Older adults and people with dementia experience a variety of sensory changes that affect their diet and ability to function independently during meals. Swallowing dysfunction that results from aging or dementia can be exacerbated by environmental barriers such as inadequate lighting, noisy conditions, poor or absent environmental cues, and visual clutter. This course will address solutions for these environmental barriers as part of a comprehensive treatment plan for older adults with dysphagia and dementia. Examples for research on the physical and social environment will be shared. Offered for 0.1 ASHA CEU – 1 contact hour.
Course Run Time: 1:07:34
•Design Strategies and Environmental Interventions
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.
Video PowerPoint presentation with author narration & downloadable handout.
Domain of OT: Areas of Occupation, Client Factors, Activity Demands
OT Process: Performance Skills, Context and Environment, Evaluation, Intervention, Outcomes
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.
This program is offered for 0.1 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.
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.
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 firstname.lastname@example.org 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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“I enjoyed the studies and adaptive strategies.” – H.E. (Dec. 2020)
"I found the discussion regarding the overall decline of an individual's sensory system (visual, olfaction/taste relationship, auditory) adversely affects their PO intake most beneficial. Additionally, I liked the discussion about the resident's competence and environmental press: how one functions is a match between his/her competencies and the press of the environment. The speaker delivered a well organized discussion with good and practical tips for successful dining for geriatrics." – A.D. (Apr. 2020)
"I liked the examples of how to design a barrier free dining program." – R.M. (Mar. 2020)
"I appreciated the information on lighting." – T.P. (Dec. 2019)
"I liked the practical and easy to implement ideas and strategies - especially the ideas for how to adapt the environment." – A.K. (Nov. 2019)
"The discussion of the environmental interventions was most beneficial. I liked the specific examples of barriers and facilitators in the environment for sensory impaired adults." – L.L. (Nov. 2019)
"I appreciated the information about reduced sensory processing and environmental and visual interventions as well as how the presenter didn't just read off the slides." – M.M. (July 2019)
"I especially enjoyed the discussion regarding environmental noise as our facility believes in loud music during meals. I like that the course was quick and to the point." – M.B. (July 2019)
"The best part of this course was the specific suggestions on how to improve mealtime for my mother." – S.C. (July 2019)
"The tips to enhance the quality of the environment were most helpful." – S.D.O. (Mar. 2019)
"I liked the information regarding the importance of lighting. Going over the intervention to achieve correct behavior was most beneficial." – D.W. (Feb. 2019)
"I like that it broke down all components of the dining experience." – B.C. (Jan. 2019)
"I appreciated the environmental considerations and helping to fill in the gaps to maximize the patient's abilities. I liked the ease of access and helpful information to apply to my practice." – J.A. (Dec. 2018)
"I was very pleased to learn more about vision changes in the elderly and how to assess this during a swallowing evaluation. The speaker had a very even tone with her voice and presented information at a pace that was professional." – C.R. (Aug. 2018)
"I liked the examples given for strategies and ways to modify the environment." – D.D. (July 2018)
"I enjoyed the information about vision changes with age and environmental supports related to vision." – S.L. (May 2018)
"Very informative for my dementia patients." – M.S. (Feb. 2018)
"I appreciated the different environmental modifications and learning how they make a difference. I liked the rationale provided for each modification." – A.K. (Dec. 2017)
"I liked that the course was brief but informative. The discussion on altering the environment to improve a patient's overall awareness was most beneficial." – A.B. (Nov. 2017)
"Going over the contrast of colors of plates, placemats, etc. was helpful. I liked that the course was easy to follow along with and that I could stop it if I needed to." – S.C. (Nov. 2017)
"The overall information was beneficial, and I liked that I could complete the course at home." – A.M. (Aug. 2017)
"I appreciated the discussion on environmental modification to create optimal dining environments. Clear and concise course." – L.A. (June 2017)
"The specific examples of strategies to maximize individual performance were very helpful." – S.D. (May 2017)
"The information on lighting and contrast was most beneficial, and I liked that the course material was research based." – S.D. (Jan. 2017)
"Great information, easy to implement and something that SLPs don't often think about or receive training in. Good specific examples of strategies. Nice to see a unique course, right on trend. Good information. Well done." - C.B. (Dec. 2016)
"Very interesting course due to addressing aspects of meals and poor intake that not many professionals consider. Visuals were very good and made the subject easier to understand. This was easy to understand and relate to daily practice issues in my facility." - T.Y. (Nov. 2016)
"Going over the importance of contrast and lighting in dining settings was especially helpful. I liked that the course was pragmatic and had immediately applicable interventions." – E.M. (Oct. 2016)
"I like that the speaker is very to the point and had good examples. I appreciated the environmental modifications that directly apply to my facility." – E.C. (Sept. 2016)
"The discussion on contrast plates was most helpful. Good examples." - M.C. (June 2016)
"Going over how to facilitate an environment to facilitate success and improved intake was really beneficial. I liked the practical ideas." - R.L. (June 2016)
"It's nice to review dementia and how to assist that population. I like that the course is convenient." - T.W. (Mar. 2016)