SLP 542 Week 9

Developing patient rapport

talk less, listen, learn perspectives, goals and values

gender

refers to men, women, or another gender identity. Gender changes over time and across societies.

vocal hygiene doamins

hydration, respiratory health, vocal habits, and reflux precautions

factors involved in developing a plan of care

patients needs

physiological impairments

Evidence based interventions

clinicians competencies

chronic cough strategies

sniff through the nose, purse lip exhale

pursed lip breathing

straw breathing

true or false: knowing your referral source can help your evaluation and treatment process

true

true or flase: a patient referred by a PCP may have more data compared to know referred by a gastro

false

therapeutic alliance

the connection between a patient and a therapist. a mutual agreement to work together to achieve improved patient well being

considerations for recommending a plan of care

clients background

social factors

client motivation

occupation and schedule

goal of voice therapy

optimize the patients voice to meet needs, not necessarily return to normal

treatment efficacy

physiological approaches have some support, but behaviora ltherapy is not operationalize so rigorous studies are difficult

generalization

a patients ability to adapt recommended behaviors from the clinic to the home enviornment.

if a patient cannot adapt recommendations

therapy outcomes are limited

vocal fold hydration

impact heat, friction, and resistance between te TVFS during vibration

hypo (dehydration)

thick, sticky mucus

hyper (hydrated)

thin, watery mucus

vocal rest is beneficial for

reducing inflammation

what is typically used after surgery?

vocal rest

duration of vocal rest is

patient specific

systemic hydration

comes from food/liquid intake

systemic hydration is broken down

to the cellular level to impact TVF hydration

topical hydration

syeam inhalation or nebulized isotonic saline. breathing in moist warm air

low impact voicing

vocal behavior/posture that is beneficial for patients with hyper functional disorders

patients with muscle tensions dysphonia my benefit from

low impact voicing

strategies to lessen phonotrauma cough

cough with lips pursed tightly together (semi-occluded posture)