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NSS - Northern Speech Services Speech-Language Pathology Continuing Education
and Treatment Resources
speech pathology continuing education email alerts
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Dysphagia Practice: A Comprehensive Update and Review of the Assessment Process To Ensure Best Practice and Positive Patient Outcomes

# e19   Dysphagia Practice: A Comprehensive Update and Review of the Assessment Process To Ensure Best Practice and Positive Patient Outcomes

by multiple expert presenters

1.5 CEUs

$ 149.00

The diagnosis of swallowing disorders is complex. Yet, understanding the nature of the patient's swallowing disorder is the foundation for optimal treatment. This audio course features 7 internationally recognized dysphagia experts discussing a variety of diagnostic tests. Highlighted will be what each test indicates, what it doesn't indicate, and which patients can be best assessed using each diagnostic tool.  Also included is information on ethics, esophageal dysphagia, respiratory function during swallow, swallowing considerations for patients on trachs/vents and pharmacology and dysphagia. Offered for 1.5 CEUs – 15 contact hours.

     Topics Covered:

  • Bedside Evaluation
  • Modified Barium Swallow
  • FEES
  • Esophageal Considerations 
  • Respiratory Testing
  • Pharmacology
  • Trach/Vent Patients
  • Swallowing Parameters
  • Assessing Complex Patients
  • Case Studies

     Course Faculty:

  • Jeri Logemann, PhD
  • Donna S. Lundy, PhD 
  • Roxann Diez Gross, PhD
  • JoAnne Robbins, PhD
  • Susan Langmore, PhD
  • James F. Naas, PhD
  • Ikuo Hirano, MD
 
 
 
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: Audio with downloadable handout. Audio files may be streamed online or downloaded. This course was recorded in front of a live seminar audience in 2008 in Atlanta, GA.

At conclusion of this eCourse, participants will be able to:

  1. Explain how the use of FEES during the evaluation process can be beneficial for treatment planning.
  2. Discuss how appropriate use of positioning strategies for a patient with unilateral pharyngeal paralysis can result in a safer and more efficient swallow and eliminate the need for non-oral feedings.
  3. Explain how the modified barium swallow x-ray study is both a diagnostic and treatment protocol.
  4. State how what occurs in the esophagus can influence what occurs in the pharynx during the swallow.
  5. State the relationship between lung volume and subglottic pressure and how this relationship affects swallowing.
  6. Explain how implementing a tongue exercise program can result in greater pressure on the bolus and a safer and more efficient swallow.
  7. Discuss the influence of medications on the sympathetic and parasympathetic nervous systems and how this influences the swallow.

A score of 80% or better must be received on the post-test in order
to receive a certificate of completion.

Roxann Diez Gross, PhD, CCC-SLP, is a leading expert, accomplished researcher, and frequently invited national and international lecturer. Her areas of expertise include swallowing function, esophageal dysphagia, and management of patients with tracheostomy tubes and speaking valves.

Currently, Roxann is Director of Research at The Children's Institute in Pittsburgh, PA. Prior to this position, she was Director of the Swallowing Disorders Center at the University of Pittsburgh Medical Center and Assistant Professor of Otolaryngology in the School of Medicine. She is now an adjunct assistant professor in the Department of Communication Science and Disorders at the University of Pittsburgh.

Roxann has published several scientific papers and clinical book chapters. Her primary area of research examines interactions between breathing and swallowing in neurologic and respiratory disease. Over the past 7 years, Roxann has expanded her clinical work and research to include non-pathologic forms of esophageal dysphagia.

Speaker Disclosures:

Financial — Roxann Diez Gross is presenter of online CEU courses by Northern Speech Services; receives royalties.

Financial — Roxann Diez Gross is the author of "Quick Pocket Reference for Tracheostomy Tubes and Speaking Valves" published by Northern Speech Services; receives royalties.

Nonfinancial — Roxann Diez Gross has no relevant nonfinancial relationships to disclose.  

 


Ikuo Hirano, M.D., Gastroenterologist, is an Associate Professor of Medicine and Fellowship Program Director in the Division of Gastroenterology and Hepatology at Northwestern University School of Medicine in Chicago, Illinois.

Speaker Disclosure:

Financial None. 

Nonfinancial — None.

 


Susan E. Langmore, PhD, CCC-SLP, BRS-S, is an internationally known researcher and lecturer in the areas of dysphagia, aspiration pneumonia, and voice disorders.  Dr. Langmore is developer of the FEES procedure.  Additionally, her “Predictors of Aspiration Pneumonia” research is frequently cited by SLPs in determining which patients should and should not eat by mouth.  Dr. Langmore is a Professor in both the Departments of Otolaryngology and Speech and Hearing Sciences at Boston University Medical Center in Boston, MA.

 

Speaker Disclosure:

Financial — Susan Langmore is author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Susan Langmore is presenter of CE seminars sponsored by Northern Speech Services; receives honorarium. 

Nonfinancial — Susan Langmore has no relevant nonfinancial relationships to disclose. 

 


Jeri A. Logemann, PhD, CCC-SLP, BCS-S, was the Ralph and Jean Sundin Professor of Communication Sciences and Disorders in the Northwestern University School of Communication from 1995 until her death in 2014. She received all of her degrees at Northwestern and had taught and conducted research at Northwestern since 1978.

Dr. Logemann was a pioneer and leader in the study of dysphagia. She contributed significant research findings for the field of speech-language pathology over the past 35 years, including the development of the modified barium swallow study. She was a Fellow of ASHA and Fellow of the Chicago Medical Society and served as President of ASHA in 1994 and again in 2000.

Northern Speech Services wishes to recognize Dr. Logemann's significant contributions to the field of Speech-Language Pathology and NSS is honored to have partnered with her for over 25 years.

Speaker Disclosure:

Financial — Jeri A. Logemann developed this online CEU course offered by Northern Speech Services; her estate receives royalties.

Nonfinancial — Jeri A. Logemann had no relevant nonfinancial relationships to disclose with regard to this online course.

 


Donna S. Lundy, PhD, CCC-SLP, BRS-S, is an instructor for the online Speech-Language Pathology Assistant program at Mitchell Technical Institute in Mitchell, SD. Prior to this, she was a clinical speech-language pathologist, with 9 years of experience in an inpatient rehabilitation setting and 12 years in an education setting, serving children ages 0 – 21. Jennifer has a particular interest in the treatment of language disorders in school-age children. She has presented numerous workshops on vocabulary instruction, using books in therapy, and skill-based language assessment. Jennifer is a past member of the ASHA SLP Advisory Council and past president of the South Dakota Speech-Language-Hearing Association. She is the author of the Skill-Based Assessment of Core Communication Skills

Speaker Disclosure:

 

Financial — Donna Lundy is author of online CE courses sponsored by Northern Speech Services; receives royalties.

 

Financial — Donna Lundy is presenter of CE seminars sponsored by Northern Speech Services; receives honorarium. 

Nonfinancial — Donna Lundy has no relevant nonfinancial relationships to disclose. 

 

 


James F. Naas, PhD, CCC-SLP, lectures nationally to Speech-Language Pathologists on pharmacology and the geriatric population. He holds practice privileges in Medical Speech Pathology at Owensboro Medical Health System in Owensboro, Kentucky, where he serves on the Stroke Team and the Allied Health Credentials Committee. Dr. Naas also teaches in the undergraduate Speech Pathology and Audiology program at Brescia University in Owensboro.

 

 

Speaker Disclosure:

Financial — James Naas is author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — James Naas is presenter of CE seminars sponsored by Northern Speech Services; receives honorarium. 

Nonfinancial — James Naas has no relevant nonfinancial relationships to disclose. 

 


JoAnne Robbins, PhD, CCC-SLP, BCS-S, is an internationally known researcher, lecturer, author and inventor.  She is a Professor in the Department of Medicine in the University of Wisconsin School of Medicine and Public Health, and she also serves as Associate Director of Research for the Geriatric Research, Education, and Clinical Center (GRECC) at the William S. Middleton Memorial Veterans Hospital in Madison, WI.  Dr. Robbins has over 20 years of experience in treating dysphagic patients.   Her work is known worldwide and published in numerous international and national peer-reviewed journals. She is also coauthor of the Easy-To-Swallow, Easy-To-Chew Cookbook.

 

Speaker Disclosures:

Financial — JoAnne Robbins is the author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — JoAnne Robbins has ownership interest in Swallow Solutions, LLC; Board Member and Owner. 

Financial — JoAnne Robbins is the co-Author of the text, "Easy-To-Swallow; Easy-To-Chew Cookbook"; receives royalty payments.

Nonfinancial — JoAnne Robbins has no relevant nonfinancial relationships to disclose.

 


Intended Audience

  • SLP

This program is offered for 1.5 CEUs (Intermediate level; Professional area).

Offered for 15 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 12/30/2014.

  • 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: Roxann Gross

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
e07 Dysphagia Practice: Moving Toward More Comprehensive Treatment Protocols
Roxann Gross, PhD, CCC-SLP and Ianessa Humbert, PhD, CCC-SLP and Cathy Lazarus, PhD, CCC-SLP, BCS-S and Kathy Panther, MS, CCC-SLP and Robert Arnold, SLP.D., CCC-SLP, BCS-S and Jennifer Brush, MA, CCC-SLP
1.2 $149.00
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
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 and 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
2.0 $199.00
e173 Trach and Vent Patients: What the SLP Needs To Know About Communication and Swallowing  
Roxann Gross, PhD, CCC-SLP and Lyndsi Yarkosky, BS, RRT
0.4 $79.00

Products

  Title Price  
Quick Pocket Reference for Tracheostomy Tubes and Speaking Valves $69.00
Quick Pocket Guides: Swallowing & Tracheostomy Tubes/Speaking Valves $73.00

More Offerings by: Jeri Logemann

Ecourses

  E-Course # Course Title & Author CEUs Price  
e09 Interpretation of Videofluoroscopic Swallow Studies of ADULTS
Jeri Logemann, Ph.D., CCC-SLP, BCS-S
0.5 $89.00

More Offerings by: James Naas

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

More Offerings by: JoAnne Robbins

Ecourses

  E-Course # Course Title & Author CEUs Price  
e105 Rationale For Using Exercise In Dysphagia Treatment
JoAnne Robbins, PhD, CCC-SLP, BCS-S
0.25 $44.00

"I really enjoyed Dr. Logemann, such an inspiring woman full of knowledge & eager to share. She will be missed! Specifically, I enjoyed the comparison of FEES vs. Modified Barium Swallow Study. This information is good documented information to share with colleagues. I also enjoyed the discussion by Dr. Hirano which enlightened SLPs regarding Esophageal Dysphagia." – T.B. (Dec. 2016)

"Overall was an excellent course. I would recommend it to other SLPs. I especially appreciated the discussion on respiratory testing and impact on dysphagia and esophageal dysphagia. I liked the flexibility to listen at my own pace and go back if I needed further clarification. The course covered more than I expected." – S.S. (Dec. 2016)

"I wish I could listen to Dr. Logemann on Spotify! She's the best!  Also, I enjoyed pharmacology and respiratory support. Nurses sources and respiratory are great resources, but these topics weren't covered in my grad studies extensively." – K.Z. (Dec. 2016)

"I found the portions on the Modified barium swallow study and clinical swallow evaluation as well as esophageal dysphagia most beneficial. I liked being able to complete this type of a course online. I would have liked to see the person talking and to see some of the videos that were shown of the content." – M.K. (Nov. 2016)

"I learned something new in each section. I probably learned the most from the pharmacology discussion which will benefit me greatly at my job at a rehab hospital. I liked the depth of the discussions and research backing it up." – A.B. (Oct. 2016)

"I really liked the last track on Pharmacology and labs as that is an often neglected area in our field when we are taught about swallowing. I liked that the course was broken down into sections. It was very long and took me some time to complete it." – T.W. (Sept. 2016)

"I appreciated the specifics regarding FEES and therapeutic interventions." – S.E. (Aug. 2016)

"I do not have much experience with FEES, so it was nice to have an overview and comparison of FEES and MBS. I enjoyed having the discussions from different presenters, but it was difficult not being able to see the videos that encompassed much of this course." – J.S. (May 2016)

"The discussion by speakers and panels helped me improve my professional judgement. I really liked the discussion among the panel speakers." – M.P. (Apr. 2016)

"I enjoyed the case studies as well as the discussion on respiratory function and swallowing. Excellent review of swallow function." – E.V. (Mar. 2016)

"I really appreciated the portion on FEES vs. MBSS. I thought that the presentation of the case studies shed some light on everyday patients that I encounter in the hospital. It would have been helpful to directly hear the audience participation." – A.J. (Feb. 2016)

"I liked the information about elderly's swallow function. I appreciated the understanding of FEES." – G.K. (Feb. 2016)

"The discussions on pharmacology, instrumental testing, and case studies were really beneficial." – J.S. (Jan. 2016)

 

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