Dysphagia Case Study
ROLE OF SPEECH LANGUAGE PATHOLOGIST IN ASSESSMENT AND MANAGEMENT OF DYSPHAGIA AND COMMUNICATION FOLLOWING SPINAL CORD INJURY
Ankita Bhutada*, Abhishek Srivastava*
Introduction:
It is well established to have Dysphagia following neurological conditions such as Stroke, Neurodegenerative disorders Head and Neck Cancers. Dysphagia in these conditions is attributed to the involvement of Central Nervous System (CNS) or any aberrations at structural and physiological level. Moreover, it is well understood the role and responsibilities of Speech Language Pathologist in rehabilitation of swallowing impairment in these conditions. However, Dysphagia is also prevalent in certain cervical spine disorders such as scoliosis, kyphosis, lordosis, and vertebral
…show more content…
ii) Pharyngeal phase strengthening exercises: this includes a set of exercises in terms of Masako Maneuver, Pitch glides, laryngeal adduction exercises iii) Respiratory- Swallowing Coordination and Strengthening exercises: This included purse breathing, Expiratory Muscle strength training (EMST) iv) Oral-Motor Exercise/ Range of motion exercises (Active …show more content…
Penetration Aspiration Scale (Pen/Asp Scale) was used to assess airway safety, there has been significant improvement with Pre therapy mean score of 7,that suggests material passes glottis, but is not ejected from airway; visible Subglottic stasis despite patient’s response. Post therapy mean score of 1, material does not enter airway. Also ,Post therapy there has been significant improvement in all subjects on Functional Oral Intake Scale (FOIS) FOIS with a shift of scores from mean Level 1 No oral intake, to post therapy scores of mean Level 6 Total oral intake with no special preparation, but must avoid specific foods or liquid items.
Thus, with intensive Swallow therapy along with use of Respiratory Muscle strength training, there has been significant improvement of Communication, due to usage of speaking valve which reduced the distress due to inability to communicate. Moreover improved swallowing abilities lead to decannulation of tracheostomy tubes in 7 of the 8 subjects. Furthermore, improved swallowing mechanism caused per oral intake of
Nt1310 Unit 3 Experimental Studies
506 Words | 3 PagesThe results are based on the effects of the age, volume, consistency and gender on the duration of the swallowing assessment. The clinical importance of the results showed the difference in timing and how the diameter of the pharynx between male and female can affect the result of swallowing. 1. What did the researchers conclude?
Impaired Gas Exchange Case Study
1218 Words | 5 PagesWhile auscultating sounds of lung fields no wheezing was found, and VS were within normal range for patient as determined through comparison of chartings on 10/23/2015 thru the morning and lunch VS of 10/26/ 2015 before impaired gas exchange was detected. 10/26/2015 2. Administer O2 @ 2L N/C
GCU Reflection Paper
870 Words | 4 PagesThe client had an L-hemisphere CVA on 8/11/10. After the stroke, the client was admitted for a 5 day acute care hospitalization and then into an inpatient rehab setting for six weeks for one hour every day. Through a speech evaluation, the client was diagnosed with a mild anomic aphasia and mild apraxia of speech. The client 's goals are to improve her mobility, communication, and return home. This session was a re-assessment six months after she was discharged from the inpatient rehab setting.
HPC Code Of Ethics: What Is Sibert´s Anaesthetic Phase?
1831 Words | 8 PagesWhen Sibert was not responding the anaesthetist then allowed a slow inhalation of Isoflurane to be delivered to patient through the face mask. When the patient was fully anaesthetised the author assisted the anaesthetist to secure the airway by passing size 4 Laryngoscope and size 8 endotracheal tube (ETT). The ETT was cuffed and tightly secured. Sibert was then transferred to the operating table and monitoring continued. Anaesthesia was maintained with O2, Isoflurane, and N2O on spontaneous ventilation with closed circuit.
Morrie Schwartz's Sickness
968 Words | 4 PagesMorrie Schwartz was diagnosed by a frightening sickness known as ALS. ALS (amyotrophic lateral sclerosis) is an exceptionally uncommon sickness inside of your sensory system that debilitates muscles and affects the physical capacity. Morrie Schwartz had been determined to have ALS and his previous understudy, Mitch, revived their kinship through his condition. The illness is known as an motor neuron infection that is portrayed by the steady degeneration and demise of motor neurons. Motor neurons are nerve cells a portion of a pathway that send driving forces to the cerebrum and the spinal rope.
Career As A Speech-Language Pathologist
392 Words | 2 PagesA Speech-Language Pathologist works directly with a wide variety of patients, birth to adulthood who suffers from speech or language disorders. Those disorders may include disfluency, expressive or receptive language, social communication, cognitive-communication, and swallowing disorders. I am fervid about helping individuals, and I have seen first-hand how important our voice truly is. This is why I chose a career in this field, I want to help, and give a voice to those who are not always heard. As a Speech- Language Pathologist it is important that you obtain certain trains in order to be successful; including, interpersonal skills, teamwork, and problem solving skills.
Healthcare Career Exploration Paper
620 Words | 3 PagesThings that a speech Pathologist may help with and treat with are, helping you make sounds and helping you relearn words and how you pronounce them. They may also help with alternative options such as Sign language for those with non existent speech ability. The environment in which they work are a wide variety but you often see them in Hospitals and Elementary
CAS Comprehensive Assessment
1285 Words | 6 PagesIt is important for speech-language pathologists to select instruments that are psychometrically sound for the assessment (Dollaghan, 2004). Comprehensive assessment includes the case history, oral-motor assessment, hearing screening, and oral mechanism assessment (American Speech-Language-Hearing Association, n.d.b). Oral/mechanism examination is important for differentiation of dysarthria and other speech sound disorders from CAS. It can also assist in identifying apraxia of speech and oral apraxia, which may or
Speech-Language Pathologists In Long-Term Care
1340 Words | 6 PagesA friend of mine brought up Speech-Language Pathology one day, a term I was unfamiliar with. I researched the strange word “pathology” and was surprised that I found the profession interesting. I conducted a PowerPoint on this career in my writing class, shortly after my interest in Speech-Pathology began. After I gave my presentation, there was no doubt
Speech Language Pathologist Interview Paper
684 Words | 3 PagesI recently attended a seminar hosted by CIAO with guest speaker Melanie Potock, MA, CCC-SLP, a feeding specialist, certified speech language pathologist, international speaker and author on the topic of picky eating and feeding difficulties. Although this broadened my knowledge on feeding difficulties I have an interest in swallowing that I cannot grasp as an assistant to an SLP. It is no secret this field is highly competitive, nonetheless being accepted into a program that tailors to your interest is a beautiful vision made
Informative Speech On Cystic Fibrosis
186 Words | 1 PagesNutrition is really important for those patients. Because these patients produce lots of mucus in the intestine, the mucus interfere with the appropriate absorption of vitamin, fats, and nutrients
Occupational Therapy
668 Words | 3 PagesIt also governs the course of treatment and incorporation of appropriate therapeutic agents to maximize the outcome of treatment. For instance, utilization of strengthening activities for individuals with Guillain-Barre syndrome requires close monitoring to avoid overwork damage “because exercise of partially denervated muscle interferes with axonal regrowth” (Lundy-Ekman, 2018, p. 116). Also, the presence of right-sided paralysis along with expressive aphasia in patients with CVA indicates infarction or hemorrhage in the left hemisphere and involvement of center of Broca (motor center of speech) in pathological process. Patients with receptive aphasia are suffering from damage of brain tissue in the center of Wernicke, which is the sensory center of speech (Price, Seghier, & Leff, 2010). The incorporation of appropriate communication methods ensures effective therapeutic interaction with the patients and helps to avoid stigmatization of the patient with, for example, receptive aphasia as lethargic, uncooperative, or noncompliant with the treatment process.
Awake Extubation Case Study
717 Words | 3 PagesManagement and outcome The surgery was successful. The anaesthetist told me he will be like to do awake extubation because patient was grade 2 view on intubation. This method is used to perform an extubation once the patient is fully awake and able to maintain his own airway (e SAFE, 2017) I prepared for awake extubation, all the airway equipment for the intubation were kept for anaesthetic emergence, guedel, laryngoscope, bougie, 20ml syringe.
The Role Of Swallowing In Acute Care
81 Words | 1 PagesGreat post, Bill! I also enjoyed listening to the guest speakers from the acute care setting. I’ve anticipated working in a hospital for quite some time; however, I didn’t realize how fast pace of a setting it actually was. Swallowing is a characteristic of Speech-Language Pathology that is intriguing to me, so I appreciated their opinions of swallowing evaluations and studies. Overall, I thought they had a great presentation and gave an honest opinion about their daily tasks as a
Essay On Laryngectomy
1625 Words | 7 Pages2.4 Voice rehabilitation after total laryngectomee With the voice box removed the patient can’t use the voice tract in normal speech. There are three distinct types of other speech methods available for the patient. 2.4.1. Esophageal
More about Dysphagia Case Study
Nt1310 Unit 3 Experimental Studies
506 Words | 3 PagesImpaired Gas Exchange Case Study
1218 Words | 5 PagesGCU Reflection Paper
870 Words | 4 PagesHPC Code Of Ethics: What Is Sibert´s Anaesthetic Phase?
1831 Words | 8 PagesMorrie Schwartz's Sickness
968 Words | 4 PagesCareer As A Speech-Language Pathologist
392 Words | 2 PagesHealthcare Career Exploration Paper
620 Words | 3 PagesCAS Comprehensive Assessment
1285 Words | 6 PagesSpeech-Language Pathologists In Long-Term Care
1340 Words | 6 PagesSpeech Language Pathologist Interview Paper
684 Words | 3 PagesInformative Speech On Cystic Fibrosis
186 Words | 1 PagesOccupational Therapy
668 Words | 3 PagesAwake Extubation Case Study
717 Words | 3 PagesThe Role Of Swallowing In Acute Care
81 Words | 1 PagesEssay On Laryngectomy
1625 Words | 7 Pages