scholarly journals Specyfika pracy oraz rola logopedy w interdyscyplinarnym modelu opieki nad chorym po udarze mózgu

2019 ◽  
Vol 20 (4) ◽  
pp. 181-196
Author(s):  
Magdalena Osowicka-Kondratowicz ◽  
Joanna Białkowska ◽  
Paweł Białkowski

The interdisciplinary team involved in the rehabilitation process of the post-CVA patient requires close co-operation among all involved health care professionals in order to ensure a continuous exchange of information and to relate the same information to the patient. The lack of awareness of each team member’s work-related tasks could jeopardize the effectiveness of the rehabilitation process instead of enhancing it. Therapeutic goals cannot be achieved during the rehabilitation process if there is inadequate team cooperation when treating a patient. For example, unfamiliarity with the treatment approach that is utilized by the speech therapist may cause developing pathological movement patterns in CVA patients. Interdisciplinary teamwork is a complex process which needs to be based on exchanging knowledge and skills to impact patient care. The purpose of this article is to describe the speech therapy approach to the rehabilitation of a post CVA patient. This type of approach needs to be included in the planning of a complex care for a population of patients with neurological disorders, especially for those suffering from CVA. These patients comprise the majority of neurological disorders.

2019 ◽  
Vol 23 (2) ◽  
Author(s):  
Katarzyna Sędek ◽  
Marcin Bonikowski ◽  
Mariusz Pawłowski ◽  
Jakub S. Gąsior

Introduction. The knowledge about the opinion of parents/legal caregivers of young patients with cerebral palsy (CP) on the methods of rehabilitation is important in the treatment process because they know children’s needs and are their daily observers which allows for continuous verification of the health status discrepancies. Aim. The aim of this study was to describe parents’/legal caregivers’ opinion on the quality and the effectiveness of the selected forms of rehabilitation in children and adolescents with CP. Material and methods. The parents’/legal caregivers’ opinions were collected using a self-developed questionnaire. A total of 120 parents/legal guardians of the children and adolescents with a wide range of neurological disorders participated in the study. Results. According to the respondents answers, the number of days of therapy during the year is insufficient, which encourages to look for additional, paid forms of therapy. In addition, the parents clearly emphasized the essence of communication with the therapist and the willingness to be informed about the therapy. In their opinion, additional therapies with a psychologist, speech therapist and occupational therapist are an important element of the rehabilitation process. A significant number of parents/legal caregivers expressed their interest in the possibility of meeting a therapeutic team. Conclusions. It can also be concluded that parents/legal caregivers do not know both the nomenclature used by therapists and the results of scientific researches. Among the rehabilitation methods hydrotherapy and the NDT-Bobath method were considered the most effective.


2019 ◽  
Vol 13 (1) ◽  
pp. 72-77
Author(s):  
Maysa Luchesi Cera ◽  
Tatiana Piovesana Pereira Romeiro ◽  
Patricia Pupin Mandrá ◽  
Marisa Tomoe Hebihara Fukuda

ABSTRACT. The most common acquired communication disorders are aphasia, dysarthria and apraxia of speech. Determining the factors associated with speech therapy time of adults with these disorders can further the understanding of the speech and language rehabilitation process within the public service and linked to the health education process. Objective: To analyze the types of acquired neurological disorders of communication of patients treated during the first years of implementation of a medium complexity service, along with demographic data, and rehabilitation time; and to determine associations between rehabilitation time and age, education, type of communication disorder, neurological disease duration and having been seen by a trainee. Methods: A retrospective analysis of the records of patients with acquired neurological disorders of communication who started speech and language rehabilitation between 2010 and 2011 was performed. Results: A total of 86 cases with acquired disorders of communication were seen, of whom 66% had aphasia, 35% dysarthria and 26% apraxia of speech. Mean age was 59 years and stroke was the most frequent cause (71%). Fifty patients completed speech-language rehabilitation and had a mean therapy time of 12 months. Aphasia and apraxia of speech were associated with a longer rehabilitation time. Therapy time until discharge was not significantly associated with lesion duration, education, age or being seen by a trainee. Conclusion: The duration of speech therapy for acquired neurological disorders of communication is long and associated with the type of disorder.


Author(s):  
Kristina V. Nagle ◽  

The stage of automating the set sounds, especially in children with severe speech disorders, is a long and complex process. To make this process more interesting and entertaining for the child, we actively use visual technologies in our work. By making plasticine pictures, a speech therapist teacher can effectively interact with children who receive speech therapy assistance.


The results of psycho-correction speech therapy are analyzed in dynamics in 78 patients with varying severity and various forms of speech disorders in the early and late recovery periods of ischemic stroke. The effectiveness of conducting classes during the stay of patients in a neurological hospital and the positive impact of these exercises in the inpatient period (outpatient classes, classes at home with a speech therapist and trained relatives) are shown. Patients who did not conduct speech recovery classes during the inter-stationary period showed a decrease in speech activity, in some even a negative dynamic.


Author(s):  
José Vítor Gonçalves ◽  
Luísa Castro ◽  
Guilhermina Rêgo ◽  
Rui Nunes

Nurses working in palliative care are at risk of burnout. The Copenhagen Burnout Inventory was used to determine burnout levels of nurses working in the Portuguese national network of palliative care. We evaluated the contribution of personal, work, and COVID-19 variables in three burnout subclasses: personal, work, and patient-related. A cross-sectional, exploratory, and quantitative design was employed and participants were sampled using convenience and snowball technique. An online survey was conducted and 153 nurses participated in our study. Socio-demographic characterization was conducted, levels of burnout and determinants were explored through multiple linear regression models for its three dimensions. High levels of personal, working, and patient burnout were present in 71 (46%), 68 (44%), and 33 nurses (22%), respectively. Most of them agreed that COVID-19 had an impact on their activities. Significant personal and work related burnout factors found were specialization in palliative care, self-perceived health status, unit type, weekly hours of work, and allocation to COVID-19 units. Gender was found to be a significant factor in patient-related burnout. There is a high level of burnout among nurses working in the Portuguese national network of palliative care. Measures for identification and mitigation of burnout are necessary to protect health care professionals.


Author(s):  
Agnieszka Burchacka

How to Motivate a Parent to Work with a Child? Each specialist (child therapist) in his professional work has certainly encountered a lack of motivation to work on the part of the parent. The caregiver’s lack of motivation and willingness to work particularly bothers a speech therapist at work. How can the therapy be supported based on cooperation with the parent? In this article, I will try to suggest what can contribute to better parental motivation, and thus more effective speech therapy work. In the text, I present research on the self-evaluation of parents in working with children. The publication also includes proprietary motivational tables, which may provide additional support in the work of a parent with a child and communication between the speech therapist and the child.


2017 ◽  
Vol 7 (3) ◽  
pp. 122-128
Author(s):  
Jana Vašíková

Abstract Introduction: In our paper, we focus mainly on defining the term of speech therapy prevention, on the anchoring of speech therapy prevention in the legislation and education, the teacher as an actor and direct mediator of the primary speech therapy prevention, and his competence. The research part describes the data obtained by in-depth interviews with teachers in nursery schools in the Zlín region. Methods: The empirical part of the study was conducted through a qualitative research. We have obtained research data via interviews with teachers from nursery schools in the Zlín Region. The data, after transcribing them into written form, were subsequently analysed and interpreted. Results: Based on the results of the research, we can identify one of the most significant categories in the survey of the method of implementation of speech therapy prevention in selected nursery schools in the South Moravian Region. It’s called “Teacher as an amateur speech therapist”. Within this category, we can also distinguish between three types of teachers: teacher - speech therapist, speech therapy assistant as a substitute of speech therapist, teacher - preventionist, and speech therapist. Discussion: What is the cause of this situation? Poor education? Legislation? Pedagogical practice? Limitations: The research was realized only in the South Moravian Region (CZ) and cannot be applied to the entire population. Conclusions: It is evident from the results of the research that some respondents have insufficient knowledge about the competences of individual actors in the speech therapy prevention process as well as about the realization of speech therapy prevention in kindergartens.


UNICIÊNCIAS ◽  
2021 ◽  
Vol 24 (2) ◽  
pp. 205-210
Author(s):  
Carla Meliso Rodrigues Silvestre ◽  
Ana Clara Giraldeli ◽  
Luana Borges Estevão ◽  
Eliane Gomes Fernandes de Oliveira ◽  
Cristhiane Almeida Leite da Silva ◽  
...  

A fissura de lábio e ou de palato não sindrômicas são anomalias congênitas craniofaciais mais frequentes. Elas ocasionam problemas estéticos e funcionais que requerem tratamento em longo prazo, envolvendo reabilitação multidisciplinar incluindo a fonoaudiologia e fisioterapia. Este estudo propõem apresentar alguns dos princípios de atuação do fonoaudiólogo e do fisioterapeuta nas fissuras orofaciais não sindrômicas. Realizou-se uma revisão de literatura narrativa com busca na Bireme e Scielo e nas bases Lilacs, Pedro e  PubMed em outubro de 2020, envolvendo a atuação do  fonoaudiólogo e do fisioterapeuta nas fissuras orofaciais não sindrômica, no idioma inglês e português, sem recorte temporal. Os estudos encontrados observaram que a intervenção fonoaudiológica e fisioterapêutica deve ser mais precoce e de acordo com a disfunção apresentada. De modo geral, a atuação do fonoaudiólogo favorece a alimentação oral  e o desenvolvimento global referente à linguagem, a fala, audição e neuropsicomotor, para evitar atrasos e favorecer o melhor desenvolvimento infantil. A atuação fisioterapêutica visa diminuir a hospitalização prolongada, melhorar a qualidade de vida e funcionalidade, bem como assistir as crianças que cursarem com problemas motores, posturais e respiratórios. Conclui-se que a atuação fonoaudiológica nas diferentes fases da reabilitação de indivíduos com fissuras labiopalatinas contribui para alimentação e inteligibilidade da fala, beneficiando assim a comunicação verbal e consequentemente a interação com o meio social; e a assistência fisioterapêutica ajuda e melhorar a sintomatologia e as disfunções respiratórias apresentadas, prevenindo e tratando complicações de forma a melhorar a qualidade de vida e restabelecer a independência funcional.   Palavras-chave: Fissura Palatina. Fenda Labial. Aleitamento Materno. Fala. Fisioterapia.   Abstract Non-syndromic cleft lip and or palate are the most frequent congenital craniofacial anomalies. They cause aesthetic and functional problems that require long-term treatment, involving rehabilitation including speech therapy and physiotherapy. This study proposes to present some of the principles of performance of the speech therapist and physiotherapist in non-syndromic orofacial clefts. A narrative literature review was carried out with searches in Bireme and Scielo and in the Lilacs, Pedro and PubMed databases in October 2020, involving the performance of the speech therapist and physiotherapist in non-syndromic orofacial clefts, in English and Portuguese, with no time frame. The studies observed that speech therapy and physiotherapy intervention should be as earlier and in accordance with the presented dysfunction. In general, the performance of the speech therapist favors oral feeding and the global development related to language, speech, hearing and neuropsychomotor, to avoid delays and favor best child development. Physiotherapeutic action aims to reduce the prolonged hospitalization, improve quality of life and functionality, as well as assist children who are experiencing motor, postural and respiratory problems. It is concluded that the speech therapy performance in the different phases of rehabilitation of individuals with cleft lip and palate contributes to feeding and speech intelligibility, thus benefiting verbal communication and consequently the interaction with the social environment; and physiotherapeutic assistance helps and improves the symptoms and respiratory disorders presented, preventing and treating complications in order to improve the quality of life and restore functional independence.   Keywords: Cleft Palate. Cleft Lip. Breast Feeding. Speech. Physiotherapy.


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