphagia. Interventions discussed will include the benefits of electrical stimulation, effects of lung volume and subglottic air pressure on swallow function, appropriate use of water protocols, strategies to successfully manage persons with dementia, and counseling techniques to address negative emotions and attitudes that block successful treatment outcomes. Offered for 1.2 CEUs – 12 contact hours.
Run Time: 12:29:46
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 in the Presenter & Disclosures area.
Audio course with downloadable handout that follows along with the lecture (can be listened to online or downloaded as mp3 files). Supplementary videos are also provided when prompted throughout this online course. Audio recorded in front of a live audience in October 2011.
Robert J. Arnold, SLPD, CCC-SLP, BCS-S, is the Chief Clinical Officer for Southeastern Biocommunication Associates, LLC. Dr. Arnold has over 20 years of experience in medical speech-language pathology as a diagnostician, therapist, clinical research scientist, author, inventor, and adjunct professor. He has made numerous presentations at the state, regional, and national level. Dr. Arnold has been twice presented with the Distinguished Clinical Achievement Award by the Speech and Hearing Association of Alabama and he is a Board Certified Specialist in Swallowing and Swallowing Disorders. In addition, Dr. Arnold is the inventor of the Oromotor Dynamometer.
Financial — Robert Arnold is the presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — Robert Arnold is the inventor of Oromotor Dynamometer; holds the patent.
Financial — Robert Arnold is the author of the CSA Endoscopy differential diagnostic algorithm for the upper aerodigestive tract; holds copyrights & trademark.
Financial — Robert Arnold is a co-owner of Southeastern Biocommunication Associates, LLC; ownership interests.
Nonfinancial — Robert Arnold has no relevant nonfinancial relationships to disclose.
Jennifer is the author of 5 nationally recognized books on dementia including the silver-medal winning Creative Connections in Dementia Care and I Care, the gold-medal winning work that also received a 5-star rating as a Reader Favorite. Jennifer is widely known for her revolutionary work in the Spaced Retrieval memory intervention, pioneering this area of study and publishing 2 books on the subject.
Financial — Jennifer Brush is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — Jennifer Brush is a presenter of CE seminars sponsored by Northern Speech Services; receives speaking fees.
Financial — Jennifer Brush is the author of "Meal Time Matters" and "Meal Time Matters at Home"; receives royalties.
Financial — Jennifer Brush is the author of "A Therapy Technique for Improving Memory: Spaced Retrieval" and "Environment and Communication Assessment Toolkit"; receives royalties.
Financial — Jennifer Brush is an editor and author for IDEAS Institute; receives consulting fees.
Financial — Jennifer Brush is the owner of Brush Development; ownership interests.
Nonfinancial — Jennifer Brush has no relevant nonfinancial relationships to disclose.
Roxann Diez Gross, PhD, CCC-SLP, ASHA Fellow, 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.
Financial — Roxann Diez Gross is a 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.
Ianessa A. Humbert, PhD, CCC-SLP, is an Associate Professor in the Department of Communication Sciences and Disorders at The University of Iowa. She is an accomplished researcher, having studied the effects of electrical stimulation on hyo-laryngeal movement in healthy and dysphagic adults. Dr. Humbert's research focuses on swallowing neurophysiology and Alzheimer's disease.
Financial — Ianessa Humbert is an author of online CE courses sponsored by Northern Speech Services; receives royalty payments.
Financial— Ianessa Humbert is the author of the text, "The Swallowing Pocket Guide" published by Northern Speech Services; receives royalty payments.
Financial — Ianessa Humbert is an inventor for Passy Muir, Inc; holds a patent on equipment.
Nonfinancial — Ianessa Humbert has no relevant nonfinancial relationships to disclose.
Cathy L. Lazarus, PhD, CCC-SLP, BCS-S, is one of the premier researchers in the field of Speech-Language Pathology. She has conducted research and lectured internationally for over 30 years on swallowing disorders and quality of life in the head & neck cancer population. Dr. Lazarus is the Director of Research for the Thyroid Head & Neck Research Center, THANC Foundation, at Mount Sinai Beth Israel. She is also Associate Professor in the Department of Otolaryngology Head & Neck Surgery, Icahn School of Medicine at Mount Sinai. She is an ASHA Fellow.
Financial — Cathy Lazarus is an author of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — Cathy Lazarus is a presenter of CE seminars sponsored by Northern Speech Services; receives an honorarium.
Nonfinancial — Cathy Lazarus has no relevant nonfinancial relationships to disclose.
Kathy Panther, MS, CCC-SLP, CBIST, is the Inpatient Rehab Director at Frazier Rehab Institute in Louisville, KY. She is also Director of Frazier's Acquired Brain Injury Program. She has 35 years of experience working in medical rehab. Kathy was one of the first SLPs in the United States to develop and implement a Free Water Protocol. Since 1984, Kathy and her team have successfully managed thousands of dysphagia patients on free water. For the past 25 years, Kathy has educated healthcare professionals on implementing free water protocols, oral care, and hydration management.
Financial — Kathy Panther is an author of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — Kathy Panther is a presenter of CE seminars sponsored by Northern Speech Services; receives an honorarium.
Nonfinancial — Kathy Panther has no relevant nonfinancial relationships to disclose.
This program is offered for 1.2 ASHA CEUs (Intermediate Level; Professional Area).
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:
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:
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.
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 are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
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.
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.
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.
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.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
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.
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.
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"The information re: memory strategies was most beneficial as I work in a long term care setting. I felt that the course was very well organized and that the speaker was very knowledgeable and clearly had many years of experience." – K.S. (Apr. 2020)
"I feel as though the rational emotive therapy techniques (section 5) and memory strategies (section 6) will be the most useful to me in my continued treatment of Pt's in the SNF and long term care facility in which I am currently employed. I like how each section was broken down and was only an hour and a half each. I had thought more dysphagia exercises would be covered and more in depth discussion regarding the literature and outcomes." – E.H. (Mar. 2020)
"The presenters were exceptional! I found this to be one of the best CEU courses I have ever taken. I learned info that I can immediately apply in my everyday practice." – K.B. (Jan. 2020)
"I especially appreciated going over the benefits of tongue exercises and which exercises to use to target what specific deficits. I liked the breakdown/layout of information." – A.G. (Dec. 2019)
"I've been a regional director for years now, so getting a refresh on all these topics from a 'base' starting point is very helpful." – C.W. (Dec. 2019)
"I will benefit the most from Brush's lecture on memory strategies and techniques to embed into therapy sessions to improve recall for swallowing and communication techniques. I liked how the course was divided into sections and organized accordingly. This helped to better store and process the information. It was also nice having multiple clinicians presenting information from various viewpoints." – H.P. (Dec. 2019)
"The rational emotive therapy lecture as well as the esophageal conditions lecture were both good and helpful." – M.L. (Nov. 2019)
"Discussing the case studies were helpful because I would try to think what I would do, then hear what they suggested and why and see if it matched ideas or not. There was a lot of relevant information about dysphagia treatment." – A.M. (Oct. 2019)
"I enjoyed the Rationale Emotive Counseling; I had not heard of this before and it helps to provide a basis for effects one intuitively knows to be true - i.e., developing a more positive/realistic expectation." – M.T. (Sept. 2019)
"I enjoyed all the topics that were presented in this course. I felt that there was a nice variety of functional information and take aways that I will be able to use with my patients. I liked that the course was self paced. I thought that 1:30 minute increments were a perfect length to listen to at home. I thought there was a great variety of information dysphagia. I was pleased with the content of this course." – L.K. (June 2019)
"I liked the expert presenters. They are absolutely the very best of us." – J.S. (June 2019)
"The practical information discussed throughout this course has been wonderful. The presenters were extremely knowledgeable and captivating throughout the entire course. I can honestly say, this has been the best online class that I have taken in the last 10 years. I have already made several changes in the way I am approaching dysphagia patients, which will help them achieve their goals more quickly." – N.W. (June 2019)
"Going over when exercise programs are appropriate for persons with dysphagia was most beneficial. I liked the variety of topics." – K.B. (Apr. 2019)
"I liked how comprehensive the course is. It's a great overall review of everything that is available to me as a therapist in dysphagia treatment. I also liked that there were several new topics introduced as well so I was gaining new knowledge (specifically in the areas of counseling, esophageal dysphagia, and respiratory). – S.S. (Feb. 2019)
"I learned/refreshed information about patients with head/neck/oral cancer. I liked that the course covered many different topics under the dysphagia umbrella." – J.D. (Nov. 2018)
"Each subject was of interest to me. I particularly enjoyed the segments on counseling and with esophageal function." – D.R. (Nov. 2018)
"The use of water in patients on thickened liquids was new knowledge to me. The presentation of various compensatory techniques was helpful. However, I had difficulty reviewing the videos of the various compensatory swallowing techniques following the audio presentation." – V.M. (Oct. 2018)
"Very lengthy course, however, I did like the esophageal dysphagia section the best." – P.G. (May 2018)
"I liked the expertise of the presenters. I was most interested in the e-stim research for patient education and also how the Frazier Water Protocol would benefit my patients." – A.B. (Apr. 2018)
"The discussions on exercises and esophageal dysphagia were most beneficial. Informative course." – C.G. (Mar. 2018)
"Informative, practical course. The discussions of oral phase swallow exercises and hydration issues were especially helpful." – B.L. (Feb. 2018)
"I enjoyed the discussions of frazier water protocol and swallowing exercises. I like that the course covered multiple areas of dysphagia." – K.F. (Jan. 2018)
"I liked hearing about the different treatment protocols and the review on stimulation techniques." – H.H. (Dec. 2017)
"I appreciated the varying types of exercise programs because it was a thorough review and also provided new techniques. I liked the overall accessibility and that I could stop and start as my schedule permitted." – R.A. (Dec. 2017)
"Esophageal Dysphagia was absolutely the best course online and live that I have received. Functional and helpful. Will be applicable daily for my job." – L.S. (Oct. 2017)
"I felt all the topics are beneficial as an acute therapist; we do a little of everything from assessment to treatment. I liked the presentations and the evidence-based practice behind the presentations. Being able to see the speakers as they did some demonstrations would have been nice. Essentially, if it would have been videotaped instead of just audiotaped, it would have been better." – L.W. (Aug. 2017)
"The sections on Water protocols and Esophageal conditions relevant to dysphagia tx were very helpful. I liked the easy access to the course and how well organized the information was." – D.L. (June 2017)
"Very comprehensive course. I especially enjoyed the review of management of motor swallow impairment and swallowing exercises as well as the effects of counseling. I believe this e-course is great the way it is." – E.W. (Apr. 2017)
"I liked the handouts, especially the detailed handouts on Frazier Free Water Protocol." – M.W. (Mar. 2017)
"I really enjoyed the counseling portion and reinforcing the fact that it is a vital part of our role. I was glad spaced retrieval technique was discussed and that she clarified that using that technique to teach dysphagia recommendations can still be billed under dysphagia rather than cognition. I learned a lot from the esophageal dysphagia portion too. I would have enjoyed a video rather than an audio file." – H.L. (Jan. 2017)
"Cathy Lazarus' new information regarding treating head and neck cancer patients is most beneficial. I liked the ease of use and expertise of the presenters offering evidenced based current therapeutic information." – M.G. (Dec. 2016)
"I liked the comprehensiveness of this course. Great overview!" – J.B. (Dec. 2016)
"I appreciated the portions on water protocols, Rational emotive therapy techniques, E-stim, and SR memory strategies. I liked the scope of information and presenters." – J.K. (Dec. 2016)
"It was loaded with information. Clearly the speakers were experts in their field. Brush and Panther were the best speakers. A good overview. Video clips were nice when offered online. Overall, the presenters were motivating and inspiring." – S.C. (Dec. 2016)
"I enjoyed the anatomy and physiology and use of respiratory control to aid swallowing. Great resource for up to date information." – S.B. (Nov. 2016)
"I found the counseling portion useful as well as the research behind NMES and oral motor exercises and their effectiveness to be useful and important. It was very informative and useful for daily practice in a rehab hospital setting." – K.S. (Nov. 2016)
"I enjoyed the videos/live demonstrations. I really enjoyed the topic and discussion regarding Rational Emotive Counseling." – H.C. (Oct. 2016)
"As a clinician who works in a hospital completing VFSS on a weekly basis as well as being a clinician in a SNF, all information was extremely beneficial and educational." – L.A. (Aug. 2016)
"I appreciated the research data on specific therapeutic interventions relating to various medical diagnoses resulting in dysphagia. I liked having the opportunity to review the information at my own pace." – K.M. (Aug. 2016)
"All of the areas were informative in my daily practice, but I learned additional information from rational emotive therapy techniques, cognitive loss and memory strategies, water protocols, and esophageal conditions. I liked the flexibility of completing it online, the variation of topics, and having the powerpoint to follow along." – E.A. (July 2016)
"I loved every section. All pieces were brought together in a wonderful comprehensive form to encompass all aspects we encounter in the geriatric population. I loved the variety of the speakers and the knowledge each had to offer, as many were leading experts in their area." – J.C. (July 2016)
"The information in the course was great. The presenters were experts in the topic. They held my attention and gave great knowledge that I can use every day at work." – T.D. (June 2016)
"I appreciataed the discussion on the importance of making sure to start treating early signs of dysphagia sooner with education to modified diet versus working just on making them safe on current diet." – S.S. (Apr. 2016)
"I enjoyed the breakdown and review of what each maneuver and exercise helps with. I liked the functionality of the information and that they are things you can use in your daily practice." – S.K. (Mar. 2016)
"I found the discussions on the role of respiration and swallowing and new advancements in the area of electrical stimulation for the swallow especially helpful. I liked the evidence based aspect of the course; referencing specific studies for further review." – E.K. (Feb. 2016)
"The information provided by Cathy Lazarus will be beneficial." – P.G. (Jan. 2016)
"I appreciated the discussions on swallowing maneuvers and research outlined, counseling and spaced retrieval. I liked the variety of speakers and review of literature." – K.P. (Jan. 2016)
"I liked the exercises and results." – K.D. (Jan. 2016)