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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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Examining 4 Areas Relating To Dysphagia In The Elderly

# e75   Examining 4 Areas Relating To Dysphagia In The Elderly

by multiple expert presenters

0.6 CEUs

$ 99.00

This clinically relevant course brings together 4 leading dysphagia experts to examine current research and best practice when addressing the needs of elderly clients with swallowing disorders.  This course will look at these topics relating to dysphagia in the elderly:

  • Parkinson's Disease
  • Breathing and Swallowing
  • Pharmacology
  • Ethics Related to End of Life Considerations

Discussion will focus on managing clients with respiratory disorders including COPD and Parkinson's disease. New research on lung volume and its effect on swallowing will be included. Also discussed will be pharmacology and swallowing impairment as well as ethical treatment in end-of-life issues.  The recommendation of non-oral feedings will be covered as well as including discussion of when to terminate service with challenging clients. Offered for 0.6 ASHA CEUs – 6 contact hours.

Course Faculty:  Roxann Diez Gross, PhD, CCC-SLP, Paula Sullivan, MS, CCC-SLP, BCS-S, Paula Leslie, PhD, FRSCSLT, CCC-SLP, James Naas, PhD, CCC-SLP.

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 can be streamed online or downloaded as mp3 files. Course was recorded in front of a live seminar audience in 2011. 

At eCourse conclusion, participants will be able to:

  1. Design a swallowing therapy program for patients with idiopathic Parkinson's disease based on existing evidence of treatment effectiveness.
  2. State the effects of lung volume and subglottic air pressure on swallow function in persons with swallow impairment.
  3. Identify several medications that have been associated with causing dysphagia.
  4. Explain the differences between values, morals and ethics.
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 a presenter of CE seminars sponsored by Northern Speech Services; receives honorarium.

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

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

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

 


Paula Leslie, PhD, FRCSLT, CCC-SLP, is a professor and director of the Doctor of Clinical Science in Medical Speech-Language Pathology. She maintains full clinical licenses in the USA and UK where she is a Specialist Adviser to the Royal College of Speech & Language Therapy in swallowing disorders. She provides support to researchers, and provides continuing education from grassroots to international level and across the health professions on complex clinical decision making, ethics and end of life decisions in vulnerable populations. Her honors include the Honors of the Association Southwestern Pennsylvania Speech-Language-Hearing Association, the American Speech-Language Hearing Association DiCarlo Clinical Achievement Award, the Pennsylvania Speech-Language-Hearing Association Clinical Achievement Award, and Fellow of the Royal College of Speech & Language Therapists (UK).

 

 

Speaker Disclosures:

Financial — Paula Leslie is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

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

Nonfinancial — Paula Leslie 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. 

 


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 0.6 CEUs (Intermediate level; Professional area).

Offered for 6 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 05/31/2014.

  • 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  
e19 Dysphagia Practice: A Comprehensive Update and Review of the Assessment Process To Ensure Best Practice and Positive Patient Outcomes
JoAnne Robbins, PhD, CCC-SLP, BCS-S and Roxann Gross, PhD, CCC-SLP and Ikuo Hirano, M.D., Gastroenterologist and Susan Langmore, PhD, CCC-SLP, BRS-S and Jeri Logemann, Ph.D., CCC-SLP, BCS-S and Donna Lundy, PhD, CCC-SLP, BRS-S and James Naas, Ph.D., CCC-SLP
1.5 $149.00
e07 Dysphagia Practice: Moving Toward More Comprehensive Treatment Protocols
Robert Arnold, SLP.D., CCC-SLP, BCS-S and Jennifer Brush, MA, CCC-SLP and 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
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

More Offerings by: Paula Leslie

Ecourses

  E-Course # Course Title & Author CEUs Price  
e87 Ethics, Evidence and Clinical Decision Making
Paula Leslie, PhD, CCC-SLP
0.3 $59.00
e149 Ethics, Evidence & Pediatric Decision Making
Donna Edwards, MA, CCC-SLP, BCS-S and Paula Leslie, PhD, CCC-SLP
0.1 $24.00
e150 Ethics I: Evidence and Clinical Decision Making
Paula Leslie, PhD, CCC-SLP
0.1 $24.00
e151 Ethics II: Patient Values & Clinician Bias
Paula Leslie, PhD, CCC-SLP
0.1 $24.00

More Offerings by: James Naas

Ecourses

  E-Course # Course Title & Author CEUs Price  
e19 Dysphagia Practice: A Comprehensive Update and Review of the Assessment Process To Ensure Best Practice and Positive Patient Outcomes
JoAnne Robbins, PhD, CCC-SLP, BCS-S and Roxann Gross, PhD, CCC-SLP and Ikuo Hirano, M.D., Gastroenterologist and Susan Langmore, PhD, CCC-SLP, BRS-S and Jeri Logemann, Ph.D., CCC-SLP, BCS-S and Donna Lundy, PhD, CCC-SLP, BRS-S and James Naas, Ph.D., CCC-SLP
1.5 $149.00

More Offerings by: Paula Sullivan

Ecourses

  E-Course # Course Title & Author CEUs Price  
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
e127 Parkinson's Disease, Swallowing and Best Practice
Paula Sullivan, MS, CCC-SLP, BCS-S
0.2 $39.00
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
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 found the topics of respiratory function and pharmacology to be most beneficial. The presenters were all very good communicators - very thorough." – L.P. (Dec. 2016)

"The discussion on subglottic air pressure and various techniques for improving such pressure before the swallow very helpful. I've actually applied those principles multiple times with trach patients since listening to the course." – C.B. (Dec. 2016)

"I found much of the presented information to be informative, particularly the information re: respiratory involvement in dysphagia and dysphagia related to Parkinson's. The information about subglottal pressure was very interesting, too." – L.P. (Dec. 2016)

"I really enjoyed all of the topics. The pharmacology section was beneficial. The presenters were very knowledgeable." – H.M. (Nov. 2016)

"It was clear and relevant to current trends and practices. The treatment of PD and rehabilitative focus along with compensatory techniques were excellent discussions." – K.B. (Nov. 2016)

"The end of life and dysphagia portion was very beneficial to me. I work in skilled nursing, and we have a large number of residents who are on palliative care. She had good ideas for discussion in order to help families and patients discuss what is best for their situation." – A.B. (Oct. 2016)

"Dr. Naas's portion will be especially useful to my practice in Home care, increasing my awareness of pharmacological aspect. All the speakers were excellent and kept my interest." – P.K. (Sept. 2016)

"Almost everything was beneficial! Specifically the incidence of dysphagia in patients with PD and specifics regarding oral and pharyngeal phase as well as saliva management. I really liked Paula Sullivan's lecture; it applied well to my position in acute care." – K.B. (July 2016)

"Everything in this e-course was helpful and clear. I needed the review of cuff inflation so that was great. This lecture was in a good format, and the powerpoint was done very well also. It was a great course." – B.C. (June 2016)

"The discussion on dysphagia treatment for patients at the end of life was most helpful. I liked that the course had multiple topics within one course. However, I expected more treatment ideas and case studies." – A.W. (May 2016)

"I liked the respiratory system and swallowing relationship. The part on expository muscle training was really useful." – L.K. (Mar. 2016) 

"I found these three topics to be most helpful: 1) Research references 2) Treatment strategies 3) Medication issues and timing of administration." – C.K. (Jan. 2016)

"The management of Parkinson's was a very beneficial topic. The whole course was very informative." – S.H. (Jan. 2016)

"End of life considerations in relationship to ethical choices was a really useful discussion. Good presentation." – A.B. (Jan. 2016)

"I used information from the Parkinson's discussion the same week I completed that section. All of the information was well planned and the speakers were interesting and informative." – T.D. (Jan. 2016)

 

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