exam 2 Flashcards
crush dat ttestt
ICF; WHO; IPP; IPE
what do they stand for
ICF = international classification of functioning, disability, and health
WHO = world health organization
IPP = interprofessional collaborative practice
IPE = interprofessional education
what are IPP & IPE
interprofessional collaborative practice: members/students of 2 or more professions associated with health or social care, engaged in learning with, from and about each other
interprofessional education: provides an ability to share skills and knowledge between profession and allows for a better understanding, shared values, and respect for the roles of other healthcare professionals
SLP service delivery domains
- collaboration
- counseling
- prevention and wellness
- screening
- assessment
- treatment
- modalities, technology and instrumentation
- population and systems
specifically related to clinical practice
in the SLiPpery service delivery doman, Cold Cousins Prevent Screams As Trees Model Popular Sisters
SLP professional practice domains
- advocacy and outreach
- supervision
- education
- research
- administration / leadership
set of skills and knowledge that goes beyond clinical practice
ASERA
population and systems
- managing populations to improve overall health and education
- improving the experience of individuals served
- reducing the cost of care
- improving the efficiency and effectiveness of service delivery
- analyze and improve communication environments
- communicate clearly with other team members
- improve team systems and work environments
SLP service delivery domain
treatment
- designing and implementing services to optimize individual’s ability to communicate and swallow thereby improving quality of life
- treatment establishes a new skill or ability or remediates or restores an impaired skill or ability
- goal of therapy is to improve an individual’s functional outcomes
- design, implement and document deliver of service
- evidence based approaches
- utilize treatment data to guide decision and determine effectiveness of services
- collaborate with other professionals as needed
SLP service delivery domain
modalities, technology, and instrumentation
- slps use advanced instrumentation and technologies to evaluate, manage and treat individuals with communication and swallowing disorders
- slps are involved in research and development of emerging technologies
- examples include:
- hearing assistive tech, AAC tech apps and dedicated devices
- endoscopy, videofluoroscopy, FEES
- telehealth/telepractice
- electric stimulation; ultrasound and biofeedback systems (smart palate)
- ASL and other modalities
SLP service delivery domain
SLP service delivery areas
(big 8)
- fluency - stuttering, cluttering
- speech production - motor planning & execution, articulation, phonological
- language - spoken & written - listening, processing, speaking, reading, writing, pragmatics; phonology, morphology, syntax, semantics, prelinguistic communication, literacy
- cognition - attention, memory, problem solving, executive functioning
- voice - phonation quality, pitch, loudness, alaryngeal voice
- resonance - hypernasality, hyponasality, cul de sac resonance, forward focus
- feeding and swallowing - oral, pharyngeal, esophageal phase, atypical eating - food selectivity, refusal, negative physiologic response
- auditory habilitation/rehabilitation - speech-language, communication and listening skills impacted by hearing loss, deafness, auditory processing
in the SLiPpery service delivery AREA, Fluids Spread Like Cold Voices Resounding Freely Around
audiology service delivery areas
- diagnostics
- treatment
- early hearing detection and intervention
- educational audiology
- hearing conservation and preservation
- telehealth
- counseling
in the ODD (AuD) service delivery area, Diagonal Triangles Earn Edges Helping Telephones Count
ASHA definition of SLP
professionals who hold ASHA - CCC
generalist vs specialist
generalist has a broad understanding of their profession, while a specialist has in-depth knowledge of a specific area
how to transition from a generalist to a specialist
each practitioner evaluates their experiences with:
- preservice education
- practice
- mentorship
- supervision
- continuing professional development
EBP will support us transitioning or in our daily work
- EBP steps:
1. frame your clinical question
2. find evidence
3. assess the evidence
4. make your clinical decision
what is practicing at the top of license
TOL = top of licesnse
engaging in only those clinical management activities that require the audiologist or SLPs unique expertise and skills
- this has also been called skill delegation
- practicing at TOL should increase efficiency while improving outcomes
why do we want to practice at TOL
to demonstrate our value and effectiveness, we need to maximize time spent delivering services we are uniquely qualified to provide
why is sknowing scope of practice crucial to practicing at the TOL
targeting function goals for patients is a component of practicing at TOL as it:
- maximize outcomes (treatment of impairments alone may not lead to fucntional improvement)
- optimizes individual’s potential to engage in meaningful activities
- increases engagement with individuals and thier families
- demonstrates the value of skilled services to payers
ICF and other shared frameworks
- SLPs use the WHO - ICF to develop functional goals and collaborative practice
- the diagnostic categories in the slp scope of practice are consistent with relevant diagnostic categories in other related organizations
these shared classification systems provide a standard language and framework for the description of functioning and health
ICF = international classification of functioning, disability and health
ICF ensures patient centered care; set goals that are meaningful to the patient and will lead to functional changes that improve their quality of life
4 main responsibilities in the SLPA scope of practice
- service delivery
- culturally responsive practices
- administrative support
- prevention and advocacy
things outside of the SLPA scope of practice
- represent self as SLP
- performing tests (diagnostic, evaluation, swallowing screenings/checklists)
- clinical writing and interpretation
participate in formal conferences or interdisciplinary team with the presence of SLP - write of modify a treament plan in any way
- sign formal documents, discharge clients from service, make referrals
- treat medically fragile clients independently
4 duty areas of audiology assistants
- participate in patient care/services and in educational settings
- perform hearing device maintenance
- maintain the audiology clinic
- engage in professional activities and advocacy
provided that the training, supervision, and planning are appropriate, the following 4 overarching duty areas may be delegated to an audiology assistant:
what year is the current version of the code of ethics document and the scope of practice document
code of ethics: 2023
scope of practice: 2016
what is the purpose of BOE sanctions?
there are 3
- to serve as a mechanism to educate and rehabilitate
- to protect the public
- to inform other ASHA members
educate - protect - inform (EPI)
types of sanctions and their severity
- written warning (confidential)
- reprimand (confidential)
- centure (public)
- suspension of membership and certification (short term)
- revocation (long term)
- witholding (not yet certified)
- cease and desist
How does the concept of fixed principles explained by Spencer W. Kimball in Jesus the Perfect Leader apply to ethics?
and leadership?
Leading with fixed principles means that you ahve consistency, which is a big part of ethics. Ethics are a set of rules that remail constant, meaning that ethical behavior doesn’t shift based on circumstances.
Also, accountability is not possbile without fixed principles. Ethics requires accountability to the rules of an organization and also to our own integrity and moral standards. Leaders must be accountable to themselves and those they serve, which is not possible without fixed principles.
Lastly, Christ’s fixed principles made virture a guiding force in His life. Ethical decisioni making is grounded in virtures like honesty and integrity. To be an ethical leader, we need to have fixed principles which we stick to so that we can lead with honesty and integrity.
how many rules and principles in the asha code of ethics
4 principles - 56 rules