The Role of Speech-Language Pathology and Audiology in the Optimal Management of the Service Member Returning From Iraq or Afghanistan With a Blast-Related Head Injury

2010 ◽  
Vol 25 (3) ◽  
pp. 219-224 ◽  
Author(s):  
Leora R. Cherney ◽  
Patricia Gardner ◽  
Jeri A. Logemann ◽  
Lisa A. Newman ◽  
Therese OʼNeil-Pirozzi ◽  
...  
Keyword(s):  
Head Injury ◽  
Service Member ◽  
Optimal Management ◽  
Speech Language Pathology ◽  
Language Pathology

The Role of PT, OT, and Other Therapies in Palliative Care for Seriously Ill Patients

2019 ◽  
pp. 682-689
Author(s):  
Dennis Lin ◽  
Megan Borjan ◽  
Seanell D. San Andres ◽  
Christina Kelly
Keyword(s):  
Palliative Care ◽  
Terminal Illness ◽  
Symptom Burden ◽  
Speech Language Pathology ◽  
Functional Impairments ◽  
Recreation Therapy ◽  
Rehabilitation Team ◽  
Language Pathology ◽  
Seriously Ill Patients

This chapter describes the roles of physical therapy, occupational therapy, speech language pathology, and recreation therapy in providing rehabilitation for patients receiving palliative care. Palliative rehabilitation should be included as part of a comprehensive interdisciplinary effort to support patients who experience functional impairments or symptoms that impact daily life and that result from terminal illness. Palliative rehabilitation focuses on creating collaborative goals that address disability and easing symptom burden to maximize or maintain function throughout every stage of disease. Patients receiving the appropriate rehabilitative interventions can adapt to the changes and foster an optimal quality of life. Nurses collaborate with the rehabilitation team so that patients and their caregivers can achieve a greater benefit from their palliative care.

Different Clinical Perspectives of Good and Poor Therapy Sessions

1987 ◽  
Vol 30 (3) ◽  
pp. 335-342 ◽  
Author(s):  
Joanne Erwick Roberts ◽  
Vicki McCready
Keyword(s):  
Graduate Student ◽  
Clinical Training ◽  
Causal Attributions ◽  
Therapy Session ◽  
Speech Language Pathology ◽  
Training Process ◽  
Observer Bias ◽  
Language Pathology ◽  
Therapy Sessions

This study investigated differences in causal attributions made by student clinicians taking actor and observer roles in good and poor therapy Sessions. One hundred thirty-four graduate student clinicians in speech-language pathology were asked to imagine a hypothetical good or poor therapy session in which they took either the role of a clinician working with a client in a session or that of a clinician observing the session. To account for the session's hypothesized outcomes, clinicians taking the actor role cited client causes more frequently than other causes while clinicians taking the observer role cited clinician causes. These results are consistent with the actor-observer bias documented extensively in the psychological and educational literatures. Clinicians' causal attributions also differed for good and poor therapy sessions. Implications are discussed in terms of possible impact on the clinical training process in speech-language pathology.

Whose Service Is It Anyway? Patients as Co-Designers to Improve Dysphagia Care Pathways

2020 ◽  
Vol 5 (4) ◽  
pp. 1011-1014
Author(s):  
Grainne C. Brady ◽  
Justin W. G. Roe
Keyword(s):  
Service Provision ◽  
Oropharyngeal Dysphagia ◽  
Evidence Base ◽  
Care Pathways ◽  
Speech Language Pathology ◽  
Service Capacity ◽  
National Guidance ◽  
Language Pathology ◽  
Working Together

Purpose The field of speech-language pathology has made remarkable strides to improve the evidence-based management of oropharyngeal dysphagia. Dysphagia services have evolved in response to the ever-increasing evidence base for the role of the speech-language pathology in the assessment, diagnosis, and management of oropharyngeal dysphagia. However, dysphagia service pathway design and provision are driven by service capacity or national guidance. Rarely are patients and clinicians truly working together to develop or redesign dysphagia care pathways. This article will describe Experience Based Co-Design and how the methodology has contributed to a better understanding of pretreatment service provision at our center. Conclusion We make recommendations for clinicians on the application of this methodology in future projects for the design and redesign of speech-language pathology dysphagia services.

Current Policies and New Directions for Speech-Language Pathology Assistants

2001 ◽  
Vol 32 (1) ◽  
pp. 4-17 ◽  
Author(s):  
Diane Paul-Brown ◽  
Lynette R. Goldberg
Keyword(s):  
Communication Networks ◽  
Professional Education ◽  
Policy Development ◽  
Development Research ◽  
Service Delivery System ◽  
Speech Language Pathology ◽  
Appropriate Use ◽  
New Directions ◽  
Language Pathology

This article provides an overview of current American Speech-Language-Hearing Association (ASHA) policies for the appropriate use and supervision of speech-language pathology assistants with an emphasis on the need to preserve the role of fully qualified speech-language pathologists in the service delivery system. Seven challenging issues surrounding the appropriate use of speech-language pathology assistants are considered. These include registering assistants and approving training programs; membership in ASHA; discrepancies between state requirements and ASHA policies; preparation for serving diverse multicultural, bilingual, and international populations; supervision considerations; funding and reimbursement for assistants; and perspectives on career-ladder/bachelor-level personnel. The formation of a National Leadership Council is proposed to develop a coordinated strategic plan for addressing these controversial and potentially divisive issues related to speech-language pathology assistants. This council would implement strategies for future development in the areas of professional education pertaining to assistant-level supervision, instruction of assistants, communication networks, policy development, research, and the dissemination/promotion of information regarding assistants.

Personality and Specialty Choice in Speech-Language Pathology Students

2017 ◽  
Vol 46 (2) ◽  
pp. 130-143 ◽  
Author(s):  
Morgan V. Leonard ◽  
Laura W. Plexico ◽  
Allison M. Plumb
Keyword(s):  
Personality Traits ◽  
Personality Types ◽  
Specialty Choice ◽  
Speech Language Pathology ◽  
Student Groups ◽  
Electronic Survey ◽  
Demographic Questionnaire ◽  
Language Pathology ◽  
And Control

The role of personality in specialty choices of speech-language pathology (SLP) students was examined. Specialty choices were obtained using a demographic questionnaire, and personality was measured with the Multidimensional Personality Questionnaire (MPQ) in an electronic survey. The personalities of SLP students were compared to students in nine educational majors using Hotelling’s T2-test analyses. Multivariate analyses of variance were conducted to evaluate the effects of the 11 primary personality traits on age and setting choice. SLP students were found to significantly differ from the nine examined majors in the MPQ primary traits—social potency, alienation, aggression, harm avoidance, and control. Students were found to be organized, trusting of peers, nonaggressive, and harm avoidant when compared to other student groups. Personality traits did not significantly contribute to age or facility choice, and the degree of variance in the responses may indicate that a variety of personality types can thrive within the field.

scholarly journals Is Laryngeal Hypersensitivity the Basis for Unexplained or Refractory Chronic Cough?

2021 ◽  
pp. 00793-2020
Author(s):  
Krishna M. Sundar ◽  
Amanda Carole Stark ◽  
Nan Hu ◽  
Julie Barkmeier-Kraemer
Keyword(s):  
Chronic Cough ◽  
Upper Airway ◽  
Speech Language Pathology ◽  
Appropriate Treatment ◽  
Leicester Cough Questionnaire ◽  
Language Pathology ◽  
History Of ◽  
Common Problems ◽  
Over 40 Years

BackgroundRefractory chronic cough (RCC) and unexplained chronic cough (UCC) are common problems seen in primary care and subspecialty clinics. The role of cough hypersensitivity and laryngeal dysfunction in contributing to the persistence of cough in RCC/UCC is not well recognised.MethodsData of patients with RCC and UCC evaluated in 2019 by an interdisciplinary cough clinic led by a pulmonologist and speech-language pathology team was reviewed. Patients completed validated questionnaires including the Leicester cough questionnaire (LCQ), voice handicap index (VHI) and dyspnea index questionnaire (DI) at initial encounter. Presence of cough hypersensitivity was based upon a history of allotussia and hypertussia. Laryngeal dysfunction was diagnosed in those with a history of laryngeal paresthesias, throat clearing, voice abnormalities, upper airway dyspnoea and documentation of functional or anatomic laryngeal abnormalities on nasoendoscopy.FindingsOf the 60 UCC/RCC patients analysed, 75% of patients were female and 85% were over 40 years of age. Cough hypersensitivity was documented in all patients and multiple cough triggers occurred in 75% of patients. 95%, 50% and 25% of patients reported laryngeal paresthesias, voice abnormalities and upper airway dyspnoea, respectively. Significant associations between LCQ and VHI and DI scores occurred when adjusting for age, gender, ethnicity and body mass index. Laryngeal functional abnormalities were documented on 44/60 patients on nasoendoscopy.InterpretationHypertussia, allotussia and laryngeal dysfunction are common in patients with RCC and UCC. Evaluation of UCC and RCC can delineate laryngeal hypersensitivity and allows appropriate treatment to be directed at this phenotype.

Implications of Socioeconomic Trends for Speech-Language Pathology

1994 ◽  
Vol 3 (3) ◽  
pp. 45-47 ◽  
Author(s):  
Ray D. Kent
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Knowledge Base ◽  
Speech Language Pathology ◽  
Human Communication ◽  
Future Role ◽  
Critical Elements ◽  
Intervention Efficacy ◽  
Language Pathology

Demographic, economic, and technological trends are likely to reshape educational, clinical, and research programs in speech-language pathology over the next three decades. The changes could be dramatic. These trends should be taken into account in planning the future role of speech-language pathology in health care and education. Critical elements in such planning include fostering behavioral and biomolecular research pertinent to human communication, promoting research on intervention efficacy, and developing a technology and knowledge base that are central to clinical practice.

Team Management of Velopharyngeal Inadequacy: Practical Suggestions for Speech-Language Pathologists and Surgeons

2019 ◽  
Vol 4 (5) ◽  
pp. 850-856 ◽  
Author(s):  
Adriane L. Baylis ◽  
Jamie Perry ◽  
Kristina Wilson ◽  
Scott Dailey ◽  
Anne Bedwinek ◽  
...  
Keyword(s):  
Working Group ◽  
Interdisciplinary Team ◽  
Advanced Training ◽  
Optimal Management ◽  
Team Management ◽  
Speech Language Pathology ◽  
Care Model ◽  
Pertinent Literature ◽  
Team Care ◽  
Language Pathology

Purpose This article aims to provide a set of guiding principles for interdisciplinary team care of velopharyngeal inadequacy (VPI) for speech, regardless of the etiology. Method A working group of practitioners with advanced training and experience in the management of patients with cleft palate/velopharyngeal disorders, including representatives from speech-language pathology, otolaryngology, and plastic surgery, was formed. Pertinent literature was reviewed, and practical suggestions for clinicians were developed through consensus discussion. Results Seven key principles were identified as being integral to the provision of interdisciplinary team care for VPI. Conclusion Collaborative interdisciplinary team care for persons with velopharyngeal disorders is key to optimal management and outcomes. Practical suggestions for implementing an interdisciplinary team care model for management of cleft-related and noncleft VPI are described.

A New Focus on Supervision: Looking to the Future

2008 ◽  
Vol 18 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Lisa Cabiale O’Connor
Keyword(s):  
Clinical Supervision ◽  
Clinical Education ◽  
Formal Education ◽  
Speech Language Pathology ◽  
Specialty Area ◽  
Distinct Area ◽  
Language Pathology ◽  
Supervisory Process ◽  
Definition Of

Abstract This article examines some of our assumptions about clinical supervision, such as, good clinicians automatically make good supervisors, the major role of the supervisor is evaluation, and formal education is not necessary for engaging in supervision. It is important to examine what actions or future directions are necessary so that we do more than just say we recognize supervision as a distinct area of practice. It is time to identify actions professionals and/or the professions need to take in order to ensure quality supervision and, as a result, more effective clinical education. Suggestions include, among others, focusing on increased knowledge and understanding of the supervisory process in speech-language pathology and audiology, acknowledging that education in supervision makes a difference and creates opportunities for professionals to obtain such education, developing and distributing new professional policy documents that focus on supervision, recognizing and promoting a comprehensive definition of the supervisory process, developing tools to evaluate the effectiveness of supervisors, and promoting research that supports the efficacy of supervision in the professions. Supervision is necessary; it is guided by competencies that require training; it is both an art and a science; and, it is a specialty area of the professions.

Dysphagia and Considerations for Nutritional Intervention

2021 ◽  
pp. 1-23
Author(s):  
Maryanne Weatherill
Keyword(s):  
Clinical Problem ◽  
Nutritional Intervention ◽  
Speech Language Pathology ◽  
Nutritional Interventions ◽  
Clinical Problem Solving ◽  
Speech Language Pathologist ◽  
Interdisciplinary Practice ◽  
Language Pathology ◽  
Management Of Dysphagia

This chapter discusses a clinical case from the interdisciplinary practice of dysphagia and the collaboration between speech-language pathology clinicians and dietetics professionals from the perspective of the speech-language pathologist. The discussion begins with an introduction to the normal swallowing process to better understand disordered swallowing and the role of therapeutic and compensatory interventions. Changes in swallowing that occur with normal aging and their impact are identified and reviewed. Common interventions and considerations in the clinical management of dysphagia from the perspective of the speech-language pathologist are included with rationale based on the current literature. Swallowing motor functions and factors in dysphagia decision making are discussed in relationship to clinical problem solving with a sample case and nutritional interventions. The chapter closes with general recommendations and conclusions to assist in learning and understanding of the concepts discussed.

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