Speech-language pathologists (SLPs) are key members of the stroke treatment team and can help people recover functional communication and swallowing abilities. This course discusses the principles of evidence-based communication interventions and dysphagia management strategies that can improve recovery post-stroke in home health and skilled nursing settings. The primary goal of this course is to help SLPs improve their understanding of evidence-based treatment outcomes for stroke rehabilitation. Goal writing and documentation to justify the medical necessity for stroke intervention are also reviewed.
Introductory Level
0.15 ASHA CEUs
Approved for 1.5000 continuing education clock hours for Kansas Speech Pathologists and Audiologists by the Kansas Department of Aging and Disability. Long Term Sponsorship number LTS-S1057. This activity is approved for 1.5000 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Stroke Overview
Why It Matters
Prevalence
Types of Strokes
SLPs as Part of the Interprofessional Team
Review
Summary
Section 3: The SLP’s Services Following Stroke
Speech-Language Pathology Services
Considerations for Recovery
Augmentative and Alternative Communication
Goal Writing and Documentation
Outcome Measures
When to Discharge
Review
Summary
Section 4: Aphasia
Overview
Traditional Aphasia Therapy
Technology-Based Therapies
Music Therapy
Service Delivery Options
Review
Summary
Section 5: Motor Speech Disorders
Overview
Dysarthria Treatment
Apraxia of Speech (AOS) Treatment
Cueing
Review
Summary
Section 6: Dysphagia
Overview
Traditional Techniques
Review
Neuromuscular Electrical Stimulation (NMES)
Mechanical Inspiration and Expiration Training
Myofascial Release
McNeil Dysphagia Therapy Program (MDTP)
Diet Management
Review
Summary
Section 7: Cognitive-Communication Deficits
Overview
Anomia and/or Word-Finding Deficits
Attention/Concentration
Temporal Orientation
Visuospatial Skills
Short-Term Memory
Problem Solving, Safety, and Judgment
Patient-Centered Goals
Use of Technology
Review
Summary
Section 8: Conclusion
Course Summary
Course Contributors
Resources
References
Meghan Farrington is a certified and licensed speech-language pathologist with over 20 years of experience in the adult setting. Meghan earned her Bachelor of Science in communication disorders from the State University of New York College at Fredonia and her Master of Arts in speech and hearing handicap from the State University of New York College at Geneseo. She has worked in the long-term care and sub-acute setting, but most recently in the acute and outpatient setting with the adult population with the Rochester Regional Health system. She is skilled in objective dysphagia assessments such as modified barium swallow studies (MBSS) and fiberoptic endoscopic evaluation of swallow (FEES). Her areas of focus include dysphagia, cognition, speech and language disorders, a variety of voice disorders including paradoxical vocal fold dysfunction and resonant voice, gastroesophageal reflux disease (GERD) management, and head and neck cancer. Disclosure: Meghan Farrington, MA, CCC-SLP discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as Collecting Speaker's Fees All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.Writer: Susan Almon-Matangos, MS/CCC-SLP
Susan Almon-Matangos, MS/CCC-SLP, is a certified and licensed speech-language pathologist with over 30 years of experience. She obtained her bachelor's degree in psychology from Jacksonville State University and her Master of Science degree in speech-language pathology from The University of Alabama. She worked with clients of all ages and a variety of diagnostic conditions in school, hospital, skilled nursing facility, outpatient clinic, and home health settings. In her previous role as a national clinical director for Aegis Therapies, she created training programs for physical therapy, occupational therapy, and speech-language pathology related to the clinical rehabilitation needs of older adults in post-acute care. She currently draws upon her expertise in her role at Relias as Lead Subject Matter Expert Writer for Speech-Language Pathology. She is a certified member of the American Speech-Language-Hearing Association and the Pennsylvania Speech-Language-Hearing Association. Disclosure: Susan Almon-Matangos, MS/CCC-SLP discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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