Tools and Resources: Impairment Evaluation Report Audit

1998 ◽  
Vol 3 (4) ◽  
pp. 4-4

Abstract Dysphagia refers to the feeling of difficulty in passing food or liquid from the mouth to the stomach and requires rapid neuromuscular coordination not only of the esophagus but also structures in the oral cavity, pharynx, and larynx during a brief cessation of respiration. The swallowing mechanism can be separated into three stages: oral, pharyngeal, and esophageal. Disabilities resulting directly from dysphagia may arise secondary to aspiration, and the ongoing risk of aspiration has several consequences: limited oral intake of solid food and liquids, restriction of the diet (eg, to foods of a certain consistency), need for assistance when eating, and discomfort associated with eating. Evaluation usually includes assessment by a speech-language pathologist and often is supplemented by a modified barium swallow or a fiberoptic endoscopic evaluation of swallowing. The AMA Guides to the Evaluation of Permanent Impairment describes the process for evaluating impairment for dysphagia in Chapter 4, The Nervous System, Chapter 9, Ear, Nose, Throat, and Related Structures, and Chapter 10, The Digestive System. Section 9.3b, Mastication and Deglutition, includes information about the relationship of dietary restrictions to permanent impairment. Impairment for dysphagia is determined by considering the underlying cause for the dysphagia, dietary restrictions, feeding requirements, and complications.

2017 ◽  
Vol 2 (15) ◽  
pp. 32-41
Author(s):  
Jennine Harvey ◽  
Scott Seeman ◽  
Deborah von Hapsburg

The field of Cognitive Hearing Science examines the relationship between cognitive, linguistic, and hearing functions. Although these areas are of particular importance to speech-language pathology, few studies have investigated applications of cognitive hearing science to clinical practice. The purpose of this review article is to (1) explore and present a summary of cognitive hearing science techniques for dual-task and hearing-in-noise procedures and implications to speech-language pathology, and (2) provide a clinical guide for speech-language pathology in adult multitasking intervention with noise. It is well understood that areas of cognitive skill and hearing function decline with age; therefore, additional understanding of the relationship of these functions is of particular importance to speech-language pathologists working with older individuals. This article meets the American Speech-Language-Hearing Association's (ASHA's) Special Interest Group (SIG) 15's mission of “research-to-practice” professional development by “promoting understanding of the effects of normal and pathological aging on cognition, language […] and hearing” (ASHA, 2017), and is intended to be of interest to the SIG 15 readership.


Geriatrics ◽  
2020 ◽  
Vol 5 (3) ◽  
pp. 51
Author(s):  
Christopher Bolinger ◽  
James Dembowski ◽  
Kimberly Mory

A retrospective study of 1489 hospital records examined the relationship of speech-language pathologist (SLP) consults for dysphagia to age and gender in pneumonia patients from an acute care setting. Age and gender disparities exist in healthcare. The research sought to determine if disparities existed in the presence/absence of SLP dysphagia consults related to age and gender. Results suggested SLPs were consulted on a greater percentage of geriatric patients overall; however, there were differences in the number of consults for each pneumonia type. More males and geriatric patients were seen than females and non-geriatric adults, respectively. Results may be used to address local hospital policies and protocols and thus increase quality of care by improving morbidity and mortality outcomes of geriatric patients with pneumonia.


2015 ◽  
Vol 2 (1) ◽  
pp. 043-049
Author(s):  
Rifiana Hikmawati ◽  
Metti Verawati

Introduction The wrong way to use a bottle of milk can cause bacteria to grow. Of the growthof bacteria in a bottle can interfere with the baby’s digestive system, it can even cause diarrhea in infantsor toddlers. The aim of this study were: to analyze the relationship maternal behavior in the use ofbottles of milk with diarrhea. Methods, research design used in the study is correlational and crosssectional approach. To determine the relationship of maternal behavior in using milk bottle with incidenceof diarrhea in infants with a nominal scale can be searched by using the Chi-Square Test Statistics.Results, Results of chi square analysis obtained x2 x2 count of 4.6 and Table 3.84. So count e” x2 ofx2 tables acceptable means Ha Ho is rejected, it shows no association between maternal behavior in theuse of the bottle with the incidence of diarrhea in infants. Discussion, hoped for the nursing professionnot only serve the clinical aspects (curative and rehabilitation), but needs to be developed for promotiveand preventive efforts in an attempt to prevent the occurrence of diarrhea


2018 ◽  
Vol 7 (3) ◽  
pp. 50
Author(s):  
Saba Asghar

Healthy relationship among the buyer and supplier is the only way to remain competitive in the incentive market. It is the only way to retain the business and the customers. If buyer and supplier are not having this partnership then they might not be enjoying the best outcomes.The objective of this thesis is to examine the core factors that dictate buyer (Super Market) and Supplier (Distributor) relationship in retail industry. In this research, aspects has been studied that could have affected or affects the relationship of buyer & supplier in positive or negative manner. The research has covered the retail market and will be dictating the key aspects of maintaining the healthy buyer and supplier relationships. This will be helping the retail owners and retail brands to gain the competitive edge from others and always remain ahead. This research will help both the stakeholders of this industry to maintain healthy relationships between them and indicates them that what the issues that create problems between them are.The thesis employed an empirical approach designed in three stages; aggregate and firm level analysis using official data, firm level analysis using survey and finally case studies aimed at providing deeper insights into the underlying issues observed in the survey findings. Three literature strands were adopted: spillover, cluster and network dynamics.


2013 ◽  
Vol 454 ◽  
pp. 125-128
Author(s):  
Yuan Li ◽  
Zhen Li ◽  
Tie Jun Xu

In order to get brittle shear characteristics of rock material, acoustic emission accompanied with triaxial stress-strain test was applied to monitor the emergence and development of micro cracks. Theoretical analysis and data processing were conducted based on the theories of fracture mechanics and general rock mechanics, relations between the feature strength of three stages and the stress state were obtained, and a method was put forward for analyzing the brittle shear failure of rock material. The relationship of the Mohr-Coulomb strength theory, Griffith strength theory and Hoek-Brown criterion with the brittle-shear strength model were established. Strength analysis of mixed granite in Shuichang slope was carried out by the brittle shear failure model, and the theoretical value and experimental value has a good consistency.


2008 ◽  
Vol 19 (4) ◽  
pp. 433-443 ◽  
Author(s):  
Christina A. Baumgartner ◽  
Emily Bewyer ◽  
Diane Bruner

Patients in adult, pediatric, and neonatal intensive care settings often require the services of a speech-language pathologist. It is common practice to consult a speech pathologist to determine whether a patient is ready to initiate oral intake or help a patient with an artificial airway communicate. Assessments for dysphagia are initially clinical and conducted at bedside. Results from the clinical evaluation help determine if and when an instrumental examination should be completed. Patients who are tracheostomized, or had been, and those who were intubated for a prolonged period are at risk for aspiration. Speaking valves allow patients to communicate orally. Some studies have shown that speaking valves might also reduce the risk of aspiration with oral intake. Collaboration between speech-language pathologists and critical care nurses is a vital component for ensuring patient safety and success in both communication and eating.


2021 ◽  
Author(s):  
H Rushton ◽  
Guy Marriage ◽  
Marc Aurel Schnabel

From the craft production of the Gothic to the standardised industrial production of the Bauhaus, this research follows the development of modern architecture and the evolution of façade construction. This paper examines how, as technology has continued to advance and modes of production have evolved, complete dematerialisation - defined in this paper as a non-structural glass exterior walls - of the façade was achieved with the curtain wall. This research aimed to establish a link between Gothic and Bauhaus architecture to propose a lineage for modern curtain wall façade production and construction. The paper argues that changing modes of production is in response to construction issues, technological innovation and are dependent on the socio-cultural context of a specific time. Presenting a lineage that places this evolution into three stages - pre-industrial, industrial, and post-industrial - the relationship of architecture, technology and how construction methods respond to new technology will be illustrated. This paper will examine the curtain wall's arrival in New Zealand as a case study for the international dissemination of this system, to conclude with a discussion that outlines how the architecture of a post-industrial age both favours and can produce customised and complex façades.


2018 ◽  
Vol 18 (1) ◽  
pp. 73-86
Author(s):  
Raden Ayu Ritawati

          The purpose of this research is to know the influence of Malay and Islam in shaping the social character of Palembang Malay workers in global economic development. The Islamic economic norms embedded and rooted in the local social identity of the local Malays are the key determinants of evaluative aspects of a judging nature. This research departs from the reason as Ushul Fiqih's written adage says "Al-Muhafazhatu'alal 'qadimis salih wal-akhdzu bil jadidil ashlah" which means "Maintaining a good old value and seeking new value better.” Field research with the participation of observations and in-depth interviews uses a qualitative approach. Respondents in this study are Palembang original Malay Muslim community, spread over 14 districts using random sampling technique. While the method of data analysis is cyclical of three stages: data collection, data display and data verification.           The results of this study prove that excessive material competition in the global economy has resulted in an anomic Palembang Malay society. Achievements in the economic field, it turns out to have transformed Palembang Malay people into a generation that is uprooted from values, fragile from the spiritual aspect, give up easily and lose socio-economic footing. The relationship of Malayness and Islamism obscures the role and competitiveness of Palembang Malay Muslims themselves in the global economic arena.


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