The Evolving Swallow: Managing the Effects of Surgery, Chemo, and Radiation

This is a recorded webinar.

For SLPs who treat head and neck cancer patients, treating dysphagia is often an evolutionary battle that starts before patients undergo cancer treatment and persists long after patients have received their final cancer treatments. The clinician’s greatest challenge is understanding, preparing the patient for, and addressing the cancer treatment’s extensive list of short and long-term effects on the patient’s swallow function. This two-hour webinar will highlight the most current, evidence-based practices for providing effective, patient-centered dysphagia interventions in the head and neck cancer patient population.
The Evolving Swallow: Managing the Effects of Surgery, Chemo, and Radiation

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You will have access to this course for 365 days after purchase.

Reporting to ASHA:

If you wish to have your participation in this course reported to ASHA, you must include your ASHA number when registering for the course. If you do not have an ASHA number, but you would like your participation reported to ASHA, type “ REPORT” in the field requesting your ASHA number.  If you do not wish to have your participation submitted to ASHA, type “NO” in the field requesting your ASHA number. Once the course post-test has been completed your material will be ready for us to submit. You must complete the post-test no later than 12/31/2022 11:59 pm (EST) to receive credit for participating in this course in 2022.

If you have any questions, please email or call 877-390-1887.

Learning Objectives

  • Interpret pertinent cancer treatment information during medical chart review.
  • Describe Radiation Fibrosis Syndrome, how it differs from fibrotic scars, and the rehabilitation principles for treating a radiation-induced dysphagia patient.
  • List clinical swallowing assessment tools and resources appropriate for head and neck cancer patients.
  • Identify dysphagia interventions for head and neck cancer patients most supported by current research in the field of SLP and cancer rehabilitation.
  • List appropriate multi-disciplinary referrals relevant to function and quality of life for head and neck cancer patients with dysphagia based on the latest American Cancer Society Head and Neck Cancer Survivorship Care Guidelines.


00:00-00:20    The Importance of the HNC Patient Medical Chart Review

00:20-00:50    Radiation Fibrosis Syndrome’s Impact on Dysphagia Rehabilitation 

00:50-01:10     Assessing the HNC Patient’s Swallow Function

01:10-01:30    “Evidence-based” HNC Dysphagia Interventions 

01:30-01:45    The “Whole-System Approach” to HNC Patients 

01:45-02:00    Summary and Post-Test

Webinar Notice:

Successful participation in this course includes completion of the post-test with a score of 80% or higher, then participants will automatically receive a course completion certificate. You may re-take the post-test as many times as you'd like. If you would like to have your participation reported to ASHA, it must be indicated on the registration form. Participation will be reported to ASHA on a monthly basis.

ASHA CE Providers have up to 45 days from the course's end date to send your participation to the ASHA CE Registry. The ASHA CE Registry processing time usually takes one week. During periods of heavy volume, processing time may be longer.


Refunds will not be issued for online webinars

If you have any questions, please email or call 877-390-1887.


  • Megan Nosol

    Megan Nosol, M.S.Ed., M.S., PA-S1

    Megan Nosol

    Megan is a former medical-based Speech-Language Pathologist who holds a master’s degree in Speech and Hearing Sciences from the University of North Carolina at Chapel Hill. Upon graduation from UNC's program in 2013, Megan worked as a clinician in the skilled nursing, outpatient rehabilitation, non-profit organization, and telepractice settings from 2014-2020. Her main areas of interest were head and neck cancer, neurorehabilitation, and counseling. With her additional master’s degree in Secondary Education, Megan uses her passion for teaching to instruct webinars and courses for SLPs, such as "The ARK-J Program Trismus Intervention Certification Course", “The Evolving Swallow: Managing the Effects of Chemo, Radiation, and Surgery” webinar, and "Filling in the Gaps: Missing Components of Dysphagia Education" course with Ed Bice, M.A. CCC-SLP. She enjoys helping others learn and found mentoring new clinicians one of the most rewarding aspects of her job as a clinician. You can listen to Megan's podcast episodes on Swallow Your Pride to learn more about important considerations when treating HNC patients (episode 8) or read about trismus intervention or using Motivational Interviewing as a counseling approach with dysphagia patients in Megan's blog posts on Dysphagia Cafe. Currently, Megan is a Physician Assistant student (graduating class of 2024) at Quinnipiac University in North Haven, Connecticut. Disclosures: Megan will receive an honorarium for this course from Carolina Speech Pathology, LLC. Megan has the following non-financial relationship to disclose: Megan is a board member of the Burgundy & White non-profit organization.