SLP & Neurorestorative Approach to Care Flashcards

1
Q

What are speech language pathologists (SLPs)

A
  • Clinically trained professionals that work to evaluate, diagnose, & treat speech, language, social communication, cognitive-communication, & swallowing disorders in a wide population ranging from birth to end of life
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2
Q

Cognitive communicative disorders

A
  • Social Communication (pragmatics): difficulty following rules of both verbal & non-verbal communication
  • Reasoning: Inability to think of & apply solutions to problems
  • Attention: Difficulty concentrating or focusing on a task
  • Memory: Difficulty recalling short term or long term information
  • Organization/Planning: Difficulty putting details or events in order
  • Insight/Awareness: Difficulty recognizing something is wrong either in the environment or with oneself
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3
Q

Qualitative measures to assess cognitive communicative disorders

A
  • PLOF-Patient/Family Consultation
  • Clinical observation
  • Formal testing
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4
Q

What are the different types of attention

A
  • Selective: ability to mentally ignore competing stimuli; associated with distractibility
  • Sustained: ability to maintain level of attention over a long period of time; associated with impulsivity
  • Divided/alternating: ability to divide attention among several activities; associated with multi-tasking
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5
Q

Strategies to treat attention

A
  • Reduce/eliminate environmental distraction (quiet room/headphones)
  • Break down larger tasks into smaller chunks
  • Use finger to track words when reading
  • Taking mental breaks
  • Closing eyes to concentrate
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6
Q

Describe executive function

A
  • Organization/Planning
  • Sequencing
  • Decision Making
  • Self Regulation/Monitoring
  • Working Memory
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7
Q

Strategies to treat executive function

A
  • Self reflection/discussion
  • Planning/self tracking graphs
  • Generation of a schedule
  • Discussion of cause/effect
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8
Q

Exercises for executive function treatment

A
  • Covergent/divergent tasks
  • Deductive reasoning puzzles
  • Planning/execution of functional tasks
  • Time/money management tasks
  • Pathfinding in/around facility
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9
Q

Describe memory

A
  • Encoding, storage, & retrieval of info
  • Declarative: information you know & can share by telling; can be episodic (wedding day/first day of school) or semantic (locating virginia on a map)
  • Non-declarative: information you know & can share by doing; can be procedural (daily routine/driving home)
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10
Q

Strategies to treat memory

A
  • W: written cues = memory book, calendar, phone alerts
  • R: repetition/routine = consistent daily schedule
  • A: association = categorization, relating name to a person
  • P: picture/visualization = retracing your steps, photos in phone
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11
Q

Exercises for memory treatment

A
  • Application of strategies within simple progressing to functional tasks: writing appointments on calendar, daily journaling to recall events, & writing to dictation/pertinent details from a phone message
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12
Q

Define aphasia

A
  • A neurologically based language disorder caused by damage to the brain from a stroke or head injury
  • Typically involving the left cerebral lobe
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13
Q

Describe Wernicke’s aphasia

A
  • Fluent or receptive aphasia
  • Difficulty answering yes/no questions or following directions
  • Difficulty repeating information & following conversation
  • Difficulty with reading comprehension
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14
Q

Describe Broca’s aphsia

A
  • non-fluent or expressive aphasia
  • Difficulty with word generation/content of info to name objects
  • Difficulty with fluency of speech & writing
  • Difficulty with verbal reading
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15
Q

Common speech disorders

A
  • Dysarthria: difficult or unclear articulation of speech sounds that is otherwise linguistically normal (some sort of weakness)
  • Voice: deficits in vocal quality which may include pitch, volume, and/or tone
  • Apraxia of speech: neurological speech disorder that reflects an impaired capacity to plan or program sensorimotor commands necessary for directing movements that result in phonetically or prosodically normal speech
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16
Q

Describe dysarthria

A
  • Flaccid: associated with disorders affecting the lower motor neuron pathways and motor units
  • Spastic: associated with bilateral disorders of the upper motor neuron system
  • Ataxic: associated with disorders of the cerebellar control circuit
  • Hypokinetic: associated with disorders of the basal ganglia control circuit
  • Hyperkinetic: associated with disorders of the basal ganglia control circuit
  • Unilateral upper motor neuron: associated with unilateral disorders of the upper motor neuron system
  • Mixed: various combinations of dysarthria types (e.g., spastic–ataxic, flaccid–spastic)
17
Q

Describe organic voice disorders

A
  • Physiological voice disorders that result from alterations in respiratory, laryngeal, or vocal tract
  • Can be structural or neurogenic
18
Q

Describe structural and neurogenic organic voice disorders

A
  • Structural: organic voice disorders that result from physical changes in the vocal mechanism
  • Neurogenic: organic voice disorders that result from problems with the central or peripheral nervous system innervation to the larynx that affect functioning of the vocal mechanism
19
Q

Describe functional voice disorders

A
  • Voice disorders that result from inefficient use of the vocal mechanism when the physical structure is normal
20
Q

Treatment for voice

A
  • Symptomatic treatment to establish appropriate vocal hygiene routines/practices, improve self-awareness of voice quality and kinesthetic factors (e.g., tension)
  • Compensatory interventions facilitate the individual’s activities and life participation by assisting the person in acquiring new communication skills and strategies
21
Q

Treatment for dysarthria

A
  • Restorativeinterventions maximize intelligibility by addressing the function of the speech production subsystems. Restorative approaches focus on improving speech intelligibility, prosody and naturalness, and efficiency
  • Compensatoryinterventions maximize a person’s participation in activities by addressing functional communication
22
Q

Describe dysphagia and some causes

A
  • Dysphagia = a swallowing disorder
  • Stroke, Brain injury, or Spinal cord injury.
  • Degenerative Diseases: Parkinson’s/MS/ALS.
  • Alzheimer’s disease
  • Cerebral Palsy
  • Cancer in your mouth, throat, or esophagus
  • Bad teeth, missing teeth, or dentures that do not fit well
23
Q

Signs of a swallowing problem

A
  • Throat clearing/coughing during or right after eating or drinking
  • Wet/gurgly voice during or after eating or drinking
  • Globus Sensation
  • Anterior Spillage or Drooling
  • Pocketing of food in mouth
  • Weight loss
24
Q

Phases of swallowing

A
  • Oral phase (mouth): sucking, chewing, and moving food or liquid into the throat.
  • Pharyngeal phase (throat): starting the swallow and squeezing food down the throat. You need to close off your airway to keep food or liquid out. Food going into the airway can cause coughing and choking
  • Esophageal phase: opening and closing the esophagus (the tube that goes from the back of your throat to your stomach). The esophagus squeezes food down to the stomach. Food can get stuck in the esophagus. You may also throw up a lot if there is a problem with your esophagus or if you have acid reflux (commonly known as indigestion or heartburn)
25
Q

Diagnostic treatment options for swallowing problems

A
  • Modified Barium swallow study
  • Fiberoptic endoscopic evaluation of swallowing
26
Q

Swallowing strategies to manage swallowing disorders

A
  • Diet Modifications
  • Postural Changes: chin Tuck, Head Turn, Upright/Reclined position
  • Rate Modification
  • Bolus/Liquid Size Modifications
27
Q

Treatment options for swallowing disorders

A
  • Exercises to facilitate coordination and strengthening of oropharyngeal musculature
  • Implementation of Modalities: vital stim protocol, synchrony Training, breather Protocol