Roles of SLPs in the Adult Settings

Question 1

SLPs & the Continuum of Care (9)

Answer 1

ICU - CCU - acute care - acute rehab unit - subacute rehab unit - SNF - Intermediate care facility/board and care/ assisted living - home health/health at home - outpatient families

Question 2

MD coverage in acute rehab

Answer 2

5-6 visits/wk +consults

Question 3

MD coverage in subacute

Answer 3

1-2 visits/week

Question 4

MD coverage in SNF

Answer 4

1-2 visits/month

Question 5

MD coverage in long term care

Answer 5

1 visit a month

Question 6

Largest SLP Role throughout the Continuum of Care

Answer 6

DYSPHAGIA (≈80-90% of my inpatient caseload)

Question 7

Aside from dysphagia, what are SLP Roles throughout the Continuum of Care (5)?

Answer 7

Aphasia
Dysarthria
Cognitive-linguistic deficits (TBI, ® CVA)
Voice Disorders
Outpatient facilities=may get more of a variety such as accent reduction or fluency or AAC

Question 8

What is COPD?

Answer 8

Chronic Obstructive Pulmonary Disease. An umbrella term for conditions in which patients Can’t get air OUT: Emphysema
Asthma
Cystic Fibrosis
Chronic Bronchitis

Question 9

What are restrictive pulmonary diseases?

Answer 9

Can’t get air IN: Pneumonia (PNA), and any kind of neuromuscular problems. Muscles shut down that prevents inhalation.

Question 10

What is ARF?

Answer 10

Respiratory Arrest/Acute Respiratory Failure

Question 11

What is Pneumo-thorax?

Answer 11

lung collapses b/c of air in pleura

Question 12

What is Pleural effusion?

Answer 12

fluid in pleural cavity

Question 13

What is PE?

Answer 13

Pulmonary Embolism

Question 14

Aspiration pneumonia happens in three primary ways. List them.

Answer 14

Aspirate on food/liqid
Aspirate on saliva
Aspirate on emesis/reflux

Question 15

CVA and types

Answer 15

Cerebral Vascular Accident: Ischemic (embolism and thrombosis) and hemorrhagic.

Question 16

TIA

Answer 16

transient ischemic attack

Question 17

TBI

Answer 17

traumatic brain injury

Question 18

Anoxia/anoxic event

Answer 18

No oxygen to brain

Question 19

Hypoxia

Answer 19

not enough oxygen to brain

Question 20

ALS

Answer 20

Amyotrophic Lateral Sclerosis

Question 21

CA

Answer 21

cancer

Question 22

MS

Answer 22

Multiple Sclerosis

Question 23

MG

Answer 23

Myasthenia Gravis

Question 24

PD

Answer 24

Parkinson’s Disease

Question 25

PN

Answer 25

Peripheral Neuropathy

Question 26

What is Addison’s Disease?

Answer 26

↓ cortisol production in adrenals

Question 27

Cushing’s Syndrome

Answer 27

↑ cortisol production in adrenals

Question 28

Treat everyone, including yourself, as having a ___ ___/___.

Answer 28

contractible illness/disease

Question 29

You should always ___ your hands

Answer 29

wash

Question 30

while preparing food for a swallow eval, wear ___!

Answer 30

gloves

Question 31

Contact Precautions are Intended to prevent what?

Answer 31

transmission of infectious agents which are spread by direct or indirect contact with the patient or the patient’s environment.

Question 32

Droplet precautions are intended to do what?

Answer 32

Intended to prevent transmission of pathogens spread through close respiratory or mucous membrane contact with respiratory secretions. These pathogens do no remain infectious over long distances in a healthcare facility. Therefore, special air handling and ventilation are not required.

Question 33

Airborne Precautions prevent what?

Answer 33

Prevents transmission of infectious agents that remain infectious over long distances when suspended in the air. Should be placed in an airborne infection isolation room (ventilated into a filtration system)