quiz 3 Flashcards
(29 cards)
management may consist of these 3 components
restoring
compensation
adjusting
decisions for treatment are based on these factors
- medical dx and prognosis
- disability and societal limits
- environment in which communication will occurs
- characteristics of communication partners
- patients motivation and need for communication
- presence and nature of additional problems affecting communication
- ongoing changes in health care
treatment should be terminated when
- goal are met
- true plateauing occurs
- patient decides they no longer want treatment
medical management includes
- pharmacologic
- surgical
- prosthetic (mechanical and electronic devices)
behavioral management can be
- speech oriented
- communication oriented
speech oriented
- focus is on improving INTELLIGIBILITY, efficiency, and naturalness of speech
- reducing or compensating for underlying impairment
communication oriented
-emphasize environmental modification strategies for interacting and repairing breakdowns as they occur
describe the importance of counseling
-adults have LOST something
-children still need to DEVELOP
where do you want them to go?
general ideas treatment should focus on
- need to make speech a CONSCIOUS act
- motor learning principles
- DRILLS
- value of instruction, self-learning, and feedback
- value of consistent and variable practice
what is consistent and variable practice
- instructing patients family, nurse about counseling, intermittent practice throughout the day,
- decrease frustration
general treatment of flaccid dysarthria
INCREASE STRENGTH or COMPENSATE FOR WEAKNESS
- increase subglotta airpressire (effortful closure)
- increase max vowel duration
- increase loudness (LSVT)
- increase breath group duration
- teach pt when to take breaths
- postural adjustments
- prosthetic aids (mic, voice amp)
general treatment of spastic dysarthria
RELAXATION exercises
- decrease tension
- soft contacts
- stretching exercises (oral motor)
- reduce rate
- antispasticity meds
general treatment of ataxic dysarthria
- pharacological treatments
- behavioral focus
- improve motor control and coordination
- modify rate and prosody
general treatment of hypokinetic
similar to flaccid
- deep brain stimulation reduces excessive movements
- pharmacological
- LSVT
hyperkinetic
mostly surgical or pharmacological treatments
unilateral umn dysarthria
rate, prosody, and artic
speaker oriented RESPIRATION
- increase respiratory support
- prosthetic assistance
- behavioral control
- instrumental biofeedback
speaker oriented PHONATION
laryngeal surgeries
- injectable substances for VFs (Botox)
- pharmicological
- portable voice amp
- effortful closure
- begin phonation after exhale
- turn head to left or right to close off weaker side
- lateral digital manipulation (massage)
- lsvt
speaker oriented RESONANCE
- surgical management (pharyngeal flap)
- prosthetic management (palatal lift, obturator)
- behavioral management (modifying speech pattern, feedback, non speech VP movements-puff out cheeks-
speaker oriented ARTIC
- surgical managements (botox)
- pharmacological
- prosthetic
- behavioral (strengthening, stretching, relaxation, biofeedback)
speaker oriented RATE
- -prosthetic (DAF)
- non prosthetic (finger tapping, rhythm cueing, visual feedback)
speaker oriented PROSODY AND NATURALNES
- breath groups
- contrastive stress
- referential tasks
communication oriented SPEAKER
- prepare listeners with alerting signals
- set context and identify topic
- modify content, length, structure of sentences
- use gestures
- monitor listener comprehension
communication oriented LISTENER
- maintain eye contact
- listen attentively
- modify physical environment
