Dysphagia: Integrating Respiration And Deglutition

#e103

0.1 ASHA CEUs

$24.00


Compatibility
Course Type

Description

This course will provide a twenty-year history of original work by a clinician scientist, her collaborators and colleagues that addresses the mechanistic, anatomical and functional relationships of the human upper aerodigestive tract. A line of research derived directly from the needs of patients will highlight the interactions of respiration and swallowing. The physiologic advantages and disadvantages of contiguous nervous, muscular and connective tissues common to the two functions will be illustrated and discussed. The reciprocal roles of valves and pressure generating mechanisms common to voice and swallowing will be demonstrated. Normal and impairment models of respiratory-swallowing coordination will be reviewed as a foundation for the development of novel therapies that directly target respiratory-swallowing coordination during swallowing rehabilitation. Offered for 0.1 CEUs – 1 contact hour.

This course was included in the material of a previously offered eCourse – #e108: Charleston Swallowing Conference Home Study: Evidence-Based Dysphagia Management.

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.

Course Objectives

  1. Identify the mechanistic and functional cross-system interactions between respiration and deglutition.
  2. List the physiologic advantages and disadvantages of the respiratory and vocal tract configuration on swallowing function.
  3. Describe the normal model of respiratory-swallowing coordination and implications for development of novel dysphagia therapies.
  4. Recognize the destabilizing effects of respiratory-swallowing discoordination on airway protection and bolus clearance.
  5. Reference the results of newly tested interventions that directly target cross system interactions of the upper aerodigestive tract.

Presenter & Disclosures

Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Honors, is the Alice Gabrielle Twight Professor in the Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, and Associate Dean for Academic Affairs in the School of Communication at Northwestern University. She is also Professor, Otolaryngology-Head and Neck Surgery and Radiation Oncology, Feinberg School of Medicine.

She is a Past-President of the Dysphagia Research Society, past Chair of the Specialty Board for Board Certification in Swallowing and Swallowing Disorders (BCS-S), and Associate Editor for the Dysphagia Journal. She is an ASHA Fellow, recipient of the 2016 Admiral Albert J. Baciocco Innovation Award – Medical University of South Carolina (MUSC), The 2017 12th Annual Pepper Lecturer, Northwestern School of Communication, Honorary Member of the MUSC Chapter of The National Academy of Inventors, recipient of Honors from the South Carolina Speech-Language-Hearing Association (SCSHA), 2010 MUSC College of Health Professions Scholar of the Year Award, and associate member of the Academy of Otolaryngology-Head and Neck Surgery and the American Head and Neck Society.

Dr. Martin-Harris is the author and developer of the first standardized method for videofluoroscopic assessment of swallowing impairment (Modified Barium Swallowing Impairment Profile, MBSImP™), translated to research and clinical practice in the United States, Canada, and 13 additional countries. She is also the author of the manual, "Standardized Training In Swallowing Physiology—Evidence-Based Assessment Using The MBSImP Approach" published by Northern Speech Services. Her work is funded by the National Institutes on Deafness and Other Communication Disorders (NIDCD), the Veteran's Administration, and the Mark and Evelyn Trammell Foundation.

Presenter Disclosures:

Financial — Bonnie Martin-Harris is the presenter of CE seminars and online CE courses sponsored by Northern Speech Services; receives speaking fees and royalties.

Financial — Bonnie Martin-Harris is the author of "Standardized Training In Swallowing Physiology — Evidence-Based Assessment Using The MBSImP Approach" published by Northern Speech Services; receives royalties.

Financial — Bonnie Martin-Harris' former employer, MUSC, receives royalties from Northern Speech related to enrollment tuition of the MBSImP Online Training.

Financial — Bonnie Martin-Harris' MBSImP research and development was funded in part by Bracco Diagnostics; received grant funding.

Financial — Bonnie Martin-Harris' research is funded in part by the Veteran's Administration (VA); receives grant and research funding.

Financial — Bonnie Martin-Harris' research is funded in part by the Mark and Evelyn Trammell Foundation; receives grant funding.

Financial — Bonnie Martin-Harris' research is funded in part by the National Institutes on Deafness and Other Communication Disorders (NIH/NIDCD); receives grant and research funding.

Nonfinancial — Bonnie Martin-Harris is associated with numerous journals, publications, and boards related to speech-language pathology; receives no compensation in these roles.

Intended Audience/Accreditation

This program is offered for 0.1 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 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.

Frequently Asked Questions

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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Reviews

“I found the discussion of training optimal respiratory-swallowing patterning to be very insightful. I also liked the inclusion of VFSS videos to demonstrate topics.” – R.S. (Aug. 2020)

“This course increased my knowledge of optimal breath-swallow patterns and provided evidence that training of these patterns is possible. I appreciated the details regarding the physiological processes of swallowing that are impacted by pulmonary disease.” – R.K. (Jul. 2020)

"I work in a SNF and we do have a few COPD pts where this material will apply. I have little information of swallow tx for this type of pt so this course is very helpful. I enjoyed this seminar, thank you." – G.J. (Apr. 2020)

"I enjoyed the discussion toward the end of the course regarding retraining optimal respiratory-swallow coordination. I would be very interested in learning more about this and how to apply in clinical practice. I liked the discussion of relevant evidence-based research & visual/graphic demonstration of swallowing." – K.C. (Mar. 2020)

"The discussion on possible swallow impairments in the COPD population was especially useful." – C.P. (Feb. 2020)

"Anatomy and physiology review is always beneficial. I like the evidence that selected safe swallowing strategies actually do work" – J.K.O. (Jan. 2020)

"I found the pre-swallow instruction very helpful. I also found the information helpful re: HNC patients on training the respiratory-swallow sequence. I also liked reviewing normal anatomy & viewing the instrumental images." – A.H. (Oct. 2019)

"The information was very useful as this is a population that is frequently seen in my practice. So, the information was helpful to better help me guide these patients through their swallowing issues. I specifically appreciated the clarification of the breathing issues of this population and how it relates to swallowing." – J.N. (Nov. 2019)

"The most beneficial aspect of this course was having the opportunity to review completed swallow studies or fluoroscopic imaging of the upper aero digestive tract on a variety of patients. It helped clarify components that relate to the oral, pharyngeal and esophageal domains of the bolus as it flowed through each of these areas.

I liked learning about COPD and the information pertaining to training this population. I believe it will be helpful to refer to the materials provided on MBSS and MBSlmP approach when determining stages and potential treatment outcomes as part of an interdisciplinary team. If given the opportunity within my practice, this online course will allow for me to discuss optimal respiration- swallow patterns when working with patients/ families who have the been diagnosed with dysphagia, head/neck cancer; and other esophageal disorders." – A.C. (Oct. 2019)

"I liked the many videos of examples of what the presenter to help elaborate on the graphs/research. Going over the swallow function of COPD vs controls and use of rehab exer techniques that actually tax our COPD vs helping was most beneficial." – A.G. (Aug. 2019)

"The discussion on allowing mid-expiratory swallow vs end of inspiratory swallow was helpful. I like that the course talks my language. As an experienced clinician, this connected a lot of dots in pulmonary and swallow areas for my knowledge." – R.H. (Aug. 2019)

"I enjoyed the COPD portion of the course. Interesting videos of swallowimg studies." – R.M. (July 2019)

"I appreciated the awareness of multimodal issues related to COPD/chronic respiratory disorders. I liked the pace of presentation and the accompanying slides." – E.H. (May 2019)

"The training of respiratory-swallow was excellent." – S.F. (Apr. 2019)

"The compensatory techniques for swallowing for those with respiratory disease and the outcome post therapy as documented on the MBS were most beneficial. However, I expected a discussion mentioning rest breaks and assistance (physical) for COPD patients when eating." – A.R. (Mar. 2019)

"I enjoyed the review of the MBSImP and implication in the respiratory system, normal pattern vs not, and treatments. Very useful course." – S.D.O. (Mar. 2019)

"I like the brevity and succinctness of Dr. Martin-Harris. The COPD discussion was especially helpful." – S.R. (Feb. 2019)

"I appreciated learning more about how respiration and swallowing need to be coordinated and how they affect one another during the swallow. It was a great course!" – P.D. (Jan. 2019)

"The treatment approaches for patient with COPD and swallow disorder as well as diagnosis through videofluoroscopy were most beneficial." – R.B. (Dec. 2018)

"Very thorough course. I liked going over the importance of targeting the physiologic impairment of the swallow in order to develop treatment goals. The case studies and imaging clips to illustrate the disorders were helpful. My list of 'likes' is too long to enumerate, so much was covered that increased my understanding of swallowing physiology and disordered swallows in populations (especially COPD)." – G.O. (Dec. 2018)

"The discussion on the hinderance that some Dysphagia exercises can provide on patients with lung disease such as COPD was most beneficial." – H.S. (Nov. 2018)

"I enjoyed the examples of normal/abnormal swallows, demonstrations of pulmonary diseases." – T.D. (Oct. 2018)

"I appreciated having a better understanding of COPD itself and the effects on swallowing; looking at the big picture of the variety of problems patients have that can contribute to dysphagia." – K.O. (June 2018)

"The discussion on treating dysphagia with COPD patients w/o taxing endurance and abilities was most beneficial." – J.B. (Feb. 2018)

"I liked the use of videos and diagrams to support the information and Dr. Harris' excellent explanations of anatomy and physiology." – L.K. (Jan. 2018)

"The explanation and reasoning for and against the use of specific tx options for COPD and H/N CA were something that I had not encountered before and will affect the way I conduct tx in the future." – I.C.V. (Dec. 2017)

"I liked the supporting videos and research studies as well as the specific discussion around COPD." – C.K. (Nov. 2017)

"Going over how breathing patterns during swallowing can be trained and effects of COPD in detail on breathing was very helpful." – G.C. (Oct. 2017)

"The review of the anatomy was very beneficial since I have changed from school setting to the skilled nursing and hospital setting. The videos were very helpful during this course." – L.B.W. (Sept. 2017)

"I found it all very interesting. I currently work in the school system but like to keep up with my dysphagia skills for future PRN work in a SNF. I enjoyed all the videos and the fact that she just didn't read the slides." – P.M. (July 2017)