Addressing Dysphagia with Cardiopulmonary Disorders

Course Number
This course is FREE for professional members of, pro memberships $189/year: Become a Member
Lisa Milliken, MA, CCC-SLP, FNAP, CDP
This course will provide direction through complicating etiologies of patients with cardiac and pulmonary disease processes, along with the significant polypharmacy that goes with these clinical scenarios. It will include effective, evidence-based resources and interpretive guidelines for the assessment and management of dysphagia in these patients with complex medical conditions.
By the conclusion of this course, participants will be able to:
1. List research determined correlation between dysphagia and the most common cardiopulmonary diseases.
2. Describe at least 3 clinical etiology scenarios of patients with heart failure.
3. State the adverse effects linked to inhalation therapy. 
4. List 5 pharmacologic treatments for the cardiac patient, along with their most common adverse effects.
5. Identify differences in breath sounds, to include how they differ and what respiratory symptom each represent.
6. Cite the traditional dysphagia techniques that are counterproductive for patients with COPD.
7. List interventions and strategies found to be effective with patients who have moderate to severe COPD.

About Lisa: 
Lisa Young Milliken, MA, CCC, FNAP, CDP has served adults and geriatrics as a clinician, manager, vice president, consultant, compliance manager and education director, and is most passionate about mentoring healthcare professionals across the country. She currently provides continuing education to healthcare professionals in 35 states as Education Specialist for Select Rehabilitation and has taught over 200 national and regional conferences, to include numerous national courses to healthcare professionals regarding the effects of medications and polypharmacy. She is a Distinguished Fellow of the National Academies of Practice, where she is a Member of the Forum Planning Committee and serves as Co- Chair of the Networking Subcommittee and Co- Chair of Education/Training and Practice Partnerships and is a member of the American Speech-Language-Hearing Association (ASHA), where she currently serves as a State Advocate for Medicare Policy (StAMP) for Texas. She is also a Certified Dementia Practitioner and mentors senior retirement communities in their development of effective non-pharmacological strategies and dementia program management. 
Additional Information

This course is offered for 0.4 ASHA CEUs (Introductory Level, Professional Area)

Time-Ordered Agenda:

0-5: Introduction 

5-25: An Overview of Heart Failure 

25-45: An Overview of Pulmonary Disease 

45-1:00: Recognizing Breath Sounds 

1:00-1:15: Breakout Session: Case Studies to Identify Clinical Factors 

1:15-1:25: Assessing Respiratory Symptoms 

1:25-1:33: Factors to Consider in the Dysphagia Evaluation  

1:33-1:45: Break  

1:45-2:35: The Pharmacology Factor 

2:35-2:50: Breakout session: Identify factors related to medications in clinical      scenarios 

2:50-3:05: Effects of Inhalation Therapy on Oral Health  

3:05-3:15: Research of Aspiration, COPD & Dysphagia  

3:15-3:25 Research on Thickened Liquids  

3:25-3:40: Applying this Information to Dysphagia Intervention Techniques  

3:40-3:55: Breakout session: Recommend clinical interventions for the assigned clients

3:55-4:00 Wrap-up: Questions/Answers

Disclosure Statement for Lisa Millikan:

Financial: Lisa Millikan is a presenter for and receives royalties. 

Nonfinancial: No relevant nonfinancial relationships exist.

Course Hours
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