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.
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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.
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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.
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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. Please note that courses offered for university students are not applicable for CEUs.
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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.
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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.
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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 loved his explanations on infiltrates and the cranial nerves. I especially loved the explanation of the airflow after the swallow. I also liked the explanation of picking the less of two evils a little water aspirated versus dehydration and how it impacts kidney function, etc. Everything was good for my work in an LTAC. I have never heard about the Bolus Residue Scale. It was excellent!” – M.B. (Oct. 2020)
“The information provided regarding the impact of medications, specifically GI-related, was very helpful and informative. I also thought the "flow" of the course was easy to follow and understand." – K.F. (Aug 2020)
"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)