When patients cough during or after a meal how significant is this event? Are there means to determine if the cough is related to dysphagia? This timely course is very research-focused and examines the literature on cough and dysphagia to help speech-language pathologists and other healthcare professionals make evidence-based decisions related to the cough event. Participants will learn the phases of cough and understand how each cough phase is produced. Covered will be assessment, diagnosis, and treatment techniques and how to use cough measurement along with other respiratory/swallow measures. Offered for 0.35 ASHA CEU – 3.5 contact hours.
Run Time: 3:35:26
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.
Teresa Pitts, PhD, CCC-SLP, is an assistant research professor in the Department of Physiological Sciences at the University of Florida. She received her bachelor and master of art degrees in Communicative Disorders at the University of Central Florida and there also received her clinical certification for Speech-Language Pathology. She completed her doctorate in 2010 at the University of Florida, Department of Speech, Language and Hearing Sciences, where her studies focused on the study of airway protection in patients with Parkinson's disease.
Dr. Pitts' work focuses on increasing our understanding of the coordination of cough and swallow through basic science, clinical, and computational modeling research techniques. Dr. Pitts is also working on developing novel treatment techniques for dysphagia and dystussia.
Financial — Teresa Pitts is the author of online CEU courses offered by Northern Speech Services; receives royalty payments.
Financial — Teresa Pitts is employed by The University of Florida; receives a salary.
Financial — Teresa Pitts receives funding through a Pathway To Independence K99/R00 Award through the National Institutes of Health; receives grant funding.
Nonfinancial — Teresa Pitts has no relevant nonfinancial relationships to disclose.
This program is offered for 0.35 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 enjoyed the discussion of the cough reflex. I don't work with spinal cord pts but do work in SNFs and geriatrics so cough disorder is common. Very informative lecture." – G.J. (Apr. 2020)
"I appreciated all the research studies and understanding the relationship between cough and swallow and how cough can be a predictor of aspiration." – A.P. (Mar. 2020)
"Going over the Vertigan Treatment Program and all the treatment options was really helpful." – L.H. (Feb. 2020)
"The PowerPoint slides were relevant and interesting. The discussion on Spinal cord injury was most beneficial." – K.M. (Jan. 2020)
"I appreciated the discussion of cough in SCI. I also found the research on EMST very interesting." – M.P. (Dec. 2019)
"The phases of coughing & therapeutic techniques that can be implemented to treat dystussia were most beneficial. I liked the depth of coughing information; normal vs dysfunctional." – M.B. (Nov. 2019)
"Going over the use of EMST was most beneficial. The presentation was organized and speaker did well communicating the message. However, I expected more on evaluation and treatment." – T.H. (Oct. 2019)
"The speaker is VERY easy to listen to, even with complicated research info in section 2. The handouts and powerpoint are excellent. I liked the section break outs for organization. I especially appreciated the discussion on the relationship between dysphagia and dystussia as well as the treatment protocols/validation." – M.C. (Sept. 2019)
"The techniques to facilitate cough, i.e.: use of EMST device, are practical to my current practice. I enjoyed the case studies and patient examples. I would have appreciated a list of contraindications for EMST in medical patients." – M.P. (Aug. 2019)
"The speaker was great! Going over the availability of bedside cough assessment tools was most beneficial." – C.L.T. (July 2019)
"I appreciated the discussion on cough related to PD and CVA as predictor of penetration and/or aspiration. I liked the slides demonstrating different phases of cough in different medical conditions." – C.H. (July 2019)
"I liked the presentation of the treatment methods and the review after each section as a good summary of all of the research information." – S.L. (June 2019)
"All sections were equally informative, no specific discussion was more beneficial than another. Clinically I take home the measures and therapeutic tasks I can apply at lowest cost. It validated my efforts (and successful outcomes) working on cough and empowers me to do it better. I am also inspired to integrate cough assessment protocol with greater thoroughness. The details of cough analysis were perfectly integrated with current research and functional application, great presentation making information exciting and easy to integrate." – T.C. (June 2019)
"I liked the practical, clinical aspects. There was too much research, although I understand it was necessary for background support. The cough assessment and treatment discussions were most helpful." – C.P. (May 2019)
"I appreciated going over cough and the impact of spinal cord injury." – S.C. (Mar. 2019)
"It was very research oriented; it needs to be more clinical oriented for clinicians working with patients on a daily basis with limited time frames." – S.C. (Feb. 2019)
"Going over the practical and cheap methods and equipment that might be available in SNF setting was most beneficial." – J.S. (Jan. 2019)
"I enjoyed the information about the EMST. I liked the sections relating to application of studies." – C.B. (Dec. 2018)
"I work in a SNF, so the majority of my patients have dysphagia but also just cough. It was all helpful for assessment and treatment of coughing." – S.J. (Nov. 2018)
"This course was interesting. I do think that the information presented is beneficial to review and will make me think more critically of cough in the future. I liked best the information on Cough and Spinal Injury." – J.J. (July 2018)
"Reviewing anatomy was very helpful. The specific topic of listening for the cough characteristics and to hear about the diagnosis that a cough could be associated with I thought was interesting." – L.O. (May 2018)
"The information regarding use of EMST as a viable treatment for airway protection was most beneficial. I like that the course gave practical treatment techniques and specific items to use and how to use it." – C.D. (Feb. 2018)
"I appreciated the treatment of chronic cough and EMST information and the depth of course information - that it wasn't too basic." – H.L. (Jan. 2018)
"I liked the clinical implications, the general overview of respiration, the description of Vertigan, and EMST." – B.B. (Dec. 2017)
"Going over cough with spinal cord injuries and treatment methods for chronic cough was very helpful. I liked the application to my daily practice." – L.A.P. (Nov. 2017)
"I appreciated the discussion of the causes of chronic cough and Vertigan treatment program. I felt like there was too much research data and not enough practical day to day treatment techniques." – K.T. (July 2017)
"The tools to utilize during clinical assessments & the spinal cord information were the best discussions. I liked the knowledge of the presenter as well as the length of the presentation." – K.D. (July 2017)
"I especially appreciated going over the phases of cough and ho diseases are related to cough." – G.L. (May 2017)
"I enjoyed the clinical application examples." – W.S. (Feb. 2017)
"Probably the most useful information was related to the one treatment they talked about. I expected more treatment options and more description of treatment. This course was very dry & not as functional for people who do not have access to a clinic." – D.D. (Feb. 2017)
"I really appreciate this course. The research orientation is a little bit hard to follow for a clinical SLP, but really good to get a taste of this once in awhile and try to bridge the large gap between therapists in a very academic and research oriented setting and those in a clinical and basically for-profit oriented setting where cost mediates clinical decision making. I appreciate the specific treatment information provided (using EMST and cough suppression technique). These are things I will use in the clinic tomorrow (already using EMST). Also, the speaker was very knowledgeable and informative. Thanks for this! I feel like I have been brought up to date on a very important topic." – T.C. (Jan. 2017)
"The speaker did an excellent job of providing just enough visual information on the slides, along with additional information presented verbally. This was honestly one of the best courses I have reviewed. Information was clearly and adequately presented. Information was very relevant and interesting. Great topic, unique offering, information that many SLPs need to know. Thank you." – C.B. (Dec. 2016)
"The discussion regarding the EMST and baclofen was most beneficial. I liked the treatment options and clinical assessment. However, I would decrease the emphasis on research findings; I was 'convinced' of the importance of the cough way before she ever finished discussing it." – L.J. (Dec. 2016)
"I appreciated the Vertigan program and Expiratory Muscle Strength Training, as well as the Parkinson's information, as I treat a significant number of Parkinson's patients." – B.T. (Dec. 2016)
"The format was great. The presenter did a good job. I found the cough exponent on assessment very interesting and informative." – B.T. (Dec. 2016)
"I found this entire discussion to be beneficial. I really enjoyed this sessions. It was very interesting." – C.R. (Nov. 2016)
"Every section was extremely interesting, and I feel I can benefit from every topic reviewed. Clear, concise presentation. Excellent PowerPoint presentation and references." – H.C. (Nov. 2016)
"The portion on Rehabilitation of Dystussia was most helpful as it provided me with additional info on the device to use in my clinical setting. I liked the ease of utilization, handout, and that the speaker was fully aware of the topic and spoke well." – N.H. (Oct. 2016)
"I liked the cough anatomy." – D.K. (July 2016)
"The presentation of phases of cough was especially helpful. I appreciated the increased understanding of cough and relationship to swallowing." – C.O. (July 2016)
"Learning about how cough can be treated was most beneficial. I like that the course included helpful new information treatment." – D.W. (July 2016)
"I enjoyed the review regarding coughing and it's relationship to speech and other disorders. I thought this was a little challenging and very trial specific. I would prefer a more generalized e-course." – B.C. (June 2016)
"I liked the speaker's knowledge of info. Sections 2 & 3 were most useful." – K.F. (June 2016)
"The Baclofen medication affect on cough was very enlightening." – D.R. (June 2016)
"The treatment for hypertussis was really helpful. I liked the emphasis on importance of thorough assessment of cough in dysphagia patients." – J.M. (May 2016)
"I really appreciated the discussions about stroke and Parkinson's patients. I liked the thoroughness and the passion the presenter has for her work and our profession." – M.R. (Apr. 2016)
"The EMST and IMST strategies were most beneficial. I enjoyed the research behind cough and dysphagia." – L.M. (Apr. 2016)
"There are very few courses that address cough in our profession so it was nice to review so many of the topics that are specific to cough. The content was fantastic." – T.W. (Apr. 2016)
"I appreciated the going over the phases of cough and how they affect ability to clear airway. However, I expected a clinical application for SNF's." – T.C. (Apr. 2016)
"It was broken up nicely by topic. It was reviewed appropriately to ensure content was understood. Looking at the esophagus and trachea as a dual valve system was very useful." – E.M. (Mar. 2016)
"Loved the organization, repetitiveness of key concepts, and functional implications. I really appreciated the deeper understanding of the neurology and physiology of cough, use of cough as an adjunct to other clinical assessments for swallow, and affirmation of my treatment of hypertussia and use of control techniques even if cough is reflexively generated." – J.W. (Jan. 2016)