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NSS - Northern Speech Services Speech-Language Pathology Continuing Education
and Treatment Resources
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Parkinson's Disease, Swallowing and Best Practice

# e127   Parkinson's Disease, Swallowing and Best Practice

by Paula Sullivan, MS, CCC-SLP, BCS-S

0.2 CEUs

$ 39.00

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.

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 by clicking on the Presenter & Disclosures tab. 

Course Format: Video PowerPoint presentation with author narration & downloadable handout.

At eCourse conclusion, participants will be able to:

  1. Discuss adaptations to the videofluoroscopic swallow study (VFSS) and fiberoptic endoscopic swallowing study (FEES) for persons with Parkinson's disease.
  2. Discuss respiratory strengthening and airway protection strategies for persons with Parkinson's disease.
  3. Discuss both patient- and clinician-rated assessments for evaluating swallowing in Parkinson's disease.
  4. Discuss common oral and pharyngeal stage signs in Parkinson's disease.
A score of 80% or better must be received on the post-test in order to 
receive a certificate of completion.

 

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

  • SLP

This program is offered for 0.2 CEUs (Intermediate level; Professional area).

Offered for 2 CEEs. Northern Speech Services’ continuing education activities are eligible for Speech-Language and Audiology Canada (SAC) Continuing Education Equivalents (CEEs) in speech-language pathology. An activity’s eligibility for CEEs does not imply SAC’s endorsement of its content or any associated products or procedures.

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 by clicking on the Presenter & Disclosures tab.

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.

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.

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.

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.
  • Peer Reviewed: This course was peer reviewed and registered with ASHA on 06/30/2015.

  • 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.

More Offerings by: Paula Sullivan

Ecourses

  E-Course # Course Title & Author CEUs Price  
e75 Examining 4 Areas Relating To Dysphagia In The Elderly
Roxann Gross, PhD, CCC-SLP and Paula Leslie, PhD, CCC-SLP and James Naas, Ph.D., CCC-SLP and Paula Sullivan, MS, CCC-SLP, BCS-S
0.6 $99.00
e83 Best Practice in the Treatment of the High Risk Elder with Neurogenic Dysphagia
Paula Sullivan, MS, CCC-SLP, BCS-S
0.4 $79.00
e68 Head and Neck Cancer Across the Continuum of Care: Addressing Swallowing Challenges
Paula Sullivan, MS, CCC-SLP, BCS-S
0.9 $129.00
e137 Dysphagia Assessment: A Comprehensive Review of Evidence-Based Practice
Roxann Gross, PhD, CCC-SLP and Jacqueline Hind, MS, CCC-SLP, BCS-S and Christy Ludlow, PhD, CCC-SLP and Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Fellow and Paula Sullivan, MS, CCC-SLP, BCS-S
1.0 $139.00
e154 Perspectives on Dysphagia Service Delivery: All About Treatment
Jennifer Brush, MA, CCC-SLP and James Coyle, PhD, CCC-SLP, BCS-S and Karen Dikeman, MA, CCC-SLP, BRS-S and Roxann Gross, PhD, CCC-SLP and Jacqueline Hind, MS, CCC-SLP, BCS-S and Marta Kazandjian, MA, CCC-SLP, BCS-S and Cathy Lazarus, PhD, CCC-SLP, BCS-S and Jan Lewin, PhD,CCC-SLP, BCS-S and Christy Ludlow, PhD, CCC-SLP and Kathy Panther, MS, CCC-SLP and Jay Rosenbek, PhD, CCC-SLP, BC-NCD and Paula Sullivan, MS, CCC-SLP, BCS-S
2.0 $199.00
e106 Dysphagia in the Medically Fragile and Frail Elder: Management, Decision-Making and Ethics
Paula Sullivan, MS, CCC-SLP, BCS-S
0.25 $44.00

"I liked the treatment strategies." - S.C., 8/16/2016

"The discussions on emergence and prevalence of dysphagia in PwP as well as various rehabilitation options were most beneficial." - K.S., 8/10/2016

"The treatment approaches were helpful - learning about the ROMP and EMST in particular." - R.F., 8/7/2016

"All info was relevant and great." - B.G., 7/16/2016

"Very informative and presenter was knowledgable. Her personal experience w/PD as a caregiver gave a noted point of view regarding the patient's QoL." - M.H., 7/12/2016

"I appreciated the intervention ideas and research documenting the benefits. She explains things very clearly." - D.G., 6/25/2016

"I liked that she stayed on topic - clear presentation." - K.C., 6/22/2016

"I liked learning evaluation and treatment techniques." - A.A., 6/21/2016

"The actual therapeutic interventions were most helpful." - M.M., 6/12/2016

"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., 5/25/2016

"I liked the various techniques discussed and the discussion on the success/lack of success using thickened liquids." - J.B., 5/16/2016

"The Rehabilitative Approaches to dysphagia in people with a PD diagnosis were really useful." - J.Z., 5/6/2016

"I liked the very clear demonstrations and a case study." - W.N., 4/18/2016

"Very practical and applicable." - K.P., 4/11/2016

"I appreciated the discussion on the use of thickened liquids in PD patients." - K.M., 4/1/2016

"The compensatory and rehabilitative treatment technieques were most beneficial." - L.K., 3/29/2016

"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., 3/20/2016

"Very well-organized and thorough." - A.W., 3/6/2016

"The specific tx techniques were very helpful. Well organized course." - S.M., 2/7/2016

"Well organized. I really benefitted from the Esophageal findings EMST QoL questionares." - R.H., 1/11/2016

"I liked the examples of compensatory strategies vs. Rehabilitative techniques." - D.S.E.P., 1/8/2016

"I appreciated the discussion on various ways to improve swallowing. I liked the concrete examples." - L.L., 1/1/2016

 

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