Midterm Flashcards
For the following domains of practice for SLP, provide a description, why it is important, and provide one example - COLLABORATION
using joint communication and shared decision making to work together with other professionals to provide care for a patient. this is important to meet the patient’s needs in all forms of treatment. for example, a patient who has had a stroke needs to see a PT for mobility challenges, an OT for relearning everyday tasks, and a speech therapist for aphasia concerns. All of these professionals meet to make a comprehensive treatment plan.
For the following domains of practice for SLP, provide a description, why it is important, and provide one example - COUNSELING
Providing support, guidance and education to patients and their families throughout and after care. this is important to explain the ‘why’ of what we do and how it may help them and patients are able to voice concerns and ask questions. for example, a patient is being treated for aphasia. the family may not know what the condition is and everyone would like to know the best way to communicate as a family.
For the following domains of practice for SLP, provide a description, why it is important, and provide one example - PREVENTION & WELLNESS
Prevention/wellness: this aspect focuses on preventative care for patients, reducing health risks, and maintaining health and wellness in all areas. this is important to prevent other health issues from occurring, leading to better overall health. for example, an SLP could present to hospital staff about early signs of aphasia or dysphagia in stroke patients to have more people looking out for at risk patients.
involved in prevention and wellness activities that are geared toward reducing the
incidence of a new disorder or disease, identifying disorders at an early stage, and decreasing the
severity or impact of a disability associated with an existing disorder or disease.
For the following domains of practice for SLP, provide a description, why it is important, and provide one example - POPULATION & SYSTEMS
Population/systems: managing populations to improve overall health and education, improving the experience of the individuals served, and improving the efficiency and effectiveness of service delivery. this is important to treat all patients with the best care and improve the field of SLP. for example, using plain language to clearly communication with patients and their families.
Provide first a description of the setting and then three main activities of a speech-language pathologist in the following settings: ACUTE CARE
Acute care: hospital that provides immediate care for patients with severe conditions (inpatient status). SLP role includes: address urgent needs through screenings/assessments (swallowing), evaluations (communication disorders), and counseling/consultation and discharge planning.
Provide first a description of the setting and then three main activities of a speech-language pathologist in the following settings: SKILLED NURSING FACILITY
Skilled nursing: center that provides long term care and rehabilitation for medically stable patients (inpatient status). SLP role includes less intense therapy bc decreased endurance, functional communication/swallowing, evaluation/intervention relevant to environment, education,
collaboration, counseling
Provide first a description of the setting and then three main activities of a speech-language pathologist in the following settings: INPATIENT REHAB HOSPITAL
Inpatient rehab: intense focus on rehabilitation and recovery from significant health events. SLP role includes setting rehab goals with functional communication/swallowing, evaluation, intervention, counseling, determine prognosis, education.
Provide first a description of the setting and then three main activities of a speech-language pathologist in the following settings: OUTPATIENT
Outpatient: Once medically stabilized in prior setting and ready for discharge, patient able to safely discharge home and has reliable/safe transport for therapy. SLP role: return to prior level of functioning with 3+ hours therapy a day, functional communication/swallowing, mostly intervention, counseling, determine prognosis, education. patient driven goals
Provide first a description of the setting and then three main activities of a speech-language pathologist in the following settings: HOME HEALTH
Home health: once medically stabilized in prior setting and ready for discharge, patient able to safely discharge home, but medical needs require home care. Focus on improving functioning in home environment, functional communication/swallowing mostly intervention, counseling, determine prognosis, education, patient/family driven goals
Provide two circumstances where this might be a challenge for a slp in a medical setting. “As the ASHA Code of Ethics specifies, professionals may practice only in areas in which they are competent, based on their education, training, and experience.”
- If another healthcare professional requests a service from you that falls outside of your training
- If a patient comes in with a rare condition that you don’t have experience with that you are expected to treat
Do you think there may be a role of AI in future medical records or decision making for speech-language pathologists? Will that be a good development, a bad one, or neutral.
AI could make therapy more efficient in terms of medical records and the simple, repetitive practice so SLPs can focus on treatment rather than paperwork. However, there are privacy concerns when it comes to this. I do not think that AI should be involved in decision making as we are educated professionals with a degree and AI is not but with repetitive tasks, it could be very helpful. I feel neutral.
What are the different scopes of practice for PT?
PT focuses on..
gross motor skills
strength and endurance
lower limb alignment
musculoskeletal concerns
flexibility and posture
orthotic management
gait analysis and training
Scope of practice for OT
OT focuses on…
fine motor skills
visual perception
visual motor integration
emotional regulation
play skills
self-care
sensory integration
executive function
Overlaps of OT & PT
They overlap in….
goals to increase motor skills
hand eye coordination
motor planning
coordination and balance.
What are the two overlaps between SLP and OT? Does this mean that there will be, by definition, conflicts between these two fields?
1 SWALLOWING & FEEDING.
SLP addresses oropharyngeal musculature, coordination, bolus size/consistency, swallowing. OT addresses sensory, self-feeding, posture and fine motor.
SLP addresses impact on communication and language impact on cognition. OT addresses environment and safety modifications.
Since they address different things, there should not be conflicts. Collaboration is the key to return patients to their highest level of functioning.
What is the difference between a multidisciplinary approach and a transdisciplinary approach? Is one better than the other and explain your answer?
MULTIDISCIPLINARY draws on knowledge from different disciplines but each stay within their boundaries. Each professional has clear roles and responsibilities.
TRANSWDISCIPLINARY is where 2 or more disciplines integrate to form a new holistic approach. Each professional collaborates more closely.
One is not inherently better than the other. Choosing one would depend on the individual’s needs and goals and the team itself that is involved.
What is the difference between a nurse practitioner and a physician assistant (associate)?
A physician assistant (PA) collaborates with the physician, requires supervision by physician, can be specialized or work directly under a specialized physician, and do not have to complete RN training.
A nurse practitioner (NP) is an RN with bachelor’s or master’s degree in a specialty area and can write orders and can perform procedures under MD.
Why is it important for a SLP to know about the specialties among physicians? Do we “work” for or “with” these specialties?
It is important for referrals, treatment plans, holistic patient care, and respect for the medical professionals. We work WITH these specialties to bring all of our knowledge to the table to treat a patient.
For each physician specialty, provide ONE way that you might interact and work with each one as an SLP: HOSPITALIST
Hospitalist - treatment plans during rounds and what patients need to be seen
For each physician specialty, provide ONE way that you might interact and work with each one as an SLP: CRITICAL CARE SPECIALIST
Critical Care Specialist - help create plan of care for critically ill involving speech and feeding
For each physician specialty, provide ONE way that you might interact and work with each one as an SLP: RADIOLOGIST
Radiologist - during a modified barium swallow, help with equipment and interpreting imaging
For each physician specialty, provide ONE way that you might interact and work with each one as an SLP: OTOLARYNGOLOGIST
Otolaryngologist - collaboration with voice therapy, ex. if there are nodules, large adenoids or tonsils that need to be removed surgically
For each physician specialty, provide ONE way that you might interact and work with each one as an SLP: NEUROLOGIST
Neurologist - performing cognitive communication assessments, collaborating when patients have neurological issues
