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$85.00 USD

97% rating - reviews

0.45  ASHA CEUs

Rehabilitating Your Approach: Maximizing Outcomes In Patients With Cognitive Impairment, Depression, And Dementia #e86


Presenters: Mike Studer, PT, MHS, DPT & Robert Winningham, PhD

Learn to individualize your approach for each patient, with focused consideration on the patient's abilities and barriers.


"I liked how the topics all related back to actual therapy examples."

– A.K., prior course participant

Cognitive impairment directly impacts all functional activities, from speaking to dressing to walking. Relearning these activities can be challenging for both geriatric and cognitively impaired patients. For successful outcomes, these patients need an individualized approach that addresses their specific cognitive abilities.

This course was developed to help rehabilitation professionals individualize their approach for each patient, with focused consideration on the patient's abilities and barriers. The approaches presented are supported by research and will focus on improving functional independence in communication, mobility, and ADLs.

Course is offered for 0.45 ASHA CEUs – 4.5 Contact Hours.

Course Overview & Run Time

Course Overview – Run Time: 4:38:10

  • Physiology of the Brain's Executive Function.
  • What Do We Know About Learning?
  • Maximizing Attention and Frontal Lobe Activation.
  • Personality and Mental Health Factors.
  • Executive Functioning: Thoughts, Behaviors, and Disorders.

"I appreciated going over how to effectively motivate those with depression as the majority of my patients have the diagnosis of depression."

– B.M., prior course participant

Content Disclosures

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.

Course Format

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.

Reviews

Comments From Prior Course Participants

"Loved the specific examples of activities to use with patients in individual and group sessions. I liked the examples of activities, videos of patients, and real world examples." S.S. (Feb. 2023)

"Course was relevant and beneficial. I appreciated the in depth discussion regarding how depression and personality impact progress in therapy. I liked the discussion of anatomy, steps of progression through treatment, and strategies for demonstrating progress. Information for progression for increasing patient recognition and independence was beneficial." H.S. (Nov. 2022)

"Practical therapy activities." H.S. (Nov. 2022)

"I liked all of the course content!" T.M. (Oct. 2022)

"Both presenters were well organized and obviously enthusiastic about their topic." J.S. (Aug. 2022)

"I liked the activities and that the course is self-guided." S.C. (Jul. 2022)

"Loved the course – it reinforced the things I have been telling my residents which made me feel good – and the presenters had some refreshing ideas for group sessions." K.K. (Mar. 2022)

"I love that Dr. Winningham offered recommendations for beneficial activities." J.H. (Dec. 2021)

"I liked this course because it explains how cognition, mental, and personality factors affect learning and ADLs." M.Y. (Sept. 2021)

"I liked the ways to enhance efficacy and ways to enhance executive function, and the example of activities provided at the end of the course." S.F. (Aug. 2021)

"I liked how the topics all related back to actual therapy examples." A.K. (Jul. 2021)

"The presenters were very good! Knowledgeable and shared interesting 'real-life' stories and examples." W.S. (May 2021)

“The information on how executive function deficits correlated with specific diseases (sleep disturbance, meth use, etc.) was very interesting!” K.I. (Apr. 2021)

"I liked the information on therapy tasks to address each cognitive domain." M.O. (Feb. 2021)

"Liked the ideas for activities to improve attention and memory. Discussion of physiology was presented very well with good examples. The interactions between frontal lobe dysfunction and diseases was very interesting." E.E. (Jan. 2021)

"Dr. Winningham was very engaging and kept my attention; great examples." C.B. (Jan. 2021)

"Learning how to motivate clients who are less than optimally motivated. Dr. Winningham has a very nice method of presentation." C.O. (Dec. 2020)

"Going over how to approach Pt's that may be depressed for treatment and learning more about the different lobes of the brain and what they are responsible for was most beneficial. I liked the outline and thought it flowed well." K.S. (Dec. 2020)

"I enjoyed the systemic cueing strategy and various ways to work on frontal lobe impairment. I liked Dr. Rob Winningham’s lectures." L.C. (Nov. 2020)

"I appreciated going over how to effectively motivate those with depression as the majority of my patients have the diagnosis of depression."  B.M. (Oct. 2020)

Course Objectives

At course conclusion, participants will be able to:
  1. Differentiate types of memory and how these types change as people age or develop dementia.
  2. Know why memory failures occur.
  3. Describe the types of cognitive abilities that remain relatively intact during older adulthood and through most stages of dementia.
  4. Help people with memory impairment process information at a deeper level in order to encode new memories.
  5. Describe which lobes of the brain handle basic cognitive functions (e.g., attention, language, vision, and planning).
  6. Describe different behaviors and interventions that can improve executive functioning (e.g., attention, inhibition, and planning).
  7. Deliver word fluency and word generation activities.
  8. Deliver a wide range of executive functioning activities.
  9. Describe many different types of cognitively stimulating activities.
  10. Describe how exercise affects cognition and what types of exercise affect which cognitive abilities.
  11. Identify strategies to remove common barriers to learning.
  12. Identify psychological barriers to learning (e.g., subtypes of depression, anxiety, personality disorders, and maladaptive thinking patterns).
  13. Employ effective strategies to overcome psychological barriers to learning.
  14. Determine the most effective motor learning concepts to employ based on individual patient characteristics.
  15. Create an evidence-based treatment plan to advance patients' capacity in dual task tolerance.
  16. Employ effective strategies to advance the patient's level of awareness in recovery from neurologic impairment.
  17. Modify treatment techniques in order to allow cognitively impaired patients to learn new skills.
  18. Understand how low executive functioning skills impacts the treatment process.
  19. Help patients improve executive functioning abilities.

Northern Speech Services is an AOTA Approved Provider of professional development. Course approval #19432. This eCourse is offered at 0.45 CEUs, educational level Intermediate, 1. Domain of OT: Areas of Occupation, Client Factors 2. OT Process: Intervention. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Presenter & Disclosures

Mike Studer, PT, MHS, DPT

Mike Studer, PT, MHS, DPT, CEEAA, CWT, CSST, BFPCE, FAPTA, received his physical therapy degree from the University of Missouri-Columbia in 1991. He received his post-professional MHS degree in physical therapy with neurologic emphasis from the University of Indianapolis. He has been board-certified as a Clinical Specialist in Neurologic Physical Therapy since 1995 and has been designated a Certified Exercise Expert in the Aging Adult (CEEAA) by the Academy of Geriatric PT since 2011. Mike has served as the Vice-president of the Academy of Neurologic Physical Therapy of the APTA and has been the chair and vice-chair of several special interest groups at the national level in each of the Academies of Neurologic and Geriatric PT, including Balance and Falls, Stroke, and the Practice Committee in neurology. He is a full-time treating therapist at and founder of Northwest Rehabilitation Associates, in Oregon. Mike has presented courses and published articles on neurologic and geriatric rehabilitation since 1995 and has authored and co-authored over 25 articles on topics of neurology and geriatrics, as well as several book chapters on stroke, PD, and preventative care as well. Mike is now regularly a guest lecturer on a national and international basis at several universities and national meetings on the topics of balance, motor control, motor learning, cognitive impairment, and case management. He was awarded the 2011 Clinician of the Year by the Academy of Neurologic Physical Therapy – a section of the American Physical Therapy Association – and in 2014 the same award by the Academy of Geriatric PT making him the first to receive this national distinction from each entity.

Speaker Disclosures:

Financial — Mike Studer is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Mike Studer has no relevant nonfinancial relationships to disclose.

Robert G. Winningham, PhD

Robert G. Winningham, PhD, has over 20 years of experience researching human memory and has largely focused on older adults and ways to enhance their mental functioning and quality of life. He creates brain stimulation activities for thousands of communities and rehabilitation facilities as a part of Dr. Rob's Cranium Crunches on activityconnection.com and helps create cognitive stimulation video games for linkedsenior.com. Dr. Winningham has served as Dean of the College of Liberal Arts and Sciences and Chair of the Behavioral Sciences Divisions at Western Oregon University where he is also a professor in both the Psychological Sciences and Gerontology Departments. Dr. Winningham received his Ph.D. in Neuroscience from Baylor University. He has trained thousands of professionals to offer high-quality cognitive rehabilitation and therapy programs. In addition to publishing many peer-reviewed articles in the area of human memory, Dr. Winningham has been invited to given well over 1000 invited presentations about memory and aging at various conferences and workshops. His book, Train Your Brain: How to Maximize Memory Ability in Older Adulthood was published by Baywood Publishing and his latest book was published in 2016 and is entitled Cranium Crunches.

Speaker Disclosures:

Financial — Robert Winningham is the author of "How to Maintain a Good Memory Ability with Advancing Age" and "Train Your Brain: How to Maximize Memory Ability in Older Adults"; receives royalties. 

Financial — Robert Winningham is an author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Robert Winningham is on the Advisory Committee for Linked Senior; ownership interests.  

Nonfinancial — Robert Winningham has no relevant nonfinancial relationships to disclose.

Intended Audience/Accreditation

Intended Audience/Accreditation
asha ce approved provider

This program is offered for 0.45 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • SLP
  • OT

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:
  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

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:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.
  • Florida: NSS is approved as a provider of continuing education by the Florida Speech-Language Pathology and Audiology Board. Provider #SPA-026.

Frequently Asked Questions



Online Course FAQ — Click Here

Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

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.

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 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:

Purchase orders are currently not accepted for online orders, if you wish to submit a purchase order please do so at info@northernspeech.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.

Receiving CEUs:

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.

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.

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.

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. Most courses include closed captioning.

Course handouts:

Most of our online courses provide a link to download the accompanying handout as a PDF file. 

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, 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. 

Special Needs:

Please click here for any special needs requests, and we will do our best to accommodate them. 

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