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Practical Pharmacology in Rehabilitation PDF With Web Resource

Practical Pharmacology in Rehabilitation PDF With Web Resource

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    Ebook

    Practical Pharmacology in Rehabilitation: Effect of Medication on Therapy With Web Resource serves as a textbook for students and a reference book for practicing rehabilitation professionals. Rather than discussing pharmacology as it relates to only a limited segment of rehabilitation professions, this text takes an interdisciplinary approach to the effects of medications on rehabilitation patients and assists rehabilitation professionals in designing patient-specific therapy plans based on coexisting disease states.

    Practical Pharmacology in Rehabilitation explains the necessary pharmacology and then focuses on the relationship between medications and the rehabilitation process. It offers a proactive approach to educating the patient and caregiver, monitoring the patient for side effects, and modifying therapy plans to provide the most effective and safe therapy for each patient. Written by a clinical pharmacist, a speech-language pathologist, and a physical therapist and athletic trainer, this unique guide helps readers in these ways:

    • Optimize rehabilitation sessions with appropriately timed and dosed administration of medication.

    • Understand the effects of medication on cognition and learning necessary for accomplishing the tasks of rehabilitation.

    • Identify medication-associated issues affecting the rehabilitation progress, such as dysphagia and problems with muscle function.

    • Work with patients, caregivers, staff, and physicians to determine appropriate interventions regarding medication use in patients.

    In each chapter, Patient Cases based on the authors’ clinical experiences engage readers in understanding how medications can positively or negatively affect the rehabilitation process. Readers will need to consider the role of various medications, drug interactions, and drug intolerances on speech and language, cognition, and ADL and motor functioning as they apply concepts to determine possible solutions to each case. Throughout the text more than 100 easy-to-use tables provide quick access to information, including potential side effects affecting rehabilitation for common medications used in treatment for many conditions and other possible side effects or considerations. Expanded versions of many of these tables are offered as downloadable PDFs in the accompanying web resource. Those tables provide more complete and in-depth coverage by breaking medications down by class, indications, dosage, and potential side effects or interactions.

    Practical Pharmacology in Rehabilitation begins by presenting foundational concepts necessary for understanding clinical disease states and the impact of medications used for treatment on rehabilitation. Chapters that follow are grouped by categories of clinical disease covering psychiatric and cognitive disorders, neurologic and movement disorders, chronic pain syndromes and substance abuse disorders, immune system disorders, and common chronic diseases such as diabetes, cardiac disease, thyroid and parathyroid disease, respiratory diseases, gastrointestinal diseases, and dysphagia.

    Each chapter begins with a definition of the condition or special population that it focuses on. Chapters are organized to provide an overview of the pathophysiology, pharmacology, mechanism of action, dosing and monitoring for effects, drug and food interactions, side effects and effects on rehabilitation, and the role of various rehabilitation specialists for each disease state. Summaries conclude each chapter to reinforce the important concepts covered. A glossary is included, and terms are boldfaced in the text to denote their inclusion. A medication index, an index of important terms, and an appendix with information on administering medications using iontophoresis and phonophoresis are also included.

    With Practical Pharmacology in Rehabilitation, students in rehabilitation and related health care fields can gain essential knowledge to prevent adverse occurrences and medical complications and work with their patients, caregivers, pharmacists, and physicians to optimize rehabilitation and the return to daily living. For rehabilitation professionals, this essential reference provides an integrated understanding of medication use with nonpharmacologic therapies in rehabilitation patients.

    Table of Contents

    Part I: Foundations

    Chapter 1. Introduction to Medication Monitoring by the Rehabilitation Therapist

    Principles of Pharmacotherapy

    Generic Medications

    Side Effects of Medications

    Special Populations and Medication Risk

    Patient Education and Medication Use

    Safe and Effective Use of Medications

    Summary

    Chapter 2. Medication’s Effects on the Nervous System, Muscle Function, and Cognition

    Central Nervous System

    Peripheral Nervous System

    Medication-Induced Movement Disorders

    Summary

    Chapter 3. Nutrition in the Rehabilitation Patient

    Physiology of Nutrition

    Incidence, Etiology, and Pathophysiology of Malnutrition

    Nutritional Screening, Assessment, and Monitoring

    Rehabilitation Considerations

    Summary

    Part II: Medications Used to Treat Psychiatric and Cognitive Disorders

    Chapter 4. Medications Used to Treat Depression and Bipolar Disorder

    Depression

    Drug Interactions With Antidepressants

    Bipolar Disorder

    Summary

    Chapter 5. Medications Used to Treat Psychosis and Schizophrenia

    Psychosis

    Agitation

    Side Effects Associated With Antipsychotic Agents

    Drug Interactions

    Role of the Rehabilitation Therapist in Promoting Medication Adherence

    Rehabilitation Considerations

    Summary

    Chapter 6. Medications Used to Treat Delirium, Dementia, and Alzheimer’s Disease

    Reversible Cognitive Impairment Caused by Medications

    Reversible Cognitive Impairment Caused by Medication-Associated Delirium

    Irreversible Cognitive Impairment

    Summary

    Chapter 7. Medications Used to Treat Anxiety, Anxiety Disorders, and Insomnia

    Anxiety Disorders

    Insomnia

    Summary

    Part III: Medications Used to Treat Neurologic and Movement Disorders

    Chapter 8. Medications Used to Treat Seizure Disorders

    Classification of Seizures

    Seizures, Convulsions, and Epilepsy

    Summary

    Chapter 9. Medications Used to Treat Spasticity and Muscle Spasm

    Spasticity

    Muscle Spasm

    Summary

    Chapter 10. Medications Used to Treat Parkinson’s Disease

    Parkinson’s Disease

    Summary

    Chapter 11. Medications Used to Treat Amyotrophic Lateral Sclerosis, Multiple Sclerosis, and Myasthenia Gravis

    Amyotrophic Lateral Sclerosis

    Multiple Sclerosis

    Myasthenia Gravis

    Summary

    Chapter 12. Medications Used to Treat Other Movement Disorders

    Essential Tremor

    Subcortical Dementia

    Huntington’s Disease

    Wilson’s Disease

    Restless-Leg Syndrome

    Medication-Induced Movement Disorders

    Summary

    Part IV: Medications Used to Treat Pain and Substance-Use Disorders

    Chapter 13. Medications Used to Treat Pain

    Classification of Pain

    Summary

    Chapter 14. Medications Used to Treat Chronic Pain Syndromes

    Migraine Headache

    Fibromyalgia

    Trigeminal Neuralgia

    Cancer Pain

    Amputation Pain

    Central Pain Syndromes

    Complex Regional Pain Syndrome

    Summary

    Chapter 15. Medications Used to Treat Substance-Use Disorders

    Definition of Substance-Use Disorder

    Alcohol-Abuse Disorders

    Drug-Abuse Disorders

    Summary

    Part V: Medications Used to Treat Disorders of the Immune System

    Chapter 16. Medications Used to Treat Infections

    Classification of Bacteria

    Urinary Tract Infections

    Skin and Soft-Tissue Infections

    Surgical Wound Infections

    Vascular Ulcers and Pressure Ulcers

    Diabetic Foot Infections

    Pneumonia

    Antibiotic-Associated Diarrhea

    Control of Infection in the Rehabilitation Center

    Summary

    Chapter 17. Medications Used to Treat Osteoarthritis, Gout, and Rheumatoid Arthritis

    Osteoarthritis

    Gout

    Rheumatoid Arthritis

    Related Rheumatic Diseases

    Summary

    Chapter 18. Medications Used to Treat Cancer

    Definition of Cancer

    Summary

    Part VI: Medications Used to Treat Chronic Disease

    Chapter 19. Medications Used to Treat Hypertension, Congestive Heart Failure, and Cardiac Arrhythmias

    Cardiovascular Disease

    Hypertension

    Congestive Heart Failure

    Cardiac Arrhythmias

    Summary

    Chapter 20. Medications Used to Treat Peripheral Artery Disease, Stroke, and Coronary Heart Disease

    Atherosclerosis

    Peripheral Artery Disease

    Stroke

    Coronary Artery Disease

    Summary

    Chapter 21. Medications Used to Treat Diabetes

    Diabetes Mellitus

    Diabetic Neuropathy

    Summary

    Chapter 22. Medications Used to Treat Respiratory Disease

    Respiratory System

    Chronic Obstructive Pulmonary Disease

    Emphysema

    Chronic Bronchitis

    Asthma

    Rehabilitation Considerations for Respiratory Disease

    Medication Therapy for Respiratory Disease

    Summary

    Chapter 23. Medications Used to Treat Thyroid Disease, Parathyroid Disease, and Osteoporosis

    Thyroid Disease

    Hyperthyroidism

    Hypothyroidism

    Osteoporosis

    Paget’s Disease

    Hyperparathyroidism

    Hypoparathyroidism

    Summary

    Chapter 24. Medications Used to Treat Gastrointestinal Disorders

    Nausea and Vomiting

    Constipation

    Irritable Bowel Syndrome

    Inflammatory Bowel Disease

    Dyspepsia and Disorders Associated With Delayed Gastric Emptying

    Eosinophilic Esophagitis

    Dysphagia

    Rehabilitation Considerations in Medication Review and Patient Education

    Summary

    About the Author

    Lynette L. Carl, BS, PharmD, BCPS, CP, is an assistant professor of clinical practice at the University of Florida College of Pharmacy and a clinical instructor in pharmacology at South University in Tampa, Florida. Previously, she worked as a clinical coordinator and assistant professor of pharmacy practice at Largo Medical Center in Largo, Florida.

    Carl has three decades of experience as a pharmacist and consultant pharmacist, including 13 years as a pharmacy director and 15 years as an assistant director or clinical coordinator. In 1997, Carl became a board-certified pharmacotherapy specialist, the highest accomplishment for a clinical pharmacist. She has been practicing as a clinical pharmacist working with other health care practitioners since 1986.

    Carl has significant experience in developing clinical pharmacy programs to improve clinical pharmacy practice and patient care. She is a frequent presenter on medication use to professionals and students of many disciplines in health care. Carl is also coauthoring two texts on drugs and dysphagia.

    Carl is a member of the American College of Clinical Pharmacy, American Society of Health-System Pharmacists, Florida Society of Health-System Pharmacists, Southwest Society of Health-System Pharmacists, American Society for Parenteral and Enteral Nutrition, and the Florida Society for Parenteral and Enteral Nutrition.

    In her spare time, Carl enjoys traveling, snorkeling, fishing, and playing with her dogs. She and her husband, Randel Sturgeon, reside in Indian Rocks Beach, Florida.

    Joseph A. Gallo, DSc, ATC, PT, earned his doctorate degree in sport physical therapy, his master’s degree in physical therapy, and his bachelor of science degree in physical education and athletic training. He serves as director and associate professor of the athletic training program in the sport and movement science department at Salem State University in Salem, Massachusetts. Dr. Gallo has served as an adjunct faculty member in the Notre Dame College physical therapy program and Franklin Pierce University doctor of physical therapy program. He has was an instructor and director of rehabilitation for the Keene State College athletic training program in Keene, New Hampshire, and professor and director of the Hesser College physical therapist assistant program. Gallo also worked as a high school and college athletic trainer and delivered rehabilitation services in outpatient clinics, subacute settings, and in-home settings. Gallo has published his research in the Journal of Orthopaedic & Sports Physical Therapy and the Chinese Journal of Sports Medicine. He is a nationally recognized speaker who has presented over 300 courses to rehabilitation professionals throughout the United States. Gallo is currently a certified instructor for the VitalStim certification course teaching NMES for the treatment of dysphagia. He is also a United States Professional Tennis Association teaching professional, the founder and director of Summer's Edge Tennis School, and the men’s tennis coach for Salem State University. Joe enjoys running, playing tennis, hiking, and camping with his wife, Gina. They live in Salem, Massachusetts.

    Peter R. Johnson, PhD, CCC-SLP, earned his MS and PhD in speech-language pathology from the University of Pittsburgh and an executive graduate degree in health care financial management from Ohio State University. He has worked in acute-care hospitals, home care, outpatient clinics, and long-term care and has written numerous articles on rehabilitation. Johnson served as a column editor for the American Speech-Language Hearing Association Special Interest Division (ASHA SID) 13 Dysphagia newsletter and for the ASHA SID 11 newsletter. He was on the executive board of the Florida Association of Speech-Language Pathologists and Audiologists. He was a three-time recipient of the President’s Award and the Outstanding Service Award.

    Johnson has coauthored two books, Business Matters: A Guide for the SLP and Drugs and Dysphagia: How Medications Affect Eating and Swallowing. He is currently working on another book on cognition and dementia.

    Johnson has lectured at various hospitals and universities on the subject of cognition, dysphagia, and polypharmacy. He is currently the speech mentor for Select Medical Rehabilitation Services, where he develops continuing education programs as well as one-to-one mentoring. He is also the vice chair of the Florida Department of Health licensing board for speech-language pathologists and audiologists. Johnson is an adjunct faculty and dissertation chair for Nova Southeastern University.

    Johnson enjoys sailing, reading, and teaching. He and his wife, Joanne, live in Port Richey, Florida.

    Ancillaries

    All ancillary materials are FREE to course adopters and available at www.HumanKinetics.com/PracticalPharmacologyInRehabilitation.

    Web resource
    The companion web resource offers access to 48 tables, providing more complete and in-depth coverage of medications than presented in the book’s tables. These tables are broken down by class, indications, dosage, and potential side effects or interactions, as well as likelihood of the occurrence of these effects. Unique callouts and icons in the text direct readers to the web resource for these expanded tables.