Parkinson's disease is the second most common neurodegenerative disease preceded only by Alzheimer's disease. Abnormalities occur in all three stages of the swallow 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.
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 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.
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.
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 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:
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 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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"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)