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Flashcards in Neuro Therapy Settings Deck (12):
1

Describe the continuum of care after an acute neurological injury

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2

Describe acute care: hospital. Where are the patients admitted from? What is the avg length of stay for speech patients? How ofter are patients seeing SLPs? Who pays the bills? What is care based on?

  • Patients admitted directly from ER
  • Avg length of stay for speech patients is 11 days
    • Only critically ill stay longer
  • Patients see SLP by bedside every day or every other day
  • Insurance pays
  • Care is based on medical needs

3

Acute care: patients. What are the top 5 medical diagnoses (etiologies) seen by SLPs? How common are each of these?

  1. Stroke (CVA) (35%)
  2. Respiratory Disease (13%)
  3. Head Injury (6%)
  4. Hemorrhage (5%)
  5. CNS Disease (4%)

4

Acute care: patients. What are the top 5 speech disorders seen by acute SLPs? How common is each?

  1. Dysphagia (77% of pts)
  2. Auditory Comprehension (25% of pts)
  3. Verbal Expression (24% of pts)
  4. Motor Speech (19% of pts)
  5. Memory (13% of pts)
     

5

Describe swallowing evaluations. What is administered by bedside? How can evaluations be completed?

  • Different textures administered at bedside.
  • —Thickened liquids
  • —May be competed at bedside or using X-ray 
     

6

Describe rehabilitation: stay. How long is the avg stay? How often are patients seen? What is the goal?

  • —Avg stay: 20 days for Acute rehab, longer for sub-acute rehab
  • —Patients are seen 5 days/week, usually out of bed and dressed
  • Goal is to transition to home safely
     

7

Rehab: patients. What are the top 5 medical diagnoses (etiologies) of rehab patients? How common is each?

◦CVA: 50%
◦Head injury: 10%
◦Hemorrhage/injury: 7%
◦Respiratory diseases: 6%
◦CNS diseases: 3%
 

8

Who are the rehab team members?

  • Doctor
  • Nurse
  • Physical therapist
  • Occupational therapist
  • Speech therapist
  • Social worker/psychologist
  • Case manager
  • Neuropsychologist 

9

What is documentation? What are goals?

  • Weekly progress summaries and weekly team meetings to report progress
  • —Therapy goals can target anything within our scope of practice.
    • –Aphasia
    • –Dysphagia
    • –Dysarthria
    • –Cognition
    • –Aphonia
    • –Apraxia
    • –Respiration
    • –Hypernasality
       

10

Describe home health speech therapy. What have typical patients just left? Who are home health services available to? How long is it intended to last? What are goals functional fo in home health therapy?

  • Patients have typically just left acute care or rehab.
  • —Home health services available to those that are “homebound.”
  • —Intended to be a short period of time to transition to outpatient
  • —Goals are functional for safety in the immediate environment
     

11

Describe outpatient speech therapy. Where do the patients come from? Who drives the therapy decisions and goals? How long are sessions?

  • Patients may be seen following inpatient discharge, but may never have been hospitalized.
  • —Patient drives therapy decisions and goals
  • —Therapy sessions: 30 min- 1hr.

12

Describe community/center based therapy groups. What are they typically centered around? What do they provide? What may they not provide? Who pays for them? How long do they continue? What do they emphasize?

  • —Typically center around a diagnosis
  • —Provide socialization, supportive services and functional activities
  • —May not provide “therapy”
  • —Paid for ‘out-of-pocket’
  • —May continue indefinitely
  • —Emphasize successful living