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Results 1 - 10 of 60
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: This trio of SIG 13 articles provides information regarding managing and treating dysphagia with adult patients. First, Abrams and co-authors underscore the importance of hydration and discovered that individuals consuming thickened liquids are often at risk for dehydration. Factors to increase fluid intake through different strategies are discussed. Next, Arguello and Kerr discuss the mechanism of a facial burn injury and how it may cause functional impairments that can be directly impacted through early intervention utilizing speech-language pathology services. Finally, Warner and colleagues completed a pilot study investigating the prevalence of pretreatment dysphagia in oncologic patients and individual factors influencing post treatment dysphagia.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Ototoxic medications and chemical agents in the workplace can put individuals' hearing and vestibular health at risk for permanent injury. Proactive ototoxicity management (OtoM) strategies aim to minimize exposure, avoid onset of symptoms, provide ongoing monitoring, and manage auditory and vestibular changes as the clinical needs of the patient evolve. During a 2021 American Speech-Language-Hearing Association Special Interest Groups Open House, members of the International Ototoxicity Management Group discussed how best to integrate OtoM into routine clinical practice, what tools to use, and what special considerations need to be understood to best support patients and their families. Here, we have summarized their viewpoints to encourage widespread adoption of improved OtoM services for at-risk individuals. The field of audiology needs to move to a place where we better understand the full extent of ototoxicity and can agree on expanding minimum guidelines that can be implemented more universally to mitigate, detect, and manage the damage from ototoxic exposures. Only recently has our field seen a therapeutic drug that can protect against ototoxicity; however, the population served is restricted only to children receiving treatment for nonmetastatic carcinoma. This is hopefully just the beginning of future therapeutic interventions to come, but, in the meantime, ototoxicity resulting from other medications in different patient populations and chemical agents persists.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: These SIG 13 articles underscore the importance of being up to date of dysphagia intervention as the diagnosis has many complexities in assessment and treatment. Larsen et al. surmise that current characteristics and physiological rationale may overestimate the skills required for gelatin-based desserts and inappropriately classify them as nontransitional foods. Therefore, as with all products, individual gelatin-based desserts should be tested at the time of presentation to the patient. Mancopes et al. discuss the importance of strategies for facilitating safe and functional bottle feeding in children with dysphagia include selecting nipples that reduce flow rate, pacing, altered positioning, and thickening liquid consistencies. Their study aims to determine the impact of slightly thick liquids on swallowing through retrospective review of a convenience sample of clinical videofluoroscopies (VFSS) from 60 bottle-fed children (21 male, mean age 9.9 months) referred due to suspected aspiration. Garand et al. perform a retrospective analysis of persons with amyotrophic lateral sclerosis using modified barium swallow studies and recommend use of functional scales to help evaluate and treat this special population.
Credit(s): PDHs: 6.0, ASHA CEUs*: 0.6
Summary: This course focuses on neurodiversity-affirming practices. Five articles discuss the need for neurodiversity-affirming care; research design and reporting in autism intervention research; knowledge, experience, and training of school-based professionals and their familiarity with early communication access for autistic children; themes in spoken narratives produced by autistic adults whose genders are marginalized; and gestalt language processing.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This SIG 11 Perspectives activity addresses the use of single-subject design in clinical education and supervision. In this article, the authors highlight the suitability of single-subject experimental design (SSED) to clinical practice research, particularly within supervisory settings. This practical tutorial provides examples of SSED and suggests possible research topics relevant to clinical education and supervision.
Credit(s): PDHs: 5.0, ASHA CEUs*: 0.5
Summary: These SIG 12 Perspectives articles offer opportunities to extend augmentative and alternative communication (AAC) clinical practice through the inclusion of critical topic areas. They describe survey results and recommendations on disaster preparedness for SLPs to support people who use AAC; propose strategies for clinicians to create a “friendship mindset” in AAC assessment and implementation; offer strategies for designing and implementing Visual Scene Displays (VSDs) as a component within AAC systems for clients across the lifespan; and describe how perspectives of adult part-time AAC communicators support assessment and intervention with beginning communicators who have intermittent, unreliable, and inconsistent speech.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: In this SIG 4 activity, learners will read three peer-reviewed articles centered on cluttering in preadolescent through adult speakers. The first article is a case study of a preadolescent with cluttering. In this paper, the authors highlight brain development during adolescence, adolescent cognitive and emotional development, and the effects of a therapy approach based on objective speech measures. The second article is a research study concerned with disfluency clusters produced by adults with cluttering in natural conversations. The authors describe how disfluency clusters are affected by the nature of the relationship between speakers. The last article presents qualitative data from a focus group of adults with cluttering who have emerged as community leaders. Their reflections include recommendations for listeners and support groups, self management, and their thoughts on labels and acronyms.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: This course focuses on best practices, perspectives, and challenges in the assessment and intervention of developmental language disorders in culturally and linguistically diverse (CLD) populations. The articles discuss resources to interpret and use common standardized language assessments in English for CLD school-age youth; increasing Spanish-speaking caregivers’ use of language-promoting strategies in everyday activities with infants and toddlers; and treatment of bilingual children to promote progression in both languages.
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: In the rising digital era, and especially since the pandemic, implementation of telehealth and provision of auditory rehabilitation (AR) using digital platforms have notably increased. This has changed the outlook of service provision by audiologists and speech-language pathologists alike. Digital platforms have the potential to positively impact AR practices by improving accessibility of rehabilitation services as well as by facilitating a more effective way to share resources with both professionals and end users. This SIG 7 activity includes two articles about the accessibility and effectiveness of digital platforms to provide AR services for both adults and children with hearing difficulties. The first article discusses the differences in the distribution strategy, users’ experience, and satisfaction for two digital platforms (a static website and an active blog) offering AR materials for professionals. Their study concludes that social media–focused active distribution is effective because it results in more total traffic, a greater number of users, more frequent access, and an overall high level of satisfaction with the quality of information and resources. The second article discusses the details of a Zoom-based telepractice initial evaluation protocol used by speech-language pathologists serving children who are hard of hearing and their families. This clinical protocol was designed to synchronously share resources and questionnaires with family members of children who are hard of hearing. Authors suggest that providing AR services through telepractice facilitates high-quality diagnostics and counseling to the same extent as that of in-person diagnostic sessions.
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This course focuses on the prevalence and identification of communication disorders in Japan, Guatemala, and global contexts. The first study, conducted in Japan, examines the prediction of special educational needs in children who stutter using a screening test for three neurodevelopmental disorders. The second study explores clinical practices for speech sound disorders in Guatemala, particularly the use of nonspeech oral motor exercises. The third study provides insights into the frequency of aphasia worldwide.
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