Parkinson's disease is the second most common neurodegenerative disease preceded only by Alzheimer's disease. Abnormalities occur during swallowing in nearly all individuals with Parkinson's at some time in the disease course. Dysphagia in Parkinson's disease results in a variety of serious functional, psychological, and quality-of-life consequences with aspiration pneumonia being one of the leading causes of death. For maximum effect, swallowing management must be a part of the patient's total plan of care, initiated early in the disease course, and be aggressive in nature. The swallowing care plan must be directed by targeted and regular ongoing assessment to guide both rehabilitative and compensatory approaches.
This course will discuss components of a targeted assessment of swallowing, saliva, eating, and speech in individuals with Parkinson's disease. Videofluoroscopic swallow study clips will demonstrate common oropharyngeal swallowing abnormalities. Extensive discussion will focus on both compensatory approaches and rehabilitative techniques including oral health, airway dynamics and respiratory muscle strength, nutrition, and airway protection maneuvers. Offered for 0.2 ASHA CEUs – 2 contact hours.
Course Run Time: 2:09:44
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.
Paula A. Sullivan, MS, CCC-SLP, BCS-S, currently is a Senior Speech-Language Pathologist in the Department of Neurology/Speech Section, North Florida/South Georgia Veterans Health System in Gainesville, FL. Paula's clinical expertise and research are focused on swallowing disorders in head and neck cancer and at end-of-life. She has been affiliated with numerous comprehensive cancer centers, including H. Lee Moffitt Cancer Center, Tampa, FL, Sylvester Cancer Center, Miami, FL, and the University of Wisconsin, Madison, WI. Paula also has participated as part of numerous clinical research trials in swallowing.
Paula served as a co-regional primary investigator for the largest controlled, randomized research trial in oropharyngeal dysphagia funded by the National Institutes of Health (Protocol 201). Protocol 201 examined the effectiveness of chin down and thickened liquids in individuals with dementia and Parkinson's disease both with and without dementia. Other research activities include collaborating with Dr. Jeri Logemann on numerous National Cancer Institute clinical swallowing protocols in head and neck cancer. Additionally, Paula has published numerous articles, book chapters, and co-authored books, including Swallowing Intervention in Oncology and the Easy-To-Swallow, Easy-To-Chew Cookbook. She also has co-authored multiple national guidelines, directives, and policies relating to oropharyngeal swallowing disorders for both the Veterans Health Administration and the American Speech-Language-Hearing Association (ASHA). She is a board recognized specialist in swallowing and swallowing disorders. Paula is an ASHA Fellow and former coordinator of ASHA's Division 13, Swallowing and Swallowing Disorders. She was named "2013 Clinician of the Year" by the Association of Veterans Affairs Speech-Language Pathologists.
Financial — Paula Sullivan is a coauthor of the text, "Easy-To-Swallow; Easy-To-Chew Cookbook"; receives royalty payments.
Financial — Paula Sullivan is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Paula Sullivan has no relevant nonfinancial relationships to disclose.
This program is offered for 0.2 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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“I liked ALL the information; it was all relevant to my scope of practice.” – K.E. (Apr. 2020)
“The presenter was concise and informative. The discussions regarding treatments including LSVT and EMST effects on Dysphagia were excellent.” – K.R. (Mar. 2020)
"Good explanations. I enjoyed the rehab and compensatory strategies." – I.W. (Jan. 2020)
"I appreciated going over the origins of Parkinson's in the brain and the specific treatment/compensatory discussions. I liked the detail on treatment benefits and case studies shared." – P.C. (Dec. 2019)
"Well organized with good examples & videos. Very comprehensive. A great presentation." – N.M. (Dec. 2019)
"The overview of compensatory strategies and rehabilitative techniques and importance of baseline MBSS and ongoing follow up w/SLP. I like that it covered the most salient points about PD, early onset s/s, protocols, and research for evidence basis, treatment to include rehabilitative techniques. All topics were covered well." – G.O. (Nov. 2019)
"I liked the practicality and strong use of evidence-based information regarding effective rehabilitative exercises and compensatory techniques." – H.L. (Oct. 2019)
"Direct and efficient course...no fluff information, just beneficial content that I can use with my patients and colleagues. I appreciated the conversation about how to counsel, educate, assess and treat in a variety of ways over the progression of PD to best serve patients and their caregivers." – A.L. (Sept. 2019)
"I appreciated going over the benefits of swallow exercise program for PWP. I liked the practical information and realistic goals for PWP." – C.J. (Aug. 2019)
"I hadn't realized how predictive drooling was for rates of silent aspiration. I appreciated the updated recommendations for MBSS to include having patients feed themselves and assessing patient's ability to safely consume different sized bolus presentations." – M.P. (July 2019)
"I found the discussion of compensatory and rehabilitative treatment to be the most beneficial for my daily practice. I really enjoyed the integration of various studies in the presentation. I think it really emphasizes the importance of evidence-based practice." – K.B. (June 2019)
"I like that the course offers applicable strategies for many complaints that I frequently encounter working with PwP." – C.B. (May 2019)
"Going over the EMST therapy approach and compensatory strategies for dry mouth was most helpful. I liked the practical information that was given that I can immediately put into practice with patients." – T.C. (Apr. 2019)
"The discussion about involving patient and family wishes early on and respecting the patient's wishes, despite recommendations, was most beneficial. The patient examples and discussion of past patients and plan of care were very helpful to tie into clinical practice." – A.M. (Apr. 2019)
"I appreciated the Rehabilitative and Compensatory approaches I did not know of, that I will implement in my daily practice with PD patients. I liked the evidence-based results and the nuances brought about by the efficiency of some often used techniques such as liquid thickening." – A.P. (Mar. 2019)
"All of the information regarding treatment was most helpful. I learned new information, particularly about gum chewing and Expiratory Muscle Strength Training. The presenter was very clear and the handout followed the content very closely." – L.H. (Feb. 2019)
"I appreciate the practical suggestions that I can offer my patients right away in order to help them manage dysphagia. I most enjoyed the review of subclinical dysphagia. It is a great reminder to advocate for early intervention for PwP." – A.D. (Jan. 2019)
"I enjoyed the overview of Tx procedures and consistent use of evidence via clinical research results." – S.A. (Dec. 2018)
"Great review of PD, current research, and application to the overall clinical picture. Going over the treatment applications and clinical decision making was most helpful." – K.V. (Nov. 2018)
"The content was well organized, there was lots of good information on treatment, and I enjoyed the real-life case study at the end of the course that applied all the information discussed." – A.G. (Oct. 2018)
"The information on saliva/drooling management will be particularly helpful with an anticipated pt referral. Ms. Sullivan was very knowledgeable and clear with her presentation." – L.K. (Sept. 2018)
"I thought PD was well described & there was lots of good information of best practice for treating PwP." – J.H. (Aug. 2018)
"The discussion on EMST use to improve hyolaryngeal function for increased swallow safety was excellent." – L.S. (July 2018)
"Very clear, great evidence presented, gave clear treatment techniques and how/when to use them." – A.B. (June 2018)
"Wow...all information was terrific. I will share more complete information about dysphagia with patients but also have more intervention suggestion to use! The presenter was very informed with good research to support all of her presentation. The handout was also very helpful, and I will keep it to refer back to. Very thorough overall." – J.S. (May 2018)
"I liked personalizing the information to discuss specific cases and the ethics involved in decision making." – S.F. (Apr. 2018)
"The instructor did a phenomenal job explaining dysphagia care management in persons with Parkinson's disorders. I really love the explanation of rehabilitative techniques for persons with Parkinson's." – M.G. (Apr. 2018)
"Excellent research-based presentation with concise, clearly presented compensatory and rehabilitative techniques." – G.E. (Feb. 2018)
"The functional strategies to use with patients were most beneficial." – L.R. (Jan. 2018)
"I enjoyed the discussion of rehabilitative vs compensatory techniques and the ease of access for the course." – S.A. (Nov. 2017)
"Going over management of drooling was very helpful for me. I liked the course's narrow focus with thorough coverage of topics." – S.N. (Nov. 2017)
"I liked the specific therapeutic recommendations." – A.G. (Aug. 2017)
"The information concerning honey thickened liquids was especially helpful." – A.M. (Aug. 2017)
"I liked the personal touch the presenter added on at the end, and I really appreciated the information provided about thickened fluids and when to initiate using them." – P.W. (July 2017)
"I enjoyed the specific treatment techniques, compensation strategies and rationale behind them. Very informative and useful course. It mixed information, research, and actual practice topics all in one course." – R.P. (June 2017)
"Great review of research and evidence-based practiced. Well organized and practical." – P.G. (May 2017)
"Good evidence background while still focusing on what to do in therapy. Also good information on evaluation and interviewing. I feel my evaluation and treatment of PD will be much more thorough in the future. I liked the focus on treatment, implementing information, and the case study at the end." – A.H. (Mar. 2017)
"Going over the stages of Parkinsons was very helpful as well as the discussion with strategies." – J.M.N. (Feb. 2017)
"I especially appreciated the treatment options and how to deal with end stage patients." – T.M. (Jan. 2017)
"This course was simple to comprehend with excellent handouts. The information was concise, and I can see myself using many of the functional compensatory strategies with my patients immediately." – J.B. (Dec. 2016)
"I enjoyed the discussion of compensatory therapy versus rehabilitation therapy for dysphagia." – S.D. (Nov. 2016)
"I found the evidence based practice information, other management considerations, the speaker's rate of presentation, examples, and thorough explanations all very helpful." – M.R. (Oct. 2016)
"The suggestions for excess saliva control and recommendations for timing of meals and medications were excellent. All of the information provided will assist me with my patients." – L.G. (Sept. 2016)
"The discussions on emergence and prevalence of dysphagia in PwP as well as various rehabilitation options were most beneficial." - K.S. (Aug. 2016)
"The treatment approaches were helpful - learning about the ROMP and EMST in particular." - R.F. (Aug. 2016)
"Very informative and presenter was knowledgeable. Her personal experience w/PD as a caregiver gave a noted point of view regarding the patient's QoL." - M.H. (July 2016)
"I appreciated the intervention ideas and research documenting the benefits. She explains things very clearly." - D.G. (June 2016)
"I liked learning evaluation and treatment techniques." - A.A. (June 2016)
"The actual therapeutic interventions were most helpful." - M.M. (June 2016)
"Good overview on PD and swallowing. Nice review of literature with regard to swallowing tx. I especially enjoyed the drooling management techniques." - B.G.D. (May 2016)
"I liked the various techniques discussed and the discussion on the success/lack of success using thickened liquids." - J.B. (May 2016)
"The Rehabilitative Approaches to dysphagia in people with a PD diagnosis were really useful." - J.Z. (May 2016)
"I liked the very clear demonstrations and a case study." - W.N. (Apr. 2016)
"Very practical and applicable." - K.P. (Apr. 2016)
"I appreciated the discussion on the use of thickened liquids in PD patients." - K.M. (Apr. 2016)
"The compensatory and rehabilitative treatment techniques were most beneficial." - L.K. (Mar. 2016)
"I enjoyed the exercises and their benefits. I liked the EBP support and efficacy of treatments as well as the MBS videos and the explanation of what was happening as we watched." - S.L. (Mar. 2016)
"The specific tx techniques were very helpful. Well organized course." - S.M. (Feb. 2016)
"Well organized. I really benefitted from the Esophageal findings EMST QoL questionnaires." - R.H. (Jan. 2016)
"I liked the examples of compensatory strategies vs. Rehabilitative techniques." - D.S.E.P. (Jan. 2016)
"I appreciated the discussion on various ways to improve swallowing. I liked the concrete examples." - L.L. (Jan. 2016)