This course is a must for all dysphagia clinicians. SLPs are commonly consulted to identify the likelihood that a patient's "aspiration pneumonia" was dysphagia-related and then to intervene accordingly. SLPs are also asked to predict and mitigate risk of future dysphagia-related respiratory diseases based on assessment findings. Yet, SLPs receive little formal training in the anatomy and physiology of the respiratory system and in the differential diagnosis of the various types of pneumonia.
In this course, James Coyle, PhD, summarizes anatomy and physiology and current literature to facilitate the objective estimation of dysphagia-related pneumonia risk, and provides information on the decision-making process to determine the use of oral or non-oral nutrition. Offered for 0.6 ASHA CEUs - 6 contact hours.
Run Time 06:19:40
*Anatomy and Physiology of the Respiratory System as Related to Dysphagia
*Types of Pneumonia and the Differential Diagnosis of Aspiration Pneumonia
*Non-Dysphagia Risk Factors for Pneumonia: Attributing Risk Using Logic
*Understanding Pulmonary Function Tests and Treatments for Respiratory Diseases
*Dysphagia Interventions and Aspiration; Thick Liquids, Water Protocols and Common Sense
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.
Audio course (mp3 file) with downloadable handout (Run Time 06:19:40).
Financial — James Coyle is a presenter of CE seminars and online CE courses sponsored by Northern Speech Services; receives speaking fees and royalties.
Nonfinancial — James Coyle has no relevant nonfinancial relationships to disclose.
This program is offered for 0.6 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.
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 are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
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.
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.
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.
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.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
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.
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.
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"I appreciated going over the Non-Dysphagia factors that increase risk of pneumonia. I liked the practical information supported by research." – M.L. (May 2020)
"I enjoyed the help with interpreting Chest Xrays, a better understanding of the different types of pneumonia, and a better understanding of the relationship between breathing and swallowing. I greatly appreciated all of the information and learned a lot!" – K.H. (Apr. 2020)
"The review of anatomy was the most beneficial." – C.H. (Mar. 2020)
“The information about the Respiratory System was excellent as was the speaker.” – S.G. (Feb. 2020)
“Dr. Coyle is very enjoyable to listen to, and the information is very well presented and not biased (unless he specifies). Going over how thickened liquids do reduce aspiration but don’t reduce risk of pneumonia was most beneficial.” – J.R. (Dec. 2019)
“I liked the real world application in hospital setting. I found the reading on the chest x rays / ruling out dysphagia related aspiration based on chest x ray results especially helpful.” – A.G. (Dec. 2019)
"I thought the presenter did very well explaining this material. I liked the in depth description of the different pneumonia and how it affects people or at different points of recovery." – A.N. (Nov. 2019)
"I appreciated distinguishing between different types of aspiration pneumonias and how to interpret CXRs. The presenter, Dr. Coyle, is excellent." – A.R. (Oct. 2019)
"The discussion on cranial nerve function and the relevance of different pathogens in diagnosing AP was most beneficial. Dr. Coyle is an engaging speaker and gives very practical information." – W.K. (Sept. 2019)
"I liked the review of the anatomy and physiology of the impaired respiratory system. I also appreciated the cited evidence that I can use to support my recommendations." – C.H. (Sept. 2019)
"All pulmonary and GI discussion was extremely helpful in aiding in differential diagnostics. I would have liked medication to be covered more in depth." – A.B. (Aug. 2019)
"I enjoyed the discussion on dysphagia aspiration pneumonia vs acid reflux aspiration pneumonia. I liked all the information about thickened liquids and the research behind it." – A.G. (July 2019)
"I appreciated the discussion of risk factors associated with pneumonia other than dysphagia. I also appreciated the topics on how to make decisions based on the person, not just the aspiration pneumonia diagnosis." – A.L. (June 2019)
"I liked the applicability to my every-day practice. The tangible sources and references were also helpful to solidify the knowledge." – D.V.O. (Mar. 2019)
"I liked that I could do the course at my own pace! The information from the course was great...wish we could've seen some of the videos as opposed to just hearing him talk about the slides/videos." – C.C. (Mar. 2019)
"I enjoyed the review of respiratory function and differences between AP and other pneumonias and differential diagnosis procedures. I appreciated the knowledgeable presenter that provided relevant information to SLP practice that can immediately change practice for improved patient care." – R.F. (Feb. 2019)
"Going over overall pulmonary health was beneficial to learn. Excellent course for the SLP by Dr. Coyle." – A.P. (Jan. 2019)
"My practice has been immediately impacted by the knowledge gained from this course, to my patients' benefits. Thank you Dr. Coyle!" – A.D. (Dec. 2018)
"Mr. Coyle is literally one of the most knowledgeable SLPs I've had the pleasure of listening to. He is well-versed and well-read in the areas he presented. He is a great utility and wealth of knowledge." D.L. (Nov. 2018)
"I particularly liked the discussion on aspiration pneumonia, how to determine if it's dysphagia related, and the SLP's role in the treatment. James Coyle is a great speaker and makes the learning environment relevant; however, I would have liked video content for case examples at the end of the course." – K.B. (May 2018)
"I enjoyed the review of anatomy and the detailed instruction on respiration rates with swallow function. I found differentiating CAP from DAP since the term 'aspiration' is greatly overused interesting." – M.L. (May 2018)
"I found all of it to be beneficial - especially the interpretation of xrays. I really liked all of it. My biggest criticism is that the research is now a bit dated." – I.T. (Apr. 2018)
"Going over how to parse out the baseline coughing from COPD or poor pulmonary health from reflexive coughing associated from aspiration was most helpful. I chose this course to help me after I got a lot of referrals for patients with pna and I really appreciated the chest X-rays and education on which pneumonias to "worry about" and which may be non-dysphagia related. I also found the information regarding pulmonary diseases and their contribution to pneumonia to be very useful." – C.D. (Mar. 2018)
"The discussion on Non-Dysphagia Related Risk Factors was excellent. This seemed to provide a lot of insightful pieces to think about when evaluating patients with pneumonia or thinking about patients with dysphagia and preventing pneumonia. I liked the amount of information related to exact anatomy and physiology of the respiratory system presented in an easy to understand but not "dumbed down" way. Everything was highly relevant to my daily practice." – A.C. (Feb. 2018)
"Overall learning about types of pneumonia was very enlightening. Also, understanding the possible effect of PPI on overall gut health was eye-opening as we have gotten so used to "recommending" it in our field. Another part I appreciated was the open opinion on Frazier Free Protocol and lack of supported research." – J.W. (Jan. 2018)
"The speaker was very knowledgeable, well spoken, and presented the information in an interesting, easy way to follow. I especially enjoyed him going over the specifics of PNA related aspiration and other situations where it can erroneously be considered aspiration PNA." – X.L. (Dec. 2017)
"The information about use of GERD medications and its effect on the stomach contents was new to me. The course was very well researched and presented." – M.J. (Nov. 2017)
"I really appreciated learning about incidence rates of pneumonia in patients with alternate means of nutrition (tube feeds) and impact of PPIs on incidence of lung and GI infections. I loved the detailed information about interpretation of chest x-rays, contribution of digestive and respiratory conditions to risk for pneumonia and case history factors that should inform clinical decision-making, i.e. how conservative or liberal to be with recommendations." – L.W. (Nov. 2017)
"The course was all-encompassing and very thorough. I especially enjoyed the discussion on lung health related to other diagnoses: heart disease, COPD, etc." – C.S. (Oct. 2017)
"I like that Dr. Coyle is a clinician as well as a researcher. His presentation addresses the challenges that practicing SLPs encounter 'in the trenches.' His expertise is PRACTICAL and well reasoned. He correctly emphasizes that as a discipline SLPs need to become more diligent regarding critical thinking and applying evidence as well as weighing risk." – D.M. (Sept. 2017)
"The portion devoted to understanding chest X-ray and CT reports was surprisingly fascinating. I also liked the pragmatic approach to differential dx of pneumonia; SLPs confuse these too often, clearly more education is needed." – J.A. (Aug. 2017)
"This was a great course for a beginner clinician looking to understand the SLP's role in an acute care setting. It gave me a great foundation and also helped open my eyes to other areas I would've never thought about. The extensive list of resources at the end of the presentation is something I plan on using for further education." – R.S. (July 2017)
"I enjoyed viewing the chest x-rays and the discussion about all of the risk factors when decision making with family on use of a PEG." – J.R. (Mar. 2017)
"Distinguishing the differences of PNA was the most beneficial portion. ?I liked the way each dx was analyzed for better comprehension." – R.M. (Feb. 2017)
"The differentiation of respiratory diseases was excellent. The course was comprehensive, thorough, and had well-substantiated content (excellent body of evidence to refer back to). It was very thorough but would have liked a bit more on tracheostomy and swallowing." – B.A. (Jan. 2017)
"I liked the evidence presented by Dr. Coyle who is always helpful in sharing the most recent literature." – M.G. (Dec. 2016)
"I enjoyed the discussion on DAP vs. non-dysphagia aspiration as well as the intervention section. I liked the different interventions and the differential diagnosis section." – D.V. (Dec. 2016)
"I appreciated Dr. Coyle's presentation style and the way he differentiated the different types, causes, risk factors of pneumonia, respiratory system and diseases." – L.K. (Dec. 2016)
"The portion on anatomy and physiology of the pulmonary system and its relationship as it relates to dysphagia was most beneficial. The speaker is engaging and interesting to listen to." – C.K. (Dec. 2016)
"All was helpful! This was a very interesting and useful course. I liked the presentation style of Dr. Coyle. I also liked the ability to go back, pause, take notes and review and then continue." – L.H. (Dec. 2016)
"The speaker was very knowledgeable regarding anatomy and physiology and how to apply that knowledge to dysphagia management." – A.J. (Nov. 2016)
"The topic on dysphagia-related aspiration pneumonia (DAP) vs non-dysphagia related aspiration pneumonia gave me a better understanding of the similarities and differences. I liked the handout which included diagrams for increased understanding of the topic presented." – J.W. (Nov. 2016)
"I enjoyed the excellent lecture by Dr. Coyle which was rich with information and which was supported so well by the written materials." – P.K. (Nov. 2016)
"Understanding respiration and deglutition, various types of pneumonias, and considerations for thickened liquids was very useful. I liked the accessibility and the wonderful speaker." – C.B. (Oct. 2016)
"Basically, I enjoyed the entire thing. Distinguishing the SLP's role and giving specific info related to Dysphagia- vs NON Dysphagia- related pneumonias was vere helpful. I liked this entire course." – C.D. (Sept. 2016)
"I found the entire presentation to be extremely helpful in building my knowledge of CXRs and respiratory diseases. I enjoyed the entire course." – E.S. (Aug. 2016)
"The information regarding reading chest x-rays and the areas of infiltrate that is more indicative of a dysphagia-related aspiration pneumonia. I liked the handout and very practical information which was provided." – S.P. (Aug. 2016)
"The information concerning the Zenkers Diverticulum was most beneficial. The information was provided in a very clear way. The PowerPoint information was very helpful." – J.J. (July 2016)
"I enjoyed reviewing all the different causes and factors of pneumonia and aspiration pneumonia. I thought the powerpoint was really helpful. I'm more a visual learner so I enjoyed having that option. I thought the course was great!" – B.C. (June 2016)
"Working in LTC, I found all of the information regarding aspiration and pneumonia very helpful. The instructor was interesting and kept my attention. It explained items in an easy to grasp learning. I enjoyed this course." – K.F. (May 2016)
"I appreciated the discussions about esophageal phase dysphagia and the effect PPI medications can have as well as how to measure respiratory rate and the pros and cons of G-tubes." – E.H. (Apr. 2016)
"I really enjoyed the information pertaining to different findings on CXR. I appreciate Dr. Coyle's defining atelectasis vs. infiltrates. Very, very informative course." – K.R. (Apr. 2016)
"Very informative and practical to daily use but things you don't think of often. It would be better to see video and not just hear it. The case studies at the end were useless without being able to see them." – M.H. (Feb. 2016)
"I found that all topics were beneficial. I liked how the course highlighted the complexity of determining the risks of oral feeding, what information to look for to determine that risk, and how to use such information to determine that risk." – S.H. (Jan. 2016)
"The discussion on the presence of pathogens was really interesting. I liked the practical information. I thought the course was very informative." – M.H. (Jan. 2016)
"I liked the easy explanations & the variety of topics covered." – J.R. (Jan. 2016)
"The discussion of symptoms of aspiration was very helpful." – R.B. (Jan. 2016)