Course Description
Throughout the U.S., our Healthcare statistics depict that we are seeing patients with increasing medical complexities to include high levels of comorbidities and polypharmacy. Heart Failure, COPD and Pneumonia rank as the highest risks for readmissions to the hospital within 30 days of discharge. The SLP's role to treat and monitor high-risk symptoms is more critical now than ever.
This course provides direction through complicating etiologies of patients with cardiac and pulmonary disease processes, along with the significant poly-pharmacy that goes with these clinical scenarios. This includes effective, evidence-based resources and interpretive guidelines for the assessment and management of complex medical dysphagia patients.
Following an overview of Heart Failure and Pulmonary Disease Processes, the course then addresses relevant information to include assessing breath sounds, understanding medications and inhalation therapy including their common adverse effects, evidence-based studies on thickened liquids and practical therapeutic applications for working with cardiopulmonary disease processes. Finally, case studies are presented with applications of information reviewed throughout the course.
This seminar-on-demand is 8 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
Contact Hours: 8
Target Audience:
Instructional Level: IntermediateAccreditation Information:
| State | Discipline | Approval Status | Provider Code | Expiration Date |
|---|
Course Outline:
Hour 1
- The Increasing Complexity Of
- Cardiopulmonary Patients
- Importance of reducing Hospital Readmissions
- Research of HF & COPD with Dysphagia
Hour 2
- Prevalence of Heart Failures
Hour 3
- Definition Heart Failure
- Causes of Left Heart Failure
- Causes of Right Heart Failure
Hour 4
- Inhalation Therapy and Oral Health
- Effects of Lower pH on Tooth Decay
- Effects of the Beta -2 Agonists
- Effects of Corticosteroids on Oral Mucosa
- Xerostomia with Inhalation Therapy
- Dental Caries & Inhalation Therapy
- Clinical Management of Oral Effects
- Predictors of Aspiration at Bedside
Hour 5
- Common Anticoagulants
- Common Drugs to treat Hyperlipidemia
- Pharmacotherapy for Heart Failure:
- Diuretics
- Ace-Inhibitors
- Beta Blockers
- Angiotensin II Receptor Blockers (or inhibitors)
- Angiotensin- Receptor Neprolysin Inhibitors (ARNIs)
Hour 6
- Calcium Channel Blockers
- Bronchodilators
- Corticosteroids
- Mucolytic Agents
- Traditional techniques for dysphagia- which ones require a breath hold?
- Discussion and review of 8 different exercises
- Review techniques and rationales for each of the following:
- Meal-related strategies
- Posture strategies
- Breathing strategies
Hour 7
- Communication strategies
- Energy conservation strategies
- Normal breath Sounds
- Wheezes
- Crackles/Rales
- Stridor
- Rhonchi
Hour 8
- Review of clinical condition and medical history
- Vital signs and medications
- Rationale on why the need to monitor:
- Fluids
- Blood Pressure
- Shortness of Breath
- O2 levels
- Positioning
- Lung sounds
- Nutrition
- Change in cognition
- Lightheadedness
- Vocal Quality
- Bolus Size
- Review research findings of COPD & swallowing (R. Gross)
- Research findings on thickened liquids and dehydration
- Findings of delayed disintegration of specific BCS classes of medication with thickened liquids
- Findings with thickened liquids and their effects with pts who have dementia
Course Goals & Objectives:
Course Goals:
This course is intended to instruct the professional on patients with cardiac and pulmonary disease processes, along with the significant poly-pharmacy that goes with these clinical scenarios.
Professional Objectives:
- List research determined correlation between dysphagia and the most common cardiopulmonary diseases.
- Identify at least 4 clinical signs and symptoms of patients with cardiopulmon ary disease.
- Identify the adverse effects linked to inhalation therapy.
- List at least 5 pharmacologi c treatments for the cardiopulmonary patient, along with their most common adverse effects.
- List the traditional dysphagia techniques that are counterprodu ctive for patients with COPD.
- List therapeutic strategies found to be effective with patients who have moderate to severe COPD.
- Identify differences in breath sounds, to include how they differ and what respiratory symptom each represent.
- Identify the required precautions noted in the final case study.
- List Evidence Based practice results of research for COPD with Dysphagia, Aspiration risks and thickened liquids.
Criteria for Completion:
A score of 70% or more is considered passing. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved.
Disclosures:
Contact Hours: 8
Target Audience: Occupational Therapist, Occupational Therapist Assistant, Speech Language Pathologist, Registered Dietitians and Nursing
Instructional Level: Intermediate
Course Type: Seminar-on-demand
This course is offered for 0.80 ASHA CEUs (Intermediate level, Professional area).
Personnel Disclosure:
Financial – Lisa Milliken is employed by Windsor Rehab and receives a salary. She receives royalty payments from HomeCEUConnection.com for the presentation of this course.
Nonfinancial - no relevant nonfinancial relationship exists.
Content Disclosure: This course does not focus solely on any specific product or service.
Cancellation Policy: For activity cancellation, returns, or complaint resolution, please contact Anne Osborn by email Anne@HomeCEU or by phone at 1.800.55.4CEUS (2387). We have a 100% satisfaction guarantee. Refunds will be issued for courses that have not been completed (exam not taken), or for any course that has been rejected by your board of approval. Webinar attendance must be canceled 24 hours before the scheduled start time.
Authors:
Lisa Milliken, MA, CCC-SLP, FNAP, CDP
Lisa Young Milliken, MA, CCC-SLP, FNAP, CDP has served as a practitioner, regional manager, vice president, consultant, compliance director and education specialist. She has lectured at the state and national level with over 300 professional education courses on topics of importance to the healthcare professional. She is a Certified Dementia Practitioner, and has mentored team members in senior retirement communities for their development of effective non-pharmacological strategies and dementia program management. She also volunteers with community programs in the Houston area to support caregivers of family members living with multiple disorders. She is a member of the American Speech-Language-Hearing Association, where she currently serves as a State Advocate for Medicare Policy for Texas. She is Vice President of Professional Services for the Texas Speech-Language and Hearing Association and also serves on the Financial Advisory Committee and the Publications Board of this organization. She is a Distinguished Fellow of Public Policy for the National Academies of Practice where she serves as the Co-Chair of the Forum Planning Committee and is a prior board president of the Louisiana Speech-Language and Hearing Association and an alumnus of the Council of State Association Presidents. Finally, she is a member of the Kingwood-Humble Aggie Mom Board and lives in Houston, Texas.
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