This presentation will review the normal adult swallowing mechanism and describe the effects of aging on deglutition. The assessment section will also provide an overview of the influence of medications, lab values and medical diagnoses on swallow function in older adults. Factors influencing dysphagia therapy selection will be discussed with a focus on maximizing quality of life and providing person-centered care, especially at the end of life, in the aging population. Offered for 0.25 ASHA CEUs – 2.5 contact hours. This 3-Part Course for the Medical SLP consists of:
"Old age is NOT a disease!" – Yvette McCoy, MS, CCC-SLP, BCS-S
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.
Video PowerPoint presentation with author narration & downloadable handout.
Yvette McCoy, MS, CCC-SLP, BCS-S, is a speech-language pathologist with over 23 years experience, specializing in adult neurological rehabilitation with a special interest in dysphagia and stroke rehabilitation. She owns Speak Well Solutions, LLC. She is certified by the American Speech-Language-Hearing Association, a board certified swallowing specialist, six-time ACE Awardee, mentor and CFY supervisor. She currently serves on the Adult Services Committee for the Maryland Speech-Language and Hearing Association. She is a member of the Dysphagia Research Society where she serves on the Website Communications and Public Relations Committee. She is co-creator/author of the mobile app 'Dysphagia Therapy', and published author for the ASHA Leader. Additionally, she is an adjunct instructor at the University of Maryland, College Park.
Financial — Yvette McCoy is the presenter of online CEU courses sponsored by Northern Speech; receives royalty payments.
Nonfinancial — Yvette McCoy is a member of the Dysphagia Research Society Website Public Relations Committee; receives no compensation in this role.
Nonfinancial — Yvette McCoy is a board member of the Dysphagia Group Advisory Board-Facebook; receives no compensation in this role.
Nonfinancial — Yvette McCoy is a member of the Adult Services Committee Maryland Speech Hearing Association; receives no compensation in this role.
Rinki Varindani Desai, MS, CCC-SLP, CBIS, is a Medical Speech-Language Pathologist specializing in the rehabilitation of speech, cognitive-linguistic and swallowing disorders in adults. She is a certified brain injury specialist, VitalStim® certified dysphagia therapist and an ASHA ACE awardee. She currently serves on ASHA’s SIG 13 Editorial Review Committee and the Dysphagia Research Society’s Website, Communications and Public Relations Committee. Rinki created the Medical SLP Forum on Facebook and co-created the mobile app "Dysphagia Therapy". Originally an SLP from Mumbai, India, she currently practices in Rochester, New York.
Financial — Rinki Varindani Desai is the presenter of online CEU courses sponsored by Northern Speech; receives royalty payments.
Financial — Rinki Varindani Desai is the co-creator of the mobile app Dysphagia Therapy by Tactus Therapy; receives royalty payments.
Nonfinancial — Rinki Varindani Desai is a member of the Dysphagia Research Society; receives no compensation in this role.
Nonfinancial — Rinki Varindani Desai is a member of ASHA's SIG 13 Editorial Review Committee; receives no compensation in this role.
This program is offered for 0.25 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 currently not accepted for online orders, if you wish to submit a purchase order please do so at email@example.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.
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.
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 courses include closed captioning.
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.
Please click here for any special needs requests, and we will do our best to accommodate them.
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“The review of presbyphagia vs. dysphagia with the clinical application was helpful.” J.D. (Sep. 2020)
“The changes in the swallow function related to presbyphagia vs. dysphagia was insightful. I also enjoyed the handouts for the exercises and the compensatory strategies and the rationale for each.” – H.B. (Jun. 2020)
"I thought the focus would be more on aging changes. But, instead it reviewed assessment and treatment which are covered elsewhere and literally the same whether it be a younger or older patient." – K.F. (May 2020)
"Going over the elements of the normal aging swallow was the most beneficial." – J.K.S. (Apr. 2020)
"The course was functional and easy to understand. I appreciated the real life tx of dysphagia in the elderly and its challenges." – R.A. (Mar. 2020)
"I appreciated going over presbyphagia vs dysphagia. I liked the course's ease of use." – M.P. (Feb. 2020)
"I liked the discussion on exercises and postural adjustments as well as the overall information." – C.H. (Jan. 2020)
"I found the topics of presbyphagia vs dysphagia and treatment discussions the most beneficial for my daily practice. I liked the videos of normal and aging swallows along with how it impacts the aging adult." – A.P. (Dec. 2019)
"Comparing anatomical deficits in normal aging swallow and how it proceeds to dysphagia depending on patient medical status and the VFSS vs FEES comparison were most helpful. I liked that the course incorporated assessment and anatomical variance." – K.H. (Nov. 2019)
"I liked the use of examples of the patient as a whole - consideration of multiple factors." – T.R. (Nov. 2019)
"The discussion on honoring the autonomy of the elderly patient was most helpful. I expected more in depth discussion of normal aging swallow & less discussion of diagnostic assessments." – J.S. (Sept. 2019)
"I liked the pace of the presentation. The overview of treatment strategies was most beneficial." – S.H. (Aug. 2019)
"I appreciated the detailed analysis of presbyphagia. Excellent content." – T.S. (June 2019)
"I liked the charts in the treatment section and going over how to tell the difference between presbyphagia and dysphagia." – D.W. (June 2019)
"I found the discussion on characteristics of the old swallow most helpful." – H.H. (May 2019)
"I appreciated the portion on benefits from FEES vs MBSS." – B.O. (Apr. 2019)
"I enjoyed the assessment of the aging swallow - the normal aging vs. an actual pathology." – M.B.D. (Jan. 2019)
"I appreciate that the presenters did not read their slides word for word. Excellent course." – M.S. (Nov. 2018)
"I liked the info regarding expected changes to the swallowing mechanism and function that comes with age." – J.K.O. (July 2018)
"I liked the discussion re the pt's rights/decision making. The information re the presence of esophageal dysphagia in the elderly population - found more frequently than aspiration itself was very insightful." – H.P. (June 2018)
"Lots of great information for treating the whole patient, not just the diagnosis -- loved the ethics information." – S.R. (May 2018)
"I appreciated the focus on quality of life." – L.K. (Mar. 2018)
"Going over the changes that still fall within a NORMAL aging swallow was very helpful!" – K.P. (Dec. 2017)
"I enjoyed the distinctions between exercises and compensatory strategies and the validation of guidelines I use for diet modifications and liquid thickness based on the pt's needs, safety, and preferences. I liked that the course was a clear, straightforward presentation of information with the swallow study videos." – C.F. (Dec. 2017)
"I appreciated the ethical considerations and ensuring patient autonomy discussions. I liked the pace, format, and examples of specific cases." – G.E. (Nov. 2017)
"Almost all of this information is highly relevant for the medical setting that I work in. The presentation was clear and informative. I also enjoyed the study guide." – S.B. (Oct. 2017)
"The treatment aspect of this was helpful to review. Yvette and Rinki were quite thorough." – N.R.P. (Sept. 2017)
"I appreciated the clinical indications for using formal instrumentation and importance for utilization for rendering a diagnosis, differentiating between VFSS vs. FEES, the postural positioning techniques, swallowing maneuvers, and compensatory swallowing strategies. I liked the application methods to daily practice in acute care and SNFs." – K.H. (Sept. 2017)
"I enjoyed the discussion on specific characteristics of normal swallowing in the elderly as the information for swallowing exercises in the elderly population." – A.P. (Aug. 2017)
"I work in a short-term - LTC facility, & I use all of this on a daily basis. The course was easy to follow and had good visuals." – C.D. (July 2017)
"The discussion regarding the prevalence of dysphagia in the older population and differentiating between normal vs impaired swallow in this population was excellent. Good visuals in the course as well." – M.M. (June 2017)
"I appreciated the involvement of end of life considerations as well as the discussion of presbyphagia. I liked the research-based discussions." – P.O. (June 2017)
"I found a lot to be very helpful: the reinforcement that an elderly patient is still a patient, need to work through all and any treatment options, goals of care and patient-centered care and QOL most important." – K.D. (May 2017)
"I enjoyed the discussions on NG tubes increase penetration during swallowing and the assessment portion. I expected less 'basic' information. A lot seemed geared toward new clinicians such as parts of a 'good' swallow assessment." – E.E. (May 2017)
"The breakdown of the different types; the information describing presbyphagia vs dysphagia; the information on screening; and the information on FEES vs MBS - it was all incredibly beneficial. The course flowed well; the speakers were easy to listen to; it was well-organized; and the information added to each slide verbally was just the right amount to clarify or emphasize what was written. There are many points of reference in this course, and I am glad I'll have it around as a resource. However, it's quite rare that we're able to or ought to send out our pts for instrumental exams... so I was really hoping for more specific information on the aspects of presbyphagia that I'd be able to note on clinical exam vs thru instrumental." – M.R. (May 2017)
"This is a review for the beginning clinician who needs to put things in perspective. I expected a more in-depth description of the 'normal' aging swallow and more considerations re intervention when necessary." – M.C. (May 2017)
"I appreciated the reinforcement to keep each approach individualized. I liked the coverage of the role of an SLP in end of life issues." – D.J. (Apr. 2017)
"The characteristics of the aging swallow and concept of functional reserve were most beneficial." – A.N.T. (Apr. 2017)
"Going over when to recommend a FEES versus MBS was especially helpful. I liked that the course clearly summarized a normal aging swallow and what things might impact that swallow, leading to dysphagia." – B.W. (Mar. 2017)
"I appreciated the discussion on the difference between the aging swallow and normal swallow vs dysphagia." – C.T. (Mar. 2017)
"I found the specific information presented on lingual pressure in relation to presbyphagia versus dysphagia most beneficial. I liked that the information was presented in an organized manner. " – A.M. (Mar. 2017)
"I liked the portion on the normal aspects of aging swallow and the MBS study videos." – M.R. (Mar. 2017)
"I enjoyed the information on the effects of medication. It was a well organized course, but I was expecting information on lung function." – I.B. (Mar. 2017)
"The aging swallow information was very helpful. I liked that it was evidence based information." – A.K. (Mar. 2017)
"I loved that it included an excellent explanation of clinical decision making between FEES and MBS." – A.R. (Jan. 2017)
"I liked how the presenter handled information in an unbiased manner as some of the information in the treatment of dysphagia can be conflicting." – K.C. (Jan. 2017)