Presenters: Yvette McCoy, MS, CCC-SLP, BCS-S & Rinki Varindani Desai, MS, CCC-SLP, CBIS
– H.B., prior course participant
This presentation will review the normal adult swallowing mechanism and describe the effects of aging on deglutition. The assessment section will provide an overview of the influence of medications, lab values, and medical diagnoses on swallow function in older adults.
Factors influencing dysphagia therapy selection will be discussed with a focus on maximizing quality-of-life and providing person-centered care in the aging population, especially at the end-of-life.
Course is offered for 0.25 ASHA CEUs – 2.5 Contact Hours.
– L.T., prior course participant
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. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.
"Discussion regarding patient autonomy and diet changes being last resort was beneficial. I liked the course set-up." S.K. (Aug. 2024)
"The tx section was helpful. I liked that the course was thorough." L.R. (Jun. 2024)
"Beneficial description of how an age-related swallow differs from a dysphagia. I liked the pictures." Y.R. (May. 2024)
"Discussing the difference between presbyphagia and dysphagia was helpful." C.C. (Mar. 2024)
"Good PowerPoint, excellent information. Discussing the difference between presbyphagia and dysphagia was beneficial." H.K. (Mar. 2024)
"I appreciated the discussion around the difference between presbyphagia and dysphagia in the elderly. I liked the review of compensatory strategies versus exercises and the associated (potential) outcomes." E.L. (Dec. 2023)
"I liked discussing the comprehensive options available for care." S.C. (Dec. 2023)
"Clear comparison for presbyphagia and dysphagia with examples and research to support explanations for family when educating for changes in managing the aging swallowing status. Good overall review for managing swallowing changes and dysphagia in the aging population. Comparison with evidence/research to support differences between presbyphagia and dysphagia." J.H. (Dec. 2023)
"Discussing the normal amount of residue with presbyphagia was helpful. I liked the information on geriatrics." A.B. (Dec. 2023)
"The swallow changes that occur with aging were beneficial to discuss. The course was easy to follow." S.F. (Nov. 2023)
"All of the areas covered were an excellent way for me to become a much better therapist in the acute care setting. I enjoyed the format and the way the presenters delivered the information." V.F. (Nov. 2023)
"The list of medications and their potential effects on the swallow were beneficial." A.Q. (Nov. 2023)
"I liked the overview of the aging swallow. The slides were helpful." P.W. (May. 2023)
"The information presented was easy to understand and follow. I liked the review of the elderly swallow and relationship during MBSS." T.B. (Apr. 2023)
"Reviewed aspects of the normal and abnormal swallow as they apply to older adults. I liked the review of CSE as it applies to older adults." J.Z. (Feb. 2023)
"Really, all of it was beneficial in different aspects. I liked that speakers talked slowly and clearly. The slides were beneficial as well." K.H. (Feb. 2023)
"Discussed differences between swallowing maneuvers, exercises, and compensatory strategies." E.H. (Jan. 2023)
"The whole presentation was beneficial." J.S. (Dec. 2022)
"Very informative course. I liked the discussion of the changes in the swallow with aging." M.W. (Dec. 2022)
"I liked the presenter's pace and course content. Great course!" J.C. (Nov. 2022)
"I liked that I could watch the course according to my own time and pace." N.R. (Nov. 2022)
"Very 'user-friendly'." D.K. (Oct. 2022)
"Ethics and review of strategies were good." E.B. (Oct. 2022)
"The course is very well organized. I loved part 2 especially." D.T. (Sept. 2022)
"I would recommend this course." B.M. (Aug. 2022)
"I liked the focus on end of life. Pace of the course was good." J.L. (Mar. 2022)
"Thorough outline, great knowledge / experience of presenters, practical information." L.S. (Mar. 2022)
"Course was very clear and concise." N.S. (Nov. 2021)
"Good review of new definitions, etiologies, and therapy – the course covered a range of topics re: dysphagia." V.G. (Nov. 2021)
"I liked all of it, especially the recommendations for treatment." E.S. (Nov. 2021)
"End of life considerations – it was all very relevant to my practice." B.S. (Nov. 2021)
"I liked that it explained the basics, and it was easy to understand the information." L.U. (Oct. 2021)
"The review of presbyphagia vs. dysphagia with the clinical application was helpful." J.D. (Sep. 2021)
"The changes in the swallow function related to presbyphagia vs. dysphagia was insightful. I appreciated the handouts for the exercises and compensatory strategies and the rationale for each." H.B. (Jun. 2021)
"Overall, it was a nice overview of what constitutes a normal aging swallow. The second part was a quick review of compensatory strategies, swallow rehabilitation exercises, and considerations concerning diet modifications. Presented clearly and efficiently." L.T. (May 2021)
"I liked what is considered to be typical in presbyphagia versus younger adults, and the ease of access to course content." C.K. (May 2021)
"I liked the discussion of specific meds and impact on swallowing in addition to the swallowing risk factors contributing to aspiration. The in-depth references and analysis of swallowing research was good." D.D. (Apr. 2021)
"I liked the emphasis on the rationale to make the decision between FEES and MBSS." A.M. (Apr. 2021)
"Going over the elements of the normal aging swallow was the most beneficial." J.K. (Apr. 2021)
"When to recommend a FEES versus MBS. Course clearly summarized a normal aging swallow and what things might impact that swallow, leading to dysphagia." B.W. (Apr. 2021)
"The course was functional and easy to understand. I appreciated the real life tx of dysphagia in the elderly and its challenges." R.A. (Mar. 2021)
"Learning normal physiological changes to swallow function in the elderly. Course was easy to follow along." A.M. (Mar. 2021)
"Learning the difference between aging swallow and normal swallow vs dysphagia is beneficial to my practice." C.T. (Feb. 2021)
"I liked the specific information presented on lingual pressure in relation to presbyphagia versus dysphagia. The presentation of information was in an organized manner." A.M. (Feb. 2021)
"I appreciated going over presbyphagia vs dysphagia. I liked the course's ease of use." M.P. (Feb. 2021)
"Liked the breakdown of the different treatment types; the information describing presbyphagia vs dysphagia; the information on screening; and the information on FEES vs MBS." M.R. (Jan. 2021)
"The course flowed well and the speakers were easy to listen to. There are many points of reference in this course, and am glad I'll have it around as a resource." M.R. (Jan. 2021)
Yvette McCoy, MS, CCC-SLP, BCS-S, is a speech-language pathologist with over 23 years experience, specializing in adult neurological rehabilitation with a special interest in dysphagia and stroke rehabilitation. She owns Speak Well Solutions, LLC. She is certified by the American Speech-Language-Hearing Association, a board certified swallowing specialist, six-time ACE Awardee, mentor and CFY supervisor. She currently serves on the Adult Services Committee for the Maryland Speech-Language and Hearing Association. She is a member of the Dysphagia Research Society where she serves on the Website Communications and Public Relations Committee. She is co-creator/author of the mobile app 'Dysphagia Therapy', and published author for the ASHA Leader. Additionally, she is an adjunct instructor at the University of Maryland, College Park.
Speaker Disclosures:
Financial — Yvette McCoy is the presenter of online CEU courses sponsored by Northern Speech; receives royalty payments.
Nonfinancial — Yvette McCoy is a member of the Dysphagia Research Society Website Public Relations Committee; receives no compensation in this role.
Nonfinancial — Yvette McCoy is a board member of the Dysphagia Group Advisory Board-Facebook; receives no compensation in this role.
Nonfinancial — Yvette McCoy is a member of the Adult Services Committee Maryland Speech Hearing Association; receives no compensation in this role.
Rinki Varindani Desai, MS, CCC-SLP, CBIS, is a Medical Speech-Language Pathologist specializing in the rehabilitation of speech, cognitive-linguistic and swallowing disorders in adults. She is a certified brain injury specialist, VitalStim® certified dysphagia therapist and an ASHA ACE awardee. She currently serves on ASHA’s SIG 13 Editorial Review Committee and the Dysphagia Research Society’s Website, Communications and Public Relations Committee. Rinki created the Medical SLP Forum on Facebook and co-created the mobile app "Dysphagia Therapy". Originally an SLP from Mumbai, India, she currently practices in Rochester, New York.
Speaker Disclosures:
Financial — Rinki Varindani Desai is the presenter of online CEU courses sponsored by Northern Speech; receives royalty payments.
Financial — Rinki Varindani Desai is the co-creator of the mobile app Dysphagia Therapy by Tactus Therapy; receives royalty payments.
Nonfinancial — Rinki Varindani Desai is a member of the Dysphagia Research Society; receives no compensation in this role.
Nonfinancial — Rinki Varindani Desai is a member of ASHA's SIG 13 Editorial Review Committee; receives no compensation in this role.
This program is offered for 0.25 ASHA CEUs (Intermediate 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.
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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