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Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: These SIG 8 Perspectives articles focus on topics that are important in promoting public health audiology. In “Fundamentals of Epidemiology for the Audiologist,” Torre and Reavis provide an overview of basic epidemiologic concepts including study design, prevalence, incidence, risk ratios, and odds ratios. The authors emphasize that an understanding of epidemiology is crucial for audiologists for a variety of reasons, including to help them assess the quality of publications, evaluate and discuss the efficacy of screening methods, and evaluate and communicate risk factors for ear and hearing problems. In “Hearing Health Care Delivery Outside the Booth,” Gates, Hecht, Grantham, Fallon, and Martukovich review the literature on boothless audiometry and introduce current tools used to deliver hearing health care outside of the traditional clinic setting. From their review, the authors conclude that boothless audiometry technology provides an opportunity for audiologists to expand services to nontraditional settings such as waiting grooms and nursing homes, increasing access to care, early identification, and intervention, and therefore improving health outcomes.
Presenter(s): James Coyle, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session explores the complexities SLPs must account for when treating patients with complicated medical conditions, whose communication, cognitive, and swallowing difficulties are multifactorial. The speaker discusses how SLPs can get a clear understanding of the impact of each medical diagnosis – and the interactions among them – on a patient’s functioning, and how to collaborate with other specialists whose expertise complements SLPs’ efforts. The speaker explores how SLPs can provide thoughtful, systematic scaffolding designed to improve the health and function of damaged tissues/structures and physiologic systems, develop patient independence in the skilled performance of compensations and other behaviors that jump start recovery, and increase a patient’s investment and participation in the process.v
Presenter(s): Sapna R. Kudchadkar, MD, PhD, FCCM; Ann Parker, MD, PhD
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Adult and pediatric survivors of critical illness commonly experience post-intensive care syndrome (PICS, or PICS-p in children), consisting of impairments in mental health (e.g., anxiety, depression, and post-traumatic stress disorder symptoms), cognition, and physical function. These impairments are associated with worse health-related quality of life and can persist for years after discharge from the intensive care unit. This session describes the incidence of and risk factors for such symptoms as well as interventions to prevent and manage these impairments.
Presenter(s): Sejal Shah, MD
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: Prolonged hospital stays can impact patients in a variety of ways, having adverse effects on physical, financial, and psychosocial health. This session explores psychosocial impacts such as demoralization and concerning psychiatric symptoms.
Presenter(s): Dee Adams Nikjeh, PhD, CCC-SLP; Shannon Butkus, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Coverage of and payment for SLP services for patients with complex medical conditions requires SLPs to navigate provider guidelines and payment systems related to multiple sites of service and multiple episodes of care. SLPs must also exhibit professional mastery of the principles of clinical decision-making pertaining to a continuum of care from intensive skilled treatment to maintenance intervention and termination of SLP care. This session presents critical information to support accurate payment for SLP services provided to patients with complex medical conditions. The speakers share a pediatric and an adult case scenario and provide useful resources.
Presenter(s): Kristin King, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session explores issues facing patients on mechanical ventilation and their care teams. The speaker discusses how a care team comes together to use objective criteria (including decision-making criteria) for patient care regarding placement and weaning from speaking valves. The speaker also discusses special considerations for settings without access to a team approach and when working with children.
Presenter(s): Aneesha Virani, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Bringing together a group of health care professionals with varied expertise to deliver treatment has been shown to improve patient outcomes. This session discusses the relevance of a multidisciplinary treatment approach for patients with complex medical conditions, with a specific focus on rehabilitation services, providing insight into effective teaming for successful multidisciplinary patient interventions.
Presenter(s): Carmen Vega-Barachowitz, MS, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: The business aspects of health care delivery and resultant SLP experiences, such as increased productivity requirements and disparities in patient access, may feel unfair. The paradoxical experience of providing patient-centered care and maximizing patient outcomes while wrestling with workload demands and economic pressures can affect SLPs’ independent clinical judgement, contributions to patient care, and value added. In this session—the opening session from the 2021 online conference “Empowered SLPs in Health Care: Breaking Barriers and Shaping Solutions”—the presenter shares ways to design your own professional pathway to confront the challenges and feel empowered to influence change. The session also equips you with learning strategies and a framework for maximizing your learning across all the sessions from the conference.
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: These three articles describe current issues and advances related to hearing diagnostics, treatment, and prevention. The first article is a detailed description of the impact that COVID-19 face masks and social distancing regulations have had on speech recognition and how face masks affect the acoustic signal and increase cognitive effort in listeners with hearing loss. Suggestions for mitigating these deleterious impacts on communication are provided. The second article is a research study examining the correlation between self-perceived hearing difficulty, determined using a questionnaire (Adult Auditory Performance Scale), and speech-in-noise performance (Listening in Spatialized Noise–Sentences Test) in listeners with normal pure-tone thresholds. Results highlight the relationship between self-perceived hearing abilities and binaural speech-in-noise performance supporting the inclusion of speech-in-noise testing even in those with normal pure-tone thresholds. The third article is a review of current genetic, stem cell, and pharmacotherapy research for treatment and prevention of hearing loss. Animal models are discussed, as well as steps to translate this research into clinical practice.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: The first article in this SIG 18 activity investigates the applications speech-language pathologists (SLPs) and audiologists used most frequently during the beginning of the COVID-19 pandemic. It also discusses the main obstacles to providing speech, language, and hearing services through telepractice. Through the international distribution of an electronic survey, a total of 1,466 surveys from SLPs and audiologists from 40 countries were used for the analysis. The second article discusses the Auditory Verbal UK's training program for prospective listening and spoken language specialist certified auditory verbal therapists delivered globally via telepractice. The article explores, from a global perspective, audiology and early intervention services and perspectives regarding telepractice. The third article explores parents' and therapists' views of the benefits and challenges of telepractice for early intervention for children who are deaf or hard of hearing during the COVID-19 pandemic. Through survey and analysis, the article probes the views of parents, Listening and Spoken Language Specialist Certified Auditory Verbal Therapists in using telepractice to deliver auditory verbal sessions.
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