Best Practice In The Treatment Of The High Risk Elder With Neurogenic Dysphagia

#e83

0.4 CEUs

$79.00

$63.00


Compatibility
Course Type

Description

This online course presents evidence-based interventions for diagnostic groups including COPD, Parkinson's disease, CVA, ALS, MS, and dementia. Discussed will be determining appropriate patient intervention, including which patients would benefit from rehabilitation to improve function, which patients should receive compensatory strategies to improve or maintain function when active rehabilitation is not appropriate, and suggestions for palliative care. Offered for 0.4 ASHA CEUs – 4 contact hours. Course includes 2 hours related to ethics and speech-language pathology practice.

Run Time: 4:00:05

Sections Include:

  • Evidence-Based Treatments for Stroke, MS and ALS 
  • Evidence-Based Treatments for Patients with Parkinson's Disease and Dementia 
  • Treatment Decision-Making When a Patient's Prognosis is Declining 

A broad spectrum of clinically relevant topics will be presented including best and evidence-based practice for determining interventions for specific swallowing disorders. Review of videofluorographic studies will be included to help participants link specific disorders with evidence-based outcomes. Also discussed will be factors that can predict when clients are at high risk for aspiration pneumonia, including a clinical decision process for recommending non-oral feedings, as well as when to terminate therapy. 

The course reviews in depth:
-Nutrition/feeding decision-making in frail elders at end of life
-Methods of counseling and educating patients in nutrition/feeding decision-making that honors patient and family wishes
-Guiding supportive/compassionate/palliative eating/feeding care
-Considerations in mitigating aspiration risks with focus on patient and family wishes
-Discussion of the risks of feeding tubes in elders and alternative to feeding tubes
-Multiple case discussion with focus on ethical decision making in elders nearing end of life 

Content Disclosure: 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:

Audio with downloadable handout that follows along with the video & audio files. Audio can be listened to online or downloaded as mp3 files. Audio recorded in front of a live audience in February 2012.

Course Objectives

  1. Discuss the role of the Speech-Language Pathologist with a patient with MS who is cognitively alert but aspirating on all food consistencies.
  2. Discuss the role of active oral muscle exercise for a patient with early stage ALS.
  3. Explain why patients with Parkinson's disease are at risk for aspiration.
  4. Identify an oral stage dysphagia associated with dementia.

Presenter & Disclosures

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 is 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. 

Speaker Disclosures:

Financial — Paula Sullivan is coauthor of the text, "Easy-To-Swallow; Easy-To-Chew Cookbook"; receives royalty payments.

Financial — Paula Sullivan is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Paula Sullivan has no relevant nonfinancial relationships to disclose.

Intended Audience/Accreditation

This program is offered for 0.4 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • SLP

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.

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.

Frequently Asked Questions

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

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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Reviews

"I work in an acute care setting. The discussion by the presenter RE: QOL, TF, palliative care are all relevant to my daily work. Thanks, Paula, for another great presentation!" – S.A. (Dec. 2017)

"The information & study data on swallowing strategies were helpful. I was surprised with some results but with further explanation could understand why." – H.H. (Nov. 2017)

"I especially enjoyed the discussion on elder dining strategies and education necessary for this population. I liked that there were lots of examples and videos." – C.N. (Oct. 2017)

"I love that you share your own personal experiences and provide a lot of examples. You kept me interested and engaged during the entire course. I also appreciated the different examples of wording you provided for different situations that we may need to document." – P.M. (Sept. 2017)

"The discussion on end of life considerations and strategies was most beneficial. I liked the fact that the course is online, and I also really liked the strategies and application given for each type of disease process." – P.C. (June 2017)

"I enjoyed the information regarding dysphagia and nutrition and how to approach diet and therapy recommendations for individuals in declining health. I liked the VFSS and FEES videos and discussion of previous cases related to this topic." – C.B. (May 2017)

"I found the discussion on feeding tubes and advanced dementia patients - including the evidence that demonstrates the adverse effects of feeding tubes in that population - very helpful. I liked the videos and case studies and that I am able to apply techniques to different scenarios." – L.A.P. (Feb. 2017)

"The whole course was informative, but the section on palliative care was especially excellent. The instructor had an excellent speaking voice, way and organizational approach." – T.H. (Dec. 2016)

"I liked the discussion of which swallow strategies to use with different types of patients with neurogenic conditions." – A.B. (Nov. 2016)

"I really appreciated the portions on end of life; deconditioning; frail elders and management of tube feeds and recommendations." – R.T. (Oct. 2016)

"There were many excellent references and suggestions given for improving clinical practice. I enjoyed the discussion regarding comfort/palliative care and learning more about considerations and approaches to feeding options." – L.K. (Sept. 2016)

"I appreciated the discussions on the free water protocol, the importance of oral hygiene, and the multi factors contributing to aspiration pneumonia. I liked the videos of the swallowing studies and the case examples. The handout of the lecture was beneficial." – C.A.S. (Sept. 2016)

"Going over the appropriateness of feeding tubes and also how to recommend a comfort approach was very helpful. The presenter was excellent." – M.M. (Aug. 2016)

"I enjoyed the discussion to be able to expand the topic/recommendations for patients with neurogenic disorders. This is much needed in my facility to assist with decreased hospital stay, patient satisfaction of diet and safety. I enjoyed the specific examples and case studies of patients the presenter had experience with to help me assess current patient on my caseload." – J.G. (June 2016)

"The therapies used for swallow were very interesting. The course gave me new wording to use for my goals and a stronger belief in some of the therapies I use." – E.C. (Apr. 2016)

"I appreciated the specific techniques and studies around ALS, Parkinson's and Alzheimer's as well as current trends in treating patients with dementia and feeding disorders." – E.M. (Apr. 2016)

"I liked the realistic approach utilizing current evidence for practicing with this population. I found the information regarding presbyphagia vs. dysphagia, considerations regarding role of SLP in palliation, updated evidence regarding exercises and their proper practice all very excellent." – J.V.R. (Apr. 2016)

"The information on palliative care and end of life issues relevant to the role of the SLP were new to me. I liked the document tips." – D.S. (Mar. 2016)

"I liked the functional information for my practice." – K.S. (Feb. 2016)

"The "Resources for the Clinician" portion was most useful." – M.F. (Feb. 2016)

"Beneficial exercise in neurogenic dysphagia. I expected more functional treatment examples, though." – K.H. (Feb. 2016)

"Organized, practical." – S.M. (Feb. 2016)

"The Treatment strategies and rationales behind their use were really beneficial. I liked the variety of disorders and treatment strategies - variety of resources also." – C.K. (Jan. 2016)

"Paula Sullivan's personal experiences as they relate to the frail elderly were extremely helpful. I liked the practical applications of safe swallowing treatment." – D.S.E.P. (Jan. 2016)

"I found the review of the exercises and which are contra-indicated for specific diagnoses really useful as well as the review of free water protocol and that it is NOT for everyone!" – C.B. (Jan. 2016)