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, in our field, educational opportunities on this topic are lacking. SLPs find themselves underprepared for challenging situations and with limited capability to advocate for our patients’ best interests. In this course, we’ll review ways that dysphagia management, cognitive management, and communication enhancement differ in End of Life care in comparison to our other scope of practice. We’ll address 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 includes 1 hour related to ethics and speech-language pathology practice.
Course Run Time: 4:30:00
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.
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.
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 email@example.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.
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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"Presenters had professional verbal style. Good info to tie in research articles and objective test features." B.S. (May 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 covered on so many areas of our field that we lacked educated about in graduate school.” – K.K. (Dec. 2020)
“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. 2020)
“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. 2020)
“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. 2020)
"I appreciated going over AAC, goals, and cultural context. I liked that it was organized in categories/titles." – J.Y. (May 2020)
"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. 2020)
"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. 2020)
"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. 2020)
"Excellent use of relevant examples. The review of dysphagia, communication and cognitive treatment/assessment in palliative care was most beneficial." – N.A. (Dec. 2019)
"I enjoyed the detailed discussion of multiple benefits of a palliative care focused approach for pts and families. I liked applying the palliative care approach to realistic practice...using major SLP areas of practice: communication, cognition, swallowing." – M.R. (Nov. 2019)
"I liked the entire course - especially the discussion on cultural differences and information in dealing with doctors, patients and their families." – L.S.D. (Nov. 2019)
"Both speakers were excellent and very well versed citing case examples to drive home their points. Their presentations were well coordinated with the handouts which enabled the listener to follow along as well." – N.H. (Oct. 2019)
"I appreciated the convenience of the course. I liked that the speakers were easy to follow and provided stories from their own experiences." – C.C. (Sept. 2019)
"The discussion of use or non use of Peg Tubes with end of life was most beneficial." – S.K. (Aug. 2019)
"The documentation section was helpful. I liked that the course was succinct and that the presenters were knowledgeable." – L.K. (Aug. 2019)
"The presenters were clear and provided great examples to maintain interest." – S.R. (July 2019)
"Going over the AAC use in end of life care and dysphagia management including language to educate families was very useful." – K.M. (July 2019)
"I really liked the discussion on informed refusal and will definitely use this term instead of noncompliance." – K.C. (July 2019)
"This course was helpful for my current life experiences with my 82 y/o father." – M.D. (July 2019)
"I appreciated going over the differences between palliative and hospice care as well as the ways to incorporate patient and family goals into treatment and goal writing. I liked the personal examples the presenters gave. It really helped me to stay engaged with the online format." – K.J. (June 2019)
"All of it was good and informative." – C.L. (May 2019)
"The speakers/handouts were easy to follow along with the presentation. I liked that the course was very real life oriented as opposed to other presentations being more academic. Learning the difference between Palliative Care and Hospice Care, as well as the info related to dysphagia, was most beneficial." – M.M (Apr. 2019)
"I appreciated the information related to advanced directives, code status, discussion related to informed refusal vs non-compliant and the ideas for communication with other team members related to the SLP role in EoL care." – L.J. (Mar. 2019)
"I believe this course is great for individuals working in hospitals or care facilities and have not had a lot of exposure to AAC (especially in end of life care)." – R.B. (Jan. 2019)
"I liked that this course was applicable to both my job as an SLP and my volunteerism with Hospice. Wonderful information!" – J.H. (Dec. 2018)
"I found the end of life cultural considerations, documentation, and practical examples most beneficial." – S.C. (Dec. 2018)
"I appreciated going over the differences between Palliative Care and Hospice as well as the sections on Augmentative Communication and the info on the pros and cons of PEGS. Generally, the course was very specific, informative, and well-organized." – E.R. (Dec. 2018)
"The knowledge about the purpose of palliative and how to promote and incorporate it into my daily practice will be beneficial to my patients/family. I liked the great presentation styles and easy to follow slides." – M.P. (Nov. 2018)
"I enjoyed the discussion of dysphagia related to end of life and palliative care as well as goal writing tips. The printable PDF slides will be useful for staff education." – B.M. (Oct. 2018)
"I have not been able to find in-depth information re palliative care specific to hospitals and Speech Pathology in any other course. Certainly not with the amount of research provided in the course. I feel I am better able to educate patients, families, and hospital staff." – C.M. (Aug. 2018)
"I truly enjoyed the information as it identified the areas SLPs can be of assistance during the palliative and end of life process. The discussion on cultural dynamics was also helpful." – K.C. (Aug. 2018)
"The presenters' clinical expertise and personal experiences with patients made the information even more applicable and relevant to the real-life situations I've encountered with my patients. This has allowed me to shift my focus, specifically with goal-writing, as I transition from restorative rehabilitation to more supportive and palliative type care." – M.B. (July 2018)
"The presenter was great! Great pace and personality with such a tough subject!" – L.O. (May 2018)
"I appreciated the discussion on handling end of life decisions and the ease of use with the course itself." – A.G.M. (Apr. 2018)
"I especially enjoyed the information about the importance of oral care, different types of AAC, pharmacological and behavioural interventions for dementia, Cognitive screens, and assessments. I like that this course educates about the priorities of palliative patients and factors that improve meaningful quality of life." – G.J.T. (Mar. 2018)
"I found the discussion on pros/cons of PEG tubes very informative and the information on dementia screens. Very engaging presenters." – M.C. (Mar. 2018)
"I liked the palliative team explanations and true accounts of interactions." – A.P. (Mar. 2018)
"The discussion of AAC was most beneficial." – R.M. (Feb. 2018)
"I think that this course exceeds its objective of addressing the end-of-life population and has beneficial information for working with a variety of adult populations. I really enjoyed how the more didactic information was often coupled with specific examples (specific patients, "case-study" type profiles, specific goals) to really reinforce information and make it more tangible." – L.B. (Dec. 2017)
"The format was so thorough and easy to follow, really excellent and in-depth to further people's practice!" – V.L. (Dec. 2017)