Chapter 1 - Medical SLP Overview - AI Powered

Question 1

What is the primary focus of medical speech-language pathology?

Answer 1

The primary focus includes understanding the anatomy, physiology, psychology, and social mechanisms involved in communication, as well as addressing disorders that impede communication.

Question 2

What are the two guiding factors framing the ASHA Scope of Practice?

Answer 2

Evidence-based practice and cultural and linguistic diversity.

Question 3

What does the WHO International Classification of Functioning emphasize?

Answer 3

It emphasizes a standard language for disablement classification and highlights the role of the client/patient in various contexts.

Question 4

What types of disorders do SLPs provide services for according to ASHA?

Answer 4

Disorders of voice, speech, resonance, fluency, language, cognition, or swallowing.

Question 5

True or False: The ASHA Practice Portal provides outdated resources for practitioners.

Answer 5

False

Question 6

What is one reason for differentiating medical from nonmedical speech-language pathology?

Answer 6

To signal key features of speech-language practice and differentiate it from other aspects of the field.

Question 7

Fill in the blank: Medical speech-language pathology focuses on a patient’s ________ status.

Answer 7

health

Question 8

What are the three viewpoints to examine medical speech-language pathology?

Answer 8

• Where it is practiced (continuum of care)
• Who delivers services (specialists and subspecialists)
• How services are performed (procedures and competencies)

Question 9

In which settings can medical speech-language pathology be practiced?

Answer 9

• Academic facilities
• Community hospitals
• Outpatient clinics
• Subacute care facilities
• Rehabilitation settings
• Home care
• Nursing homes
• Hospices

Question 10

What is the focus of SLPs in acute care settings?

Answer 10

The focus is primarily consultative, addressing rapid changes in communication and swallowing.

Question 11

What is the role of SLPs in palliative and hospice care?

Answer 11

To facilitate communication, nutrition, or comfort for individuals with terminal conditions.

Question 12

True or False: The role of SLPs in primary care has been widely discussed.

Answer 12

False

Question 13

What does the term ‘continuum of care’ refer to in medical speech-language pathology?

Answer 13

It refers to the range of settings where speech-language pathology services can be delivered.

Question 14

According to the ASHA Scope of Practice, what kind of care do SLPs provide?

Answer 14

Person-focused care that integrates various health services.

Question 15

What is a unique aspect of speech-language pathology compared to other health disciplines?

Answer 15

The distinctive behavioral and physiologic approaches to patient management.

Question 16

What is one challenge mentioned regarding speech-language pathology in end-of-life care?

Answer 16

The lack of focus on communication and swallowing problems in the literature.

Question 17

What is primary care defined as according to the Johns Hopkins Primary Care Policy Center?

Answer 17

The level of a health services system that provides entry into the system for all new needs and problems, person-focused care over time, care for all but very uncommon conditions, and coordinates care regardless of delivery location.

Reference: Johns Hopkins Primary Care Policy Center

Question 18

Who typically provides primary care in the United States?

Answer 18

Physicians, nurse practitioners, or physician assistants.

Primary care providers (PCPs) serve at the point of entry into the health system.

Question 19

What is the role of SLPs in primary care?

Answer 19

Provide key referral guidance and assistance to practitioners who provide primary care.

SLPs do not manage or coordinate patient care but can help with referrals.

Question 20

How can appropriate referral practice by primary care providers benefit patients?

Answer 20

It can reduce unnecessary costs for patients and their insurers.

This is a significant concern in the current health environment.

Question 21

What is essential for SLPs to do in relation to primary care providers?

Answer 21

Participate in the education of PCPs in residencies, training programs, and continuing education.

SLPs can assist in areas of communication and nutrition.

Question 22

What is one of the main goals of a health services system?

Answer 22

Optimization and equity of health status.

Question 23

What are some areas of specialization in medical speech-language pathology?

Answer 23

• Neurogenic communication disorders
• Voice disorders
• Swallowing disorders
• Tracheostomy/ventilator-dependent patients
• Pediatric areas.

These specializations reflect the medical model of training.

Question 24

What is the trend regarding specialty recognition in speech-language pathology?

Answer 24

The move towards formal specialty recognition and certification is emerging within the discipline.

ASHA has begun setting standards for specialty recognition.

Question 25

What has the ASHA Board of Directors approved regarding specialty recognition?

Answer 25

The transition of the specialty recognition program to one of specialty certification.

Question 26

What is the percentage of SLPs that have completed the requirements for specialization?

Answer 26

A minority of SLPs have completed the requirements for specialization.

Question 27

What has prompted the need for specialization in medical speech-language pathology?

Answer 27

The extent and depth of knowledge necessary for comprehensive diagnosis and treatment.

Question 28

What does the practice of medical speech-language pathology rely on?

Answer 28

Tasks, protocols, and competencies.

Question 29

What are some technological developments in clinical practice for SLPs?

Answer 29

* Electronic medical records (EMR) * Applications for clinical service delivery * Telehealth/telepractice. ## Footnote These technologies are critical for modern speech-language pathology practice.

Question 30

What is the significance of the electronic medical record (EMR) in healthcare?

Answer 30

It reduces communication errors and integrates health records for better accessibility.

Question 31

What percentage of facilities reported active vacancies for SLPs in 2005?

Answer 31

41%.

Question 32

What percentage of SLPs spent time treating dysphagia according to the 2011 ASHA report?

Answer 32

41 to 48%.

Question 33

Fill in the blank: The shortage of SLPs in health care settings has ______ over the past several years.

Answer 33

decreased.

Question 34

True or False: Most of the education efforts by SLPs for physicians have focused on the primary care level.

Answer 34

False.

Question 35

What is consultative practice in medical speech-language pathology characterized by?

Answer 35

Intensive short-term encounters and interventions that may or may not include direct treatment of the patient.

Question 36

What is a key concern for SLPs with the implementation of the Affordable Care Act?

Answer 36

Enhancing service and reducing costs through appropriate referral mechanisms.

Question 37

What did the 2011 ASHA report focus on?

Answer 37

Reimbursement issues, caseload type and activities, and work setting issues.

Question 38

What is one major benefit of ensuring cognitive, communication, and swallowing information is well established in the medical record?

Answer 38

Immediate access by all providers, especially PCPs, to key diagnostic and treatment information ## Footnote This can enhance patient care and decision-making.

Question 39

What potential does the integration of large data sets collected on many patients have?

Answer 39

To answer important questions that can lead to systemic change in the way services are delivered ## Footnote For example, associations between treatments and outcomes can be studied.

Question 40

What has developed around health care applications for speech, language, and swallowing disorders?

Answer 40

A major industry ## Footnote This includes applications that extend clinical activities beyond the treatment room.

Question 41

What has increased the portability of augmentative communication technologies?

Answer 41

Advancements in smart phones, laptop computers, and notebooks ## Footnote These devices allow for more accessible treatment options.

Question 42

What is telehealth/telepractice?

Answer 42

Delivery of services to patients 'at a distance' ## Footnote This method enables remote evaluations and monitoring of patients.

Question 43

True or False: Telehealth can only be used for patients who are mobile.

Answer 43

False ## Footnote Telehealth is especially beneficial for patients who are not mobile.

Question 44

What areas have applications of telepractice and telerehabilitation been reported in?

Answer 44

* Dysphagia * Aphasia * Voice disorders * Traumatic brain injury ## Footnote These areas are seeing innovative uses of telecommunications technology.

Question 45

What does ethical practice in medical speech-language pathology involve?

Answer 45

Application of standards of service delivery ## Footnote This includes avoiding misrepresentation and adhering to preferred practice patterns.

Question 46

What is a significant ethical concern in the specialty of swallowing?

Answer 46

Management of swallowing disorders ## Footnote This area carries high risks for patient harm.

Question 47

What is a common issue SLPs face when working with other professionals?

Answer 47

Conflict over issues of 'turf', competence, or perceived power ## Footnote Such conflicts can arise in resource-limited environments.

Question 48

What has changed in the health insurance industry affecting speech-language pathology?

Answer 48

Increased attention to costs and resources used ## Footnote This has led to attempts to control costs and reduce service lengths.

Question 49

Fill in the blank: SLPs must understand and appreciate the significance of a variety of new methodologies for _______.

Answer 49

Funding their programs ## Footnote This includes understanding capitation arrangements.

Question 50

What can help medical SLPs maintain currency and expertise?

Answer 50

Continuing education ## Footnote This is essential for adapting to changes in the field.

Question 51

Why is it important for medical SLPs to establish familiarity with other professionals?

Answer 51

To understand the perspectives and values of other providers ## Footnote This enhances collaboration in patient care.

Question 52

What is a key area of expected growth in health care for SLPs beyond rehabilitation?

Answer 52

Preventive care and consultation ## Footnote SLPs are encouraged to participate in these aspects.

Question 53

What role does professional involvement play for SLPs?

Answer 53

Ensures currency and quality in practice ## Footnote Involvement in professional organizations facilitates networking and resource exchange.

Question 54

What are the implications of specialty development in neurogenic communication disorders for professionals?

Answer 54

They may need to pursue credentials in these areas ## Footnote This decision should be based on personal and professional considerations.