Managing Other Speech Disturbances

Question 1

In treating neurogenic stuttering, consider:

Answer 1

pharmacology - causes and effects

behavioural management - pacing, DAF

Question 2

SLP role in non-organic SD

Answer 2

Diagnosis

Treatment

Question 3

Decision to treat based on:

Answer 3

Scope of practice
Patient compliance
Effectiveness

Question 4

When to treat?

Answer 4

Is speech disturbance embedded in large problem of cognitive or psychological/affective issues?
Is speech disturbance main source of disability or limitation?
Ethics
Scope of practice
What is underlying cause?
Is there another non-SLP approach that would be more effective?
Is symptomatic treatment an option?

Question 5

Provide clients with non-organic SDs w/:

Answer 5

Positive experience
Tools for recovery/maintenance
Professional behaviour
Systematic and thorough evaluation
Determination of appropriate treatment based on best-evidence
Documentation

Question 6

Management of mixed-dysarthrias

Answer 6

Target most severely affected components
OR
Those most amenable to change

Question 7

Communication-Oriented Treatments

Answer 7

Strongly dependant on:

• Degree of disability or handicap
• Accompanying deficits
• Environmental factors (inc communication partners)

Question 8

Communication-Oriented Treatments: Speaker Strategies best for:

Answer 8

Moderate to severe dysarthria but NO language or cognitive component

Question 9

Speaker Strategies:

Answer 9

Prepare listener w/ alerting signals
Convey how communication should occur (esp when using AAC)
Set the context and ID the topic
Modifying sentence content, structure & length
Gestures
Comprehension checks
Alphabet board if needed

Question 10

Listener Strategies:

Answer 10

Maintain eye contact
Active listening (verify, signal when breakdown)
Modify environment

Question 11

Interaction Strategies:

Answer 11

Avoid times of stress/fatigue when important conversations
Be aware of environment
Maintain eye contact
Identify breakdowns and establish methods for feedback