Presenters: Irene Gofman, MS, CCC-SLP & Amanda Warren, MS, CCC-SLP
– S.M., prior course participant
The SLP is central to the intricate process associated with end of life, specifically due to high incidence of dysphagia, cognitive deficits, and impaired communication in this population. However, educational opportunities on this topic have been lacking. SLPs find themselves underprepared for challenging situations and with limited capability to advocate for patients' best interests.
This course reviews ways that dysphagia management, cognitive management, and communication enhancement differ in end of life care in comparison to management in other populations. Discussed will be the differences between palliative care vs. hospice, and how to facilitate conversation between the end of life patient with communication disorders and care providers/partners. Also addressed will be early decision making and advocacy for patients nearing the end of life, and cultural competency when approaching patients with diverse backgrounds.
Offered for 0.45 ASHA CEUs – 4.5 Contact Hours.
Course Overview – Run Time: 4:30:00
– K.K., 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.
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.
"AAC considerations, reminders for documentation, AAC review, and the dysphagia topics were all beneficial." B.W. (May. 2023)
"Discussion of PEG feeds and dementia was beneficial. I liked the AAC." C.C. (May. 2023)
"Easy to understand course with good visuals." M.M. (Feb. 2023)
"Course covers ethics in a range of areas. I liked the research on feeding tube efficacy." S.W. (Dec. 2022)
"Excellent speakers! Learning informed refusal vs non-compliance...and cultural differences was beneficial." K.F. (Dec. 2022)
"Assessment and treatment - Complete topic coverage." E.P. (Dec. 2022)
"I liked the different topics within palliative care that correlate to the patient's needs as a whole." M.S. (Dec. 2022)
"Discussion of end of life care decisions and decision making was beneficial." D.R. (Dec. 2022)
"Early decision making. I liked the various areas covered in depth." E.D. (Dec. 2022)
"Data on g-tubes was beneficial. I liked the thoroughness of course content." B.C. (Dec. 2022)
"Referrals, goals, not signing off on patients as quickly. I liked the speakers presentation of information and relative examples." R.K. (Dec. 2022)
"Tips for coordinating with the palliative care team and advocating for palliative care with physicians across the continuum of care." L.S. (Nov. 2022)
"Instructors provided real-world scenarios and examples, as well as real-world solutions for common obstacles within the provision of palliative care at end of life." L.S. (Nov. 2022)
"The speakers were engaging." L.W. (Nov. 2022)
"As an acute care SLP, I enjoyed the dysphagia management section and how it relates to dementia/end of life. I appreciated that the sections were broken into manageable chunks. I was able to complete the course a section at a time without having to stop in the middle." V.T. (Nov. 2022)
"I really enjoyed the way the speakers presented the materials in sections. I also really appreciated their enthusiasm and passion for this topic. It made the course really enjoyable." S.O. (Nov. 2022)
"Learning about our role as SLPs with our patients who are on Palliative Care was beneficial to my daily practice. Excellent presentation filled with information about how we can be a part of the palliative care team and how we can bring our areas of expertise to assist the quality of life of our patients who are at the end of their lives." I.H. (Nov. 2022)
"The entire discussion was well constructed and discussed. This will guide me from ways to participate in palliative care to appropriate documentation. Informative and easy to listen, follow information, and take notes." H.S. (Oct. 2022)
"The dysphagia management and AAC use was good information. The course will be an easy reference in the future." J.L. (Oct. 2022)
"I was impressed with the information on the need for oral care to reduce the risk of aspiration issues." M.T. (Sept. 2022)
"It was all very beneficial, but the information on Communication & Documentation was the most applicable to my daily practice." J.D. (Sept. 2022)
"I would recommend this course." C.P. (Aug. 2022)
"I liked the functional approach." J.A. (Jun. 2022)
"It was very well organized and informative." K.P. (Jun. 2022)
"Learning the difference between Palliative Care and Hospice. I also found the information on what Palliative Care offers, goal writing, and cultural sensitivity all very useful. Great depth of the information." D.T. (May 2022)
"I liked all of it! I think the content and overall presentation was great! Liked the use of AAC to meet functional communication needs and help patient and family achieve their goals." K.R. (May 2022)
"Dysphagia management and risks associated with PEG placements in pts with Dementia was helpful. I liked that it was self-pacing." A.R. (Apr. 2022)
"I liked the examples of goals to help brainstorm with patient specific areas to target, as well as verbiage to use when writing goals. Also, examples of documentation and examples of treatment and justification." A.P. (Mar. 2022)
"I loved the presenters, they held my attention the whole time. Examples of documentation and need for early palliative referrals was beneficial." C.R. (Mar. 2022)
"Learning role of SLP across different domains. I liked that the videos are categorized with options to slow or speed up and that handouts are provided." W.S. (Mar. 2022)
"I liked the communication management for end of life. And the segmenting of topics." J.B. (Mar. 2022)
"The instructors approach to the presentation was organized, easy to follow and interesting. Their personal experiences with palliative care and topic knowledge added to this valuable information received." V.J. (Feb. 2022)
"I liked the information regarding various cultures, and the wide variety of topics." K.R. (Feb. 2022)
"Best practices for palliative care patients with dysphagia. I liked the thoroughness of the material, and relatable presentation." F.B. (Feb. 2022)
"I really loved the education presented in this course, specifically on this topic. There really are little to no quality educational resources on this topic! Thank you!" E.O. (Dec. 2021)
"Practical info in all areas of SLP scope at EOL - dysphagia management, hunger at end of life, developing team to support, documentation details." S.M. (Dec. 2021)
"I liked the suggestions on how to advocate for early palliative care services. Multitude of topics covered all pertaining to palliative care." A.S. (Dec. 2021)
"Clear presentation. Liked discussion of AAC and cultural differences." K.G. (Dec. 2021)
"Importance of early referrals. I liked the topics covered and research provided." L.E. (Dec. 2021)
"Course was very informative. Learning how to write communication goals will be beneficial." T.C. (Dec. 2021)
"Honoring patient quality of life over recommendations based on clinical judgments only. I liked the multicultural information." L.S. (Dec. 2021)
"The topic on cultural differences and what kind of language and communication with patients and family members is appropriate for various cultures. Some of this information was new to me. I liked the discussions about dementia (good review), Decision-making and cultural competence/awareness." S.L. (Nov. 2021)
"I liked the AAC tips and info, review of screening and testing tools, and documentation tips. Ease of use and time flexible." V.V. (Nov. 2021)
"I liked the approaches to EOL in valuing pt's perspective." K.S. (Nov. 2021)
“I liked the types of rehabilitation. So many therapists, doctors, and nurses believe that therapy is only necessary if the patient is going to improve. However, our skillset is much greater than that. And our services are very much needed at end of life also. The education regarding how to communicate bad news was helpful. I feel this course was broken down into good subtopics that all have to do with the end of life. Very good course.” H.O. (Oct. 2021)
"I liked the practical suggestions/ideas for everyday therapy. I used the AAC information clinically the very same day I took this course. Thank you!" M.D. (Oct. 2021)
"Have a greater understanding of role in palliative care and benefits of same in order to provide education to pt/family and other team members." T.M. (Sept. 2021)
“The discussion of Palliative care vs. Hospice increased my understanding of the differences. As well, the discussion of communication intervention with end of life patients has raised my awareness considerations." S.W. (Aug. 2021)
“I appreciated the increased info regarding the palliative care impact of PEG tubes on end of life patients and AAC suggestions. The example goals in the documentation section were helpful also.” J.Y. (Jun. 2021)
"I appreciated going over AAC, goals, and cultural context. I liked that it was organized in categories/titles." J.Y. (May 2021)
"Presenters had professional verbal style. Good info to tie in research articles and objective test features." B.S. (May 2021)
"All of it was beneficial - especially the cultural competence discussion. Very good course. As mentioned above, I liked the Cultural Competence section and also some of the specifics like the Boogie Board and ABCD." S.C. (Apr. 2021)
"The information specific to what Palliative care is and the role for the SLP in dysphagia and dementia was most helpful. All of the course content was very informative and immediately applicable." D.H. (Apr. 2021)
"I was most interested in cultural differences with respect to end of life concerns. I liked the example of assessments for persons with dementia was informative and comprehensive." R.M. (Mar. 2021)
"Excellent use of relevant examples. The review of dysphagia, communication and cognitive treatment/assessment in palliative care was most beneficial." N.A. (Jan. 2021)
“This information is very pertinent to my everyday work within acute care. I liked how the course was broken down. Very good presenters. Good use of examples from their clinical experience.” K.T. (Jan. 2021)
“Several clinical scenarios and case examples helped with functional application to my daily work. I greatly appreciated an example of how to better phrase/describe palliative care to an uncertain family/pt. The presenters were knowledgeable and had an incredible passion for this patient population. The course covered so many areas of our field that we lacked education about in graduate school.” K.K. (Dec. 2020)
Irene Gofman, MS, CCC-SLP, is the lead Speech-Language Pathologist in the sub-acute rehabilitation wing of the Hebrew Rehabilitation Center in Boston, Massachusetts. She serves on Palliative Care and Ethics Committees as the rehab representative. As a multi-lingual Speech-Language Pathologist, her personal interests include end of life care from a cross-cultural perspective, the ethics surrounding tough decision making within the world of SLP, and the geriatric population.
Financial — Irene Gofman is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Irene Gofman has no relevant nonfinancial relationships to disclose.
Amanda Warren, MS, CCC-SLP, is a medical Speech-Language Pathologist practicing in the city of Boston, MA. She has extensive experience in outpatient, acute care, rehabilitative care, skilled nursing, and home care environments. Amanda teaches at the undergraduate and graduate level in Speech-Language Pathology. She has a special interest in palliative dysphagia management, augmentative communication at the end of life, and patient-family advocacy and education.
Financial — Amanda Warren is presenter online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Amanda Warren has no relevant nonfinancial relationships to disclose.
This program is offered for 0.45 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.
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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.
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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.
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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.
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