This course was designed to fill the information void on ethical decision making for individuals with dysphagia. When striving for autonomy and the push for clinical beneficence clash, service providers need sound advice based on current best practice. Participants will learn a comprehensive model of medical ethics that can be successfully applied to their practice to better manage complex cases. Values, morals and professional codes related to a variety of challenging situations that often occur in everyday practice will be examined and discussed. Situations involving informed consent, patient refusal, treatment options including oral vs non-oral feeding, and when and how to terminate services will be addressed. The need to maintain robust and clinically relevant records and specific documentation suggestions to achieve this will also be discussed. Offered for 0.3 ASHA CEUs – 3 contact hours (Run Time 2:56:48).
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.
Professional Issues: Contemporary Issues and Trends
Paula Leslie, PhD, FRCSLT, CCC-SLP, is a professor and director of the Doctor of Clinical Science in Medical Speech-Language Pathology. She maintains full clinical licenses in the USA and UK where she is a Specialist Adviser to the Royal College of Speech & Language Therapy in swallowing disorders. She provides support to researchers, and provides continuing education from grassroots to international level and across the health professions on complex clinical decision making, ethics and end of life decisions in vulnerable populations. Her honors include the Honors of the Association Southwestern Pennsylvania Speech-Language-Hearing Association, the American Speech-Language Hearing Association DiCarlo Clinical Achievement Award, the Pennsylvania Speech-Language-Hearing Association Clinical Achievement Award, and Fellow of the Royal College of Speech & Language Therapists (UK).
Financial — Paula Leslie is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Paula Leslie has no relevant nonfinancial relationships to disclose.
This program is offered for 0.3 ASHA CEUs (Intermediate Level; Professional Area).
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.
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 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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"The information about advanced directives etc. was most helpful. I liked that the course was clear and concise." – C.K. (Dec. 2017)
"The discussion on compliance/noncompliance with treatment was really useful. I like that the presenter hit on some areas I didn't think about before." – K.L. (Dec. 2017)
"Engaging presentation on sometimes dry content. I especially enjoyed the discussions on autonomy vs paternalistic concepts and legal documents." – L.D. (Nov. 2017)
"Good speaker. She was very thorough and covered topics in a way that will be useful in clinical practice." – S.L. (Nov. 2017)
"I appreciated the discussion on dealing with the families and following their wishes for better ethical practice. I like that the course provided information that relates to working with patients and provided important references." – R.H. (Oct. 2017)
"I like that this course can apply to almost all clients rather than a limited population or setting." – J.O. (Sept. 2017)
"The discussion of clinical examples balancing ethical principles of autonomy and beneficence was helpful. I liked the case examples too." – M.C. (Aug. 2017)
"This was my first webinar and the speaker's voice was incredibly pleasing, excellent phrasing, and very easy to listen to. I especially enjoyed the portion on documenting clinical intervention." – J.P. (July 2017)
"I appreciated the discussion on the patient's voice in clinical decisions including end of life and striving to understand the 'unmotivated' patient. I liked the format with narration of topics outlined on screen. I also like the resources offered." – L.S. (June 2017)
"Involving the patient and their family in order to best help with clinical decision making was the best discussion. Good handout." – A.G. (May 2017)
"I found the healthcare documents and case questions most beneficial. I liked the presenter's everyday application of ethics, evidence and clinical decision making." – A.R. (Apr. 2017)
"The speaker was well organized and had a good power point presentation. She used very appropriate examples." – O.R. (Feb. 2017)
"I enjoyed her going over the difference between values, morals, and ethics as well as the info on living wills and advanced directives along with SLP role in topic." – T.R. (Jan. 2017)
"I appreciated the differences in legalities based on the location of the patient." – C.B. (Dec. 2016)
"Paula is an excellent educator on these topics and a great advocate for patient's rights." – J.B. (Dec. 2016)
"I like that it covered a number of different medical situations / case studies and research." – C.M. (Dec. 2016)
"I enjoyed the conversations on end of life, caregiver burden, and explanations of advance directives/living will. I liked how practical examples were given and used throughout." – R.M. (Dec. 2016)
"Thank you, Paula, for a surprisingly good course! I have just completed your Northern Speech Services offering on "Ethics, Evidence and Clinical Decision Making." I will admit that I just need to do a course, ANY course that fulfilled my State's requirement for 3 hours of ethics related specifically to my field. But having previously done other courses through Northern Speech and found them to be of a higher standard than some other companies' offerings, I chose yours. What a surprise then, to discover it was being presented by a fellow Brit from The North! Anyway I just wanted to say that I appreciated the relevance of your content and you not subjecting us to endless ramblings about your own research. Your section on "eminence based" rather than "evidence based" practice certainly made me smile and helped to explain why the course was well paced and bursting with relevant info. I also appreciated your use of the glottal stop. :) Very best wishes and many thanks for turning what could have been 3 hours of dry, "eminence based" stodge into something really rather refreshing." – S.S. (Nov. 2016)
"I enjoyed the audio. It was conversational and not just reading slides." – D.H. (Nov. 2016)
"The entire course was good. I found the information on caregiver/patient perspective very helpful." – S.V. (Nov. 2016)
"Excellent course on ethics and EBP. Enjoyed how she consistently showed the connection between EBP and ethical care. The presenter did a fabulous job educating clinical knowledge." – M.B. (Nov. 2016)
"I loved the accent. Nice presentation and good information. Maybe more issues that relate to children could be covered as that is my main setting, but having had a husband die from leukemia, I was able to relate to the end of the lecture from having been there." – B.M. (Oct. 2016)
"Reiterating the importance of talking with families and understanding the emotions they are feeling was most beneficial. I also appreciated differentiating between the various advanced directives." – M.B. (Oct. 2016)
"I liked the discussion of caregiver vs patient perspective and what that means for a clinician. The discussion on cultural perspectives relating to ethical decision making was really helpful." – V.S. (Sept. 2016)
"It was helpful to learn about the specific documents that underlie our profession's code of conduct. The speaker was very fluid and concise in her language and discourse." – G.R. (Aug. 2016)
"I loved that I am able to do it in the comfort of my own home/office. I am a very busy SLP and mommy, and sometimes coordinating childcare for continuing education is difficult. A great course!!" – L.H. (July 2016)
"Well organized and easy to follow; good slides and resource info." – J.H. (June 2016)
"All content presented will be useful, particularly the breakdown of ethical principles. This was well-organized. Presenter was engaging & knowledgeable. The references provided will be useful in providing pt care." – R.K. (Apr. 2016)
"It was a wealth of information regarding decisions to be made by more severely challenged individuals." – C.M. (Feb. 2016)
"The coverage on end of life care was most useful. I enjoyed the case studies." – J.D.R. (Feb. 2016)
"I appreciated the discussion on including the family." – K.R. (Feb. 2016)
"The link between ethics and EBP was very helpful. I like that the course was easy to follow." – C.B. (Feb. 2016)
"I liked the legal health documents and dealing with stressed caregivers." – S.M. (Feb. 2016)
"I enjoyed the review of evaluation research literature." – C.C. (Feb. 2016)
"The discussion on advanced directives and living wills was really beneficial." – A.S. (Jan. 2016)
"It was very well explained. I especially appreciated the professional code of ethics." – R.C. (Jan. 2016)
"I liked the discussion of real-life scenarios." – P.K. (Jan. 2016)
"I enjoyed the discussion regarding patient care at the end of their life." – C.B. (Jan. 2016)
"I liked exploring the different dynamics of Ethics." – J.O. (Jan. 2016)
"The discussion re: shared decision making and the stress placed on the caregiver when making decisions for the patient and the often unrealized stress placed upon them when providing the primary care was very useful." – H.D. (Jan. 2016)