SLP’s Role in Evaluating Older Adults with Pulmonary Disease

SLP’s Role in Evaluating Older Adults with Pulmonary Disease 

Older adults with chronic pulmonary diseases such as COPD, asthma, bronchitis, and emphysema often develop associated speech and swallowing disorders. These individuals may require SLP interventions to assure verbal communication, nutrition, and hydration and to reduce the risk of aspiration. This course will describe the role of the SLP and various assessments that may be utilized in evaluating for speech and swallowing disorders for this population.


Hours: 1.00


Certificates provided by accrediting body (2 Match)

American Speech-Language-Hearing Association


This course is offered for 0.10 ASHA CEUs (Intermediate level; Professional Area).

Kansas Health Department of Aging and Disability Services (Speech)


Approved for 1.00 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.00 contact hours.

Course Details

Course Code: REL-SRC-0-26489
Hours: 1
Type: Online Course
Content Expiration Date: 11/30/2021
Learning Objectives:
List various pulmonary diseases and how they impact the respiratory system’s gas exchange.
Explain the impact of various pulmonary conditions on speech production and swallowing.
Cite various SLP assessments useful with persons with functional problems related to chronic pulmonary diseases.


SLP’s Role in Evaluating Speech and Swallowing for Older Adults with Pulmonary Disease

Course Overview

Overview of the Respiratory System

Respiratory System

Inhalation and Exhalation

Functions of the Respiratory System

Prevalence and Mortality of Lung Disease

Knowledge Check

Some Pulmonary Diseases and Associated Functional Problems

Types of Lung Disease

Restrictive Versus Obstructive Pulmonary Diseases



Amyotrophic Lateral Sclerosis (ALS)

Pulmonary Fibrosis

Chronic Obstructive Pulmonary Disease (COPD)

COPD (continued)



Pulmonary Hypertension

Typical Functional Problems

Knowledge Check

SLP Assessments for Older Adults with COPD

General Visual Observations: General Body Observation

General Visual Observations: Oxygen, Cough, and Sputum

General Auditory Observations: Breath Sounds

General Auditory Observations: Auscultation of Resonance

General Auditory Observations: Speech Intelligibility

General Auditory Observations: CAPE-V

General Auditory Observations: Maximum Phonation Time

General Auditory Observations: s/z Ratio

Knowledge Check

Dyspnea Scales: Ventilatory Response Index

Dyspnea Scales: Borg Scales

Dyspnea Scales: Dalhousie Dyspnea and Perceived Exertion Scale

Dyspnea Scales: Visual Analog Scale

Vital Signs at Rest

Blood Pressure

Pulse (Heart Rate)

Respiratory Rate


Oxygen Saturation

Other Measures

Chest Expansion

Incentive Spirometry Assessment

Dysphagia Assessment

Dysphagia Assessment: Eating Assessment Tool-10 (EAT-10)

Dysphagia Assessment: Pulse Oximetry

Dysphagia Assessment: Cervical Auscultation

Cognitive Assessment

Knowledge Check




Instructor: Susan Almon-Matangos, MS/CCC-SLP
Susan Almon-Matangos, MS/CCC-SLP, is a certified and licensed speech-language pathologist with over 30 years of experience. She obtained her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She worked with clients of all ages and a variety of diagnostic conditions in school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for a large contract therapy company, she created training programs for physical therapy, occupational therapy, and speech-language pathology related to the clinical rehabilitation needs of older adults in post-acute care. She currently draws upon her expertise in her role at Relias as Lead Subject Matter Expert Writer for Speech-Language Pathology. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association. Disclosure: Susan Almon-Matangos, MS/CCC-SLP has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Intermediate level Speech and Language Pathologists; in the following settings: Rehabilitation Settings.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.