Speech and Language Pathology

Entries by tag: stroke

[sticky post]Before You Post About Grad Schools...
Before making a "Will I get in?" post about graduate schools, please do the following:

1.  Check out this entry found here.
2.  Read past entries for ideas - Graduate School tag is a good starting place.
3.  Check the program website for the school you are applying to, many times they have information about average GPA/GRE scores, employment rate post grad, etc.

The reason we're asking this of you is because we tend to get a huge influx of graduate school posts around this time of year and many of your questions have been answered before.  If you truly cannot find your answer, feel free to post your graduate school question. =)

Treatments ideas for Aphasia
Greetings all,

I'm a grad student doing my student placement at a SNF.  I have 2 patients with aphasia and I have been collecting materials and ideas for activities.  I thought I might list some of goals here and ask the community to please share some of their favored intervention techniques, websites, creative ideas and the like.  Thank you in advance for any assistance and support.
Areas of my goals (I won't list the entire goal for the sake of time):
  1. Improve orientation 
  2. 1,2 & 3 step directions
  3. categorization
  4. "wh-" questions
  5. Working with calendar
  6. Sequencing
  7. Proficiency with daily routine/ADLs
  8. Recall and short-term memory.
Again thank you.

AAC Device
I have some adult patients who communicate through a dynavox. Their goals are too initiate and respond during conversation and communicate their wants and needs. Lately, I just elicit these responses in a conversation. My concern is that I feel like I am not getting responses from them because it is too naturalistic (they can't want something all the time) and there is not enough opportunity if you wait for something to occur naturally.. Also their day is pretty simple..they have their meals and thye watch tv on some occasions so they don't have other reasons to use their dynavox.

Should I structure the therapy and provide games, stories, movies, or structure it so that I can elicit these responses more?

Had A Stroke, Switching to Speech Pathology
Hi guys! I'm new to this community. I just recently decided to switch to SLP after going for my Masters in Literacy. I really didn't like it, so I'm dropping to the program, and going into Communicative Disorders as an undergrad pre-grad certification 1 year program for my masters at West Chester University in PA. I have my undergrad in Special Education and have my teaching cert.

I remember back to freshman year of my undergrad, when I was in an intro Comm Dis class, and the professor said that if she had a stroke, she'd be out of a job as an SLP. I was very interested in the course, but as soon as she said this, I knew it wasn't possible. I had a stroke at 13, but there was no aphasia involved. My nerves got damaged though, and my muscles in one side of my face do not work. My speech is a little bit off, but people tell me they can still understand me, so it's not bad. I'm just worried about when I'm giving therapy to my patients ( I want to work with stroke patients) and how that will work. I want what happened to me do be a source of inspiration to my patients, but I also want to be practical.

Can someone give me any advice in this situation? Thanks guys :) You're all so smart! :) I really hope that this won't deter me. It's been something that always worried me, but I figured if it's something I really want to do, I'll make it work!
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Male Considering SLP

I don't want to post on a topic that may have already been covered extensively, however, I haven't been able to find much on the topic either on the community or Google in general. 

I am currently a Junior in my undergrad with a double major in Applied Linguistics and Spanish. I am bilingual in Spanish and am a registered court interpreter in TN. My passion in academics truly is linguistics, particularly psycholinguistics, neurolinguistics, and cognitive science. My long term goal is to eventually earn my Ph.D and teach and research in these areas. However, I have recently been considering SLP and CSD as a related and more versatile career path. Instead of directly enrolling in a linguistics doctoral program after graduation, I am thinking I am going to apply to a SLP program. I do have a few questions and wanted to solicit some advice. My reasons for pursuing an SLP career are firstly that faculty positions are extremely competitive and hard to come by, especially in such a specialized field as linguistics. Secondly, time is a concern. I don't know if I want to go through another 5 straight years of school. I wont finish my undergrad till I am 23-24 and want to get on with life. My ultimate goal is to hold a Ph.D, however, it is something I could postpone till a little later in life. I don't want to get bogged down in background info, but I feel it is important to give when asking for advice.

My first concern with regards to SLP is that it really is a female dominated profession. I have nothing against this, in fact I welcome it. However, I fear that as a male it would be difficult to find positions. I want to work with adults and stroke/brain trauma victims. I know that most of the positions available are in school settings or with pediatrics, especially so for bilinguals. However, I am intimidated by working with young children. Could you offer any advice on what employment prospects might be for a male in my situation? Would it be hard to find hospital positions working with adults? 

Secondly, I am concerned about finances. I will be graduating with about $60 k in debt. I'm not really aiming for a get-rich-quick job. 50K a year average salary is quite sufficient for a single with no kids. However, I don't know what the future hopes and would like to be able to support a family full time. I am not sure if SLP offers that opportunity... What are the salary expectations for jobs working with adults?

Thirdly, what opportunities are there with SLP to incorporate research in the aforementioned areas of interest. Are there any graduate programs that offer a dual degree in SLP and linguistics? Or an SLP masters to linguistics doctorate program? Any advice about the ability to shift from SLP to academic research? Is it feasible to work part-time as an SLP and pursue a Ph.D program part time? 

Thanks, sorry for the long post. I have been deep in thought considering all these things and would like to get some advice from real people with real experience. Once again, thanks!

Acute setting - Hx
hi everyone,
I'm an intern working in an acute care setting and I was wondering if there were any helpful lists of questions or questions you yourself make sure to ask during a dysphagia evaluation regarding a patient's eating/swallowing/diet history.  I was looking for questions that would be pertinent and extremely important for my clinical judgement during an evaluation - thanks!

(no subject)
Just a little confused - wanted to see if someone could clear things up a bit about strokes. Exactly what type of stroke would cause full face drooping as opposed to droop that affected the lower 2/3 of the face? Just having a hard time sorting out cranial nerves. Any help would be appreciated!

What kind of deficit is this?
So I am working with a 75 yr old man who has early dementia and an old Cva. He stated he has difficulties with word finding. So with confrontational naming and naming to description he is 100% but he has difficulty generating words such as 3 synonyms for a word(he can name one thats it)and naming multiple items from a category.Is that word finding difficulties or something else like mental flexibility. And what goal could I write to target it?

Hi All,
I am starting my CF in 2 weeks in a sub acute rehab facility. I took a tour of the facility today and they had absolutely NO MATERIALS. Basically this is going to be a project I'm going to do all on my own. I'm SUPER excited but also really really nervous.

Anyone who works in this type of setting- what are your staple materials that you have had? I've never ben to a facility where I needed to order everything myself. The patients are CVAs and Dysphagia patients.

For Dysphagia I know the usual- gauze, tongue depressors, swabs, pen light, gloves, simply thick, and your different types of food (crackers, pudding, fruit cup).

It's the CVA patients I am having trouble with. I'm assuming since they are CVA that they already received a diagnosis at the hospital they were at so I won't need to do a standardized test like the Boston naming exam. So I'm thinking all I need would be a informal cognitive evaluation like the MMSE (mini mental state exam) or just an informal cognitive form (orientation, receptive and expressive language).

Most of my patients are going to be short term stays (about 20 days or so). Any advice would be greatly appreciated!

confrontation naming
Hi there! Today was my first day having a session with an adult who has had a stroke- she was two years post CVA and has awesome receptive skills. That being said, we're mainly going to work on confrontational naming, and my supervisor came up with this AWESOME activity for it, and all you need is a deck of cards! I just want to share it, and maybe in exchange, get some ideas in return or resources to check out to get some more activities like this. You assign each color a category- for example, red is fruits and black is cities, and then as you lay each card down, the client has to appropriately name the card. After 5 cards, pick them all up and hide them, and have the client recall their choices. If you really want to make it tricky, you can have them reverse the order of recall, as well. You can use the cards for basically any category, too- vegetables, clothes, countries, states, numbers, three letter words, etc!

So, do you have any go-to, fun activities that target verbal expression and confrontational naming? I have worksheets I can look to, but really, worksheets get boring REALLY quick! Thanks for any input, and have a good one!

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