This course explores the multisystem breakdown of the swallow as well as the broadening role of the SLP in dysphagia therapy. The five systems of dysphagia (cognitive - neurological - respiratory - gastrointestinal - muscular) are discussed with explanation of how disorders in these systems can have a devastating effect on the swallow. Applications in everyday clinical practice as well as dysphagia assessment and treatment planning are provided. Aspiration risk and other related factors that contribute to repeat hospital admissions in this population are documented. Several case studies are presented covering neurogenic dysphagia, indicators of return to hospital risk, and the possible oral, laryngeal and lobar effects of COVID-19. Offered for 0.2 ASHA CEUs – 2 contact hours.
Run Time: 2:03:39
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.
Jeanna Winchester, PhD, is a Clinical Cognitive Neuroscientist, Professor of Medicine, Allied-Health Instructor, Author and a small business owner of JWPhD LLC; a Continuing Education Firm. Dr. Winchester works with industry leaders to provide CME, CPD & CEU content in America, the UK, Australia, Canada & New Zealand. Dr. Winchester has additional post-graduate education in Health Law, Pharmaceutical Chemistry, Speech-Language Pathology & Healthcare Administration.
Financial — Jeanna Winchester is the presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Jeanna Winchester has no relevant nonfinancial relationships to disclose.
This program is offered for 0.2 ASHA CEUs (Introductory 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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"Comprehensively, it was helpful to review the systems involved in dysphagia and aspiration risk. This course pointed me, once again, to how important it is to know type and severity of diagnosis and how it related to consideration of the care plan and communication with the family or facility. The handout reinforced the verbal presentation which is helpful for later review of pertinent information." A.H. (Nov. 2021)
"The outline and presenter helped pace the material." V.G. (Oct. 2021)
"The link among the five systems which are interconnected was interesting. The course was easy to follow even for SLPs who are not specialized in the area." R.C. (Aug. 2021)
"Being aware of how dementia can affect dysphagia was a good lesson. The integration of systems and how they interact with or cause dysphagia was interesting." S.M. (Aug. 2021)
"I found all the presentations interesting." I.C. (Aug. 2021)
"The knowledge and complete presentation regarding Dysphagia and management of it in many disorders was good." P.M. (Aug. 2021)
"Discussing the different types of dementia and how each impacts swallowing will be beneficial to my daily practice. The teacher did not waste any time, and solely focused on the material - since it was online, it could be paused and I could rewind if needed." B.F. (July 2021)
"I am looking to transition from the school-based setting to a medical setting. This course was a help refresher for me. This course was engaging and informative." K.G. (May 2021)
“The information was timely and applicable to long-term settings.” – S.F. (Mar. 2021)
“I liked the review of the multiple regions of the brain involved in swallowing. The influence of the pons and medullary coordination for CO2 was insightful. Also, the involvement of regions of the brain affecting memory and how this contributes to dementia-related dysphagia was very interesting.” – G.O. (Feb. 2021)
“The information on reducing repeat hospital admissions, connection between cognition and malnutrition was very informative. I liked that it was designed in terms of body systems, which is the way doctors and nurses learn about the disease. When I was in school, the approach was primarily neurological.” – S.N. (Dec. 2020)
“I found it particularly beneficial that the current COVID-19 crisis is discussed. And how it is having a major impact on our profession. It was timely and very relevant. Jeanna Winchester, Ph.D. was an excellent presenter. Very knowledgeable, easy to listen to, and a champion for the profession. Thank you!” –K.A. (Nov. 2020)
“The information on the relationship between COVID-19 and its association with dysphagia was insightful. It was very informative in how it related to the current pandemic situation.” – A.P. (Oct. 2020)
“I found that the Relating the 5 systems to relevance in treating ALL patient who may present with dysphagia to be very helpful. The course was easy to listen to, good pace, relevant and current info.” – V.G. (Oct. 2020)
"I appreciated the consideration of the whole person. I liked the inclusion of Covid-19." – H.T. (Sept. 2020)
"Going over dysphagia among dementia patients was most helpful. I liked the realistic presentation." – S.T.V. (Sept. 2020)
"I liked the practical implications. The COVID-19 information was most beneficial." – G.W. (Sept. 2020)
"Very current. Great course!" – V.B. (Aug. 2020)
"Helpful information on new roles for SLP with the onset of COVID 19, along with patient's that have AD. It was easy to follow and pertinent to my current setting." – J.D. (Aug. 2020)