Drugs And Dysphagia: How Medications Affect Eating And Swallowing

#e28

0.4 CEUs

$79.00


Compatibility
Course Type

Description

This text format course is divided into 3 sections.

  • Section 1 discusses medications affecting the central nervous system and dysphagia. Covered will be: a review of the central and peripheral nervous systems; the pathophysiology associated with eating and swallowing; common symptoms associated with dysphagia caused by medication; effects of medications on motor function, lubrication and gastrointestinal motility; and effects of antipsychotic and antidepressant medications on dysphagia.
  • Section 2 focuses on specific classes of medications and their effects on dysphagia, including anticonvulsant, anti-anxiety, bipolar, Parkinsonian, and Alzheimer's medications. Case studies are provided to help the participant practice assessment skills and learn to utilize the tables provided for each medication.
  • Section 3 covers medications and gastrointestinal function, including gastrointestinal lubrication and motility. Also covered is reflux disease, medications associated with gastrointestinal injury and the effect of pain medications. Offered for 0.4 ASHA CEUs – 4 contact hours.

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.

Course Format:

Text – including diagrams & picture references.

Course Objectives

  1. Verbalize the function and differences between the central and peripheral nervous systems.
  2. Discuss the effects of medications on the five phases of swallowing. Verbalize the classes of medications that affect motor function, lubrication and gastrointestinal motility in dysphagia.
  3. Differentiate the various antipsychotic medications and their affect on eating and swallowing.
  4. Describe how dysphagia occurs as a result of variables such as impaired salivation, reduced oropharyngeal sensation, direct suppression of the brainstem swallowing function and decrease in arousal.
  5. Summarize how the side effects and/or drug interactions associated with medications can negatively impact eating and swallowing.
  6. Identify medications with anticholinergic properties and verbalize how these medications can affect gastrointestinal motility and swallowing.
  7. Verbalize the major antidepressant, anticonvulsant, anti-anxiety and bipolar medications that affect eating and swallowing.
  8. List the medications associated with Parkinson's and Alzheimer's diseases and their relationship to dysphagia.
  9. Verbalize the medications affecting gastrointestinal lubrication, motility and injury.
  10. Verbalize the medications and lifestyle issues associated with gastrointestinal reflux disease.
  11. Discuss medication-induced xerostomia and its impact on the swallow.
  12. Identify the major medications used for pain management and describe how these medications can impair eating and swallowing.

Presenter & Disclosures

Lynette Carl, PharmD, BCPS, has practiced as a Consultant and Clinical Pharmacist in pharmacies providing patient care in the settings of hospital, psychiatric, hospice care, home infusion care, and skilled nursing facilities. Her clinical practice experience includes infectious disease, critical care, nutrition support, geriatrics, internal medicine, anti-coagulation, cardiology and pain management. She is co-author of the text Drugs and Dysphagia: How Medications Affect Eating and Swallowing.

SpeakerDisclosures:

Financial — Lynette Carl is author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Lynette Carl is Coauthor of the text, "Drugs and Dysphagia: How Medications Affect Eating and Swallowing"; receives royalties.

Nonfinancial — Lynette Carl has no relevant nonfinancial relationships to disclose.

Peter Johnson, PhD, CCC-SLP, earned his MS and PhD in Speech-Language Pathology at the University of Pittsburgh and an Executive Graduate Degree in Healthcare Financial Management from Ohio State University. Dr. Johnson serves as a healthcare consultant. He develops continuing education programs as well as one-on-one mentoring. He assists in the development of memory units. His previous experience includes working in acute care, home care, outpatient clinics and long-term care.

Dr. Johnson served as a Column Editor for the American Speech-Language-Hearing Association (SID 13) Dysphagia Newsletter and the (SID 11) Administration and Supervision Newsletter. He is a four-time recipient of the President's Award and the Outstanding Service Award from the Florida Association of Speech-Language Pathologists and Audiologists. He is the Chair of the Florida Department of Health State Licensing Board for Speech-Language Pathologists and Audiologists.

Dr. Johnson has co-authored several books including Business Matters: A Guide for the Speech-Language Pathologist, Drugs and Dysphagia: How Medications Affect Eating and Swallowing, and Practical Pharmacology in Rehabilitation: Effect of Medication on Therapy. His newest book is, A Clinicians Guide to the Successful Evaluation and Treatment of Dementia published by Northern Speech Services.

Speaker Disclosures:

Financial — Peter Johnson is author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Peter Johnson is Coauthor of the text, "Drugs and Dysphagia: How Medications Affect Eating and Swallowing"; receives royalties.

Financial — Peter Johnson is Coauthor of the text, "Practical Pharmacology in Rehabilitation: Effect of Medication on Therapy"; receives royalties.

Financial — Peter Johnson is Coauthor of the text, "A Clinicians Guide to Successful Evaluation and Treatment of Dementia"; receives royalties. 

Nonfinancial — Peter Johnson is Chair of the Florida Licensing Board for Speech-Language Pathology and Audiology.

Intended Audience/Accreditation

This program is offered for 0.4 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • SLPA
  • SLP

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of CEUs is noted above. Note that 0.1 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:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

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:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.

Frequently Asked Questions

Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.

Content Access: 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 E-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 the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).

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: 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.

More FAQ: Please click here.

What is an Online Course? Our Online Courses include text, audio, or video formats 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 computer, via your Northern Speech 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.

Receiving CEUs: Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for 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 online CEUs.

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 Online Courses tab on your profile screen. Click View next to the course you’d 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.

Course completion timeframes: Nearly all our courses provide for unlimited time to complete your course. You may work at your own pace and start and stop your course as you wish. Any access limitations will be clearly noted on the individual course description page.

Course content expiration: Nearly all our courses provide for continued access to course content and materials, even after completion of the post test. Any access limitations will be clearly noted on the individual course description page.

Testing requirements: 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.

Certificate of completion: A certificate displaying participant name, date of course completion (based on the Eastern Standard Time Zone), and the number of contact hours earned is presented to participants once a score of 80% or greater is earned on the post test. 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: Northern Speech will provide CEU information to the ASHA CE Registry for you. At the time of course enrollment if you select that you are taking the course for ASHA Credit and if you provide your ASHA Member Number, Northern Speech will automatically submit your hours to the CE Registry after you successfully complete the post test. Please allow 45-60 days from the date of course completion for your hours to appear on your CE transcript. Note that ASHA will record your CEUs as earned on the last day of the month in which you completed your course. For example, if you completed your course on Nov 7, the CE Registry will reflect course completion as Nov 30.

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 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.

Course formats: Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.

Course handouts: Most of our non-text online courses provide a link to download the accompanying handout.

Purchase orders: 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.

Group discounts: 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.

Computer requirements: 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, Internet Explorer, etc) and newest version of Flash Player. 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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Reviews

"I LOVED this course!! It is SO relevant, especially for my work in the geriatric population! I found the information very well organized, clear, concise, and well written. I learned a lot and feel I will really retain the information well thanks to the well-done handouts and presentation. THANK YOU!" –S.S. (Jul. 2018)

"I thought the course was good. I liked the swallowing exercises and how medications impact dysphagia." –– S.L. (May.2018)

"Going over the use of pain medications and their affect on swallowing was most helpful. I liked that I could go through the course at my own pace." – M.G. (Apr. 2018)

"Differentiating the various antipsychotic medications and their affect on a resident's eating and swallowing abilities was excellent." – C.B. (Jan. 2018)

"I appreciate the increased awareness of negative impact of medication upon swallowing skills." – T.M. (Dec. 2017)

"I enjoyed reading the information and taking notes. Medication management is a vital issue in all patients' road to recovery. I especially enjoyed the discussion on medications related to Parkinson's patients, but all is invaluable information." – R.C.C. (Dec. 2017)

"I liked the anatomy and physiology as well as the explanation of why the medications elicited the side effects. Going over the GERD medications was most helpful." – G.L. (Oct. 2017)

"I enjoyed the general review of dysphagia and stages with effects of meds. Easy flow, good basic content." – K.N. (Aug. 2017)

"The review of the Peripheral Nervous System and how meds affect GI tract and function were all very useful." – P.M. (July 2017)

"I was unaware of the specific medications and their affects on swallowing. I plan on formulating a list... a cheat sheet... to have when reviewing meds. Thanks!" – M.T. (June 2017)

"The discussion about the side effects of antidepressants and dysphagia was most beneficial since a high percentage of the population I treat takes antidepressants. I also liked the review of the CNS and PNS and the contributions to dysphagia." – K.L. (May 2017)

"I appreciated the charts to assist with the side effects of the meds. The details and lists of common meds - I will use this immediately in my practice." – A.S. (Mar. 2017)

"I liked that this course was easy to follow and understand as well as the case studies. Going over how the medications impact each phase of the swallow was especially helpful. It would have been nice to have been able to listen to a speaker. A handout / cheat sheet for work would have been very beneficial." – S.B. (Feb. 2017)

"The information provided for all types of medications for specific disorders was very beneficial since I see all of these types of disorders daily." – E.W. (Dec. 2016)

"I really appreciated the medication grids with side effect ratings! These are a great quick reference!" – K.P.S. (Dec. 2016)

"The specific drugs and their side effects were very helpful. I liked being able to read at my own pace rather than listening to someone read to me." – A.M. (Nov. 2016)

"I found the information for my Parkinson's pt's and the effect on swallow as well as side effects to be most useful. I liked the awareness of drugs and how they affect the overall body." – D.G. (Nov. 2016)

"I appreciated the med interactions with dysphagia. I will discuss with our Pharmacy, Neurologist, Attending MD's and PA's. I liked the information and details of how meds affect the CNS." – I.K. (Oct. 2016)

"I am grateful to be more aware of the many medications that can interfere with patient functioning. Good review of the neurotransmitters and effects of medications." – S.B. (Oct. 2016)

"I enjoyed learning about antidepressants, neuropathic drug side effects, and the drug namenda. The slides were well organized." – M.T. (Aug. 2016)

"Discussing both Parkinson's Dz and Alzheimer's Dz was really helpful. I liked going over how drugs effect swallowing phases." – J.L. (July 2016)

"I specifically liked the list of the specific drugs and their side effects. The case studies were very helpful." – C.D. (July 2016)

"Just learning about the different drugs that could cause dysphasia was very useful." – R.C. (June 2016)

"I enjoyed reading more about the specific medications and their side effects. I liked all the case studies and the way they were written and explained. It was great!" – B.C. (June 2016)

"I liked how it discussed what to do or what medications to provide instead... it didn't just tell you what was wrong and the side effects. It told you how to fix the problem." – A.A. (Apr. 2016)

"I enjoyed the review of CNS and pharmacological effects. I like that it addressed dysphagia across the 5 phases." – V.K. (Feb. 2016)

"I appreciated the break down of each drug group and how drugs affect swallowing." – H.L. (Jan. 2016)

"I liked that the charts were easy to understand." – S.R. (Jan. 2016)

"I used to work in a nursing home, this course would be beneficial when reviewing meds patients are on in that setting. I liked that the course was easy to use and follow." – A.H. (Jan. 2016)