Antidepressant therapies are used in the treatment of depression and numerous anxiety disorders, such as obsessive–compulsive disorder (OCD), posttraumatic stress syndrome (PTSD), and other panic disorders.
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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.
Reviewers and Contributors
Part I: Foundations Chapter 1. Introduction to Medication Monitoring by the Rehabilitation Therapist
Principles of Pharmacotherapy
Side Effects of Medications
Special Populations and Medication Risk
Patient Education and Medication Use
Safe and Effective Use of Medications
Chapter 2. Medication's Effects on the Nervous System, Muscle Function, and Cognition
Central Nervous System
Peripheral Nervous System
Medication-Induced Movement Disorders
Chapter 3. Nutrition in the Rehabilitation Patient
Physiology of Nutrition
Incidence, Etiology, and Pathophysiology of Malnutrition
Nutritional Screening, Assessment, and Monitoring
Part II: Medications Used to Treat Psychiatric and Cognitive Disorders Chapter 4. Medications Used to Treat Depression and Bipolar Disorder
Drug Interactions With Antidepressants
Chapter 5. Medications Used to Treat Psychosis and Schizophrenia
Side Effects Associated With Antipsychotic Agents
Role of the Rehabilitation Therapist in Promoting Medication Adherence
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
Chapter 7. Medications Used to Treat Anxiety, Anxiety Disorders, and Insomnia
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
Chapter 9. Medications Used to Treat Spasticity and Muscle Spasm
Chapter 10. Medications Used to Treat Parkinson's Disease
Chapter 11. Medications Used to Treat Amyotrophic Lateral Sclerosis, Multiple Sclerosis, and Myasthenia Gravis
Amyotrophic Lateral Sclerosis
Chapter 12. Medications Used to Treat Other Movement Disorders
Medication-Induced Movement Disorders
Part IV: Medications Used to Treat Pain and Substance-Use Disorders Chapter 13. Medications Used to Treat Pain
Classification of Pain
Chapter 14: Medications Used to Treat Chronic Pain Syndromes
Central Pain Syndromes
Complex Regional Pain Syndrome
Chapter 15. Medications Used to Treat Substance-Use Disorders
Definition of Substance-Use Disorder
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
Control of Infection in the Rehabilitation Center
Chapter 17. Medications Used to Treat Osteoarthritis, Gout, and Rheumatoid Arthritis
Related Rheumatic Diseases
Chapter 18. Medications Used to Treat Cancer
Definition of Cancer
Part VI: Medications Used to Treat Chronic Disease Chapter 19. Medications Used to Treat Hypertension, Congestive Heart Failure, and Cardiac Arrhythmias
Congestive Heart Failure
Chapter 20. Medications Used to Treat Peripheral Artery Disease, Stroke, and Coronary Heart Disease
Peripheral Artery Disease
Coronary Artery Disease
Chapter 21. Medications Used to Treat Diabetes
Chapter 22. Medications Used to Treat Respiratory Disease
Chronic Obstructive Pulmonary Disease
Rehabilitation Considerations for Respiratory Disease
Medication Therapy for Respiratory Disease
Chapter 23. Medications Used to Treat Thyroid Disease, Parathyroid Disease, and Osteoporosis
Chapter 24. Medications Used to Treat Gastrointestinal Disorders
Nausea and Vomiting
Irritable Bowel Syndrome
Inflammatory Bowel Disease
Dyspepsia and Disorders Associated With Delayed Gastric Emptying
Rehabilitation Considerations in Medication Review and Patient Education
Appendix: Medications Delivered by Iontophoresis and Phonophoresis
About the Authors
Textbook for graduate-level courses in pharmacology and rehabilitation;
reference for rehabilitation professionals including physical
therapists, occupational therapists, athletic trainers, and
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
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.
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.