Chapter 16 gen. principles of managing MSD's

Question 1

T or F. it is better to focus on communication than just speech. Other things can augment speech e.e gesters etc.. sometimes ptnt cannot regain 100% normal speech

Answer 1

True

Question 2

What are the 3 management goals for managing MSD’s?

Answer 2

restore lost function (success of this depends on etiology and course of dz as well as type/severity)

• promote use of residual function (learn to compensate by using prosthetic devices, pacing strategies, AAC or modifying physical environment)
• reducing the need for lost function-must adjust to reality. If a person’s work depends on his speech adjustments may need to be made

Question 3

What are some factors that would influence the management of a MSD?

Answer 3

• medical dx and prognosis(will it progress, get better etc.)
• disability and social limitation (does it limit the person and how much-if it doesn’t limit them do you need to work on it?
• environment and communication disorders-are there supportive ppl in their environment to comm. with the person?
• Motivation and needs- if a person is not motivated, don’t waste your time. You may try counseling
• Associated problems- cognitive problems may cause problems with maintaining attention or to desire to communicate, you would not treat the MSD directly
• Health care system-is there money for treatment if so how much?

Question 4

What are some approaches to managing MSD’s?

Answer 4

• medical intervention
• pharmalogical management-as with using L-dopa with Parkinson’s ptnts
• surgical management- to improve spch def. with such means as a pharyngeal flap for VP fnctn or surgeries for neurological condition itself (removal of tumor or blocked arteries)
• prosthetic management (palatal lift, pacing board, voice amplifiers etcc.)
• behavioral management

Question 5

what can you do for prosthetic management of MSD?

Answer 5

• palatal lift for VP closure (sometimes used with ALS ptnt must have own teeth)
• pacing board, pointing to first letter of word or DAF-for slowing rate of speech (espc for hypokinetic dys)
• voice amplifier (PD /ALS)
• Light pointers/switches-to point to letters or pictures