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Speech Language Pathology

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1. Stuttering home programs in speech-language pathology

Stuttering home programs in speech-language pathology Speech Pathology/Stuttering/Home Program/BESt 137 Best Evidence Statement (BESt) Copyright © 2008–2012 Cincinnati Children's Hospital Medical Center Page 1 of 7 Date: November 13, 2012 Title: Evidence Based Practice for Stuttering Home Programs in Speech-Language Pathology Clinical Question: P(population/problem): Among preschool and early school age children enrolled in 1. speech-language pathology services for stuttering I(intervention (...) . doi: 10.1080/1368280801895599[4a] Jones, M., Onslow, M., Packman, A., Williams, S., Ormond, T., Schwarz, L. & Gebski, V (2005). Randomised controlled trial of the Lidcombe programme of early stuttering intervention. British Medical Journal, 331(7518): 659. doi: 10.1136/bmj.38520.451840.E0[2a] Koushik, S., Hewat, S., Shenker, R. C., Jones, M. & Onslow, M. (2011). North-American Lidcombe Program file audit: Replication and meta-analysis. International Journal of Speech-Language Pathology, 13(4): 301

2012 Cincinnati Children's Hospital Medical Center

2. Speech-language disorders ? role of the Speech-Language Pathologist in Early Intervention for children ages 0- 3 yrs.

Speech-language disorders ? role of the Speech-Language Pathologist in Early Intervention for children ages 0- 3 yrs. Speech-Language Pathology/Speech-Language Disorders/Early Intervention/BESt 127 Best Evidence Statement (BESt) Copyright © 2012 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 1 of 5 Date: 09/05/2012 Title: The Speech-Language Pathologist’s Role in Early Intervention for Children, Ages Birth-to-Three Years, with Speech- Language Disorders Clinical (...) and language delay/disorder/impairment, is better than no intervention. Speech-Language Pathology/Speech-Language Disorders/Early Intervention/BESt 127 Copyright © 2012 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 2 of 5 All available evidence consistently support the role of SLPs as an EI service provider (Paul &Roth, 2011 [5a]; ASHA, 2008 [5a]; Local Consensus [5]). A primary role for SLPs is in providing EI services independently or in collaboration with other providers

2012 Cincinnati Children's Hospital Medical Center

3. Autism spectrum disorder ? Speech therapist directed use of video monitoring

with developmental disabilities other than autism, patients unable to attend to audio/visual scenes for less than 1 minute. Recommendation (See Dimensions for Judging the Strength of the Recommendation) It is recommended that speech-language pathologists working with children with autism spectrum disorder incorporate the use of video based modeling into treatment plans to target either functional or imaginative play* skills (Boudreau, 2010 [4b]; Paterson, 2007 [4b]; Hine, 2006 [4b]; Charlop-Christy, 2000 [4b (...) of the guidelines for scoring at each level; identification of current or initial performance; delivery of intervention for a specified period of time; analysis of performance attained on each objective; and evaluation of the degree of attainment (Schlosser, 2004 [5a]). SUPPORTING INFORMATION Background/Purpose of BESt Development Currently, there is variation among speech language pathologists in the use of video modeling for targeting play skills with children with autism spectrum disorder. An individual’s

2012 Cincinnati Children's Hospital Medical Center

4. Pharmacological management of migraine

with an underlying pathology and include migraine, tension-type, and cluster headache. Secondary headache disorders are attributed to an underlying pathological condition. Medication-overuse headache (MOH) is increasingly recognised as a problem and affects around 1% of the population worldwide, but can vary significantly between countries (0.5% to 2.6%). 6,7 In patients with MOH, migraine is the most common underlying headache disorder (approximately 80%). Migraine is the most common severe form of primary

2018 SIGN

5. Clinical practice guideline for the management of patients with Parkinson´s disease

. Occupational and physical therapy 73 5.2. Speech therapy 96 5.2.1. Communication and language 96 5.2.2. Swallowing 100 5.3. Neuropsychology 104 5.4. Nutrition and diet 108 5.4.1. Vitamin D supplements 108 5.4.2. Weight loss 110 5.4.3. Modification of protein intake 1 1 1 6. Dissemination and Implementation 115 7. Lines of future investigation 117 Annexes 121 Annex 1. Scales used in the studies included in the CPG 121 Annex 2. Information for patients 126 Annex 3. Glossary 142 Annex 4. Abbreviations 147 (...) with Parkinson’s disease? Speech therapy Communication and language 11. How effective is speech therapy in improving communication and language in persons with Parkinson’s disease? Swallowing 12. How effective is speech therapy in improving swallowing in persons with Parkinson’s disease? Neuropsychology 13. How effective is rehabilitation of cognitive functions in persons with Parkinson’s disease? Nutrition and Diet Vitamin D supplements 14. How effective and safe is supplementation with vitamin D

2015 GuiaSalud

6. Guidelines for the Provision of Intensive Care Services

Guidelines for the Provision of Intensive Care Services B Guidelines for the Provision of Intensive Care Services 2015 Edition 1 British Association of Critical Care Nurses Royal College of Speech & Language Therapists Critical Care Network Nurse Leads Association of UK Dietitians Association of Cardiothoracic Anaesthetists United Kingdom Clinical Pharmacy Association College of Occupational Therapists National Outreach Forum UK Critical Care Nursing Alliance Neuroanaesthesia Society of Great (...) Facilities 21 2.2 The Critical Care Team: Staffing Numbers and Work Patterns 24 2.2.1 Consultants 24 2.2.2 Trainee Medical Staff 26 2.2.3 Nurse Staffing 29 2.2.4 Advanced Critical Care Practitioners 32 2.2.5 Physiotherapy 34 2.2.6 Pharmacy 36 2.2.7 Dietetics 39 2.2.8 Occupational Therapy 42 2.2.9 Speech and Language Therapy 45 2.2.10 Practitioner Psychologists 48 CHAPTER THREE: CRITICAL CARE SERVICES – PROCESS 51 3.1 Patient Pathway 52 3.1.1 Admission, Discharge and Handover 52 3.1.2 Critical Care

2015 Intensive Care Society

7. ICS Tracheostomy Standards (2014)

Care, Head & Neck Surgery, Nursing, Respiratory Medicine, Speech and Language Therapy, Physiotherapy, Dietetics and other allied health professionals. These teams must work closely with the patient and their families/carers to ensure high quality, safe, timely and co-ordinated care. Critical Care staff should be encouraged and supported in contributing to these teams, with allocated time, both inside and outside the ICU. TRACHEOSTOMY CARE INTENSIVE CARE SOCIETY STANDARDS © 2014 7 2. Introduction (...) intubation, tracheal pathology, thyroid pathology, and aberrant vessels. ? Significant coagulopathy ? Proximity to site of recent surgery or trauma: e.g. carotid endarterectomy, anterior cervical fixation, sternotomy, oesophageal drainage, and burns. ? Potential instability: e.g. patients unable to tolerate cardiovascular or respiratory changes, such as those with unstable intra-cranial pressure (ICP) after brain injury ? Severe gas exchange problems: e.g. FiO2 >0.6 and PEEP >10 cm H2O ? Age: children

2014 Intensive Care Society

8. Parent-Infant Interaction for Non-Organic Failure to Thrive

and caregiver interactions during mealtime can be frustrating experiences for both parents and infants which may in result in maladaptive feeding behaviors that may have long-term negative consequences. Non-organic failure to thrive has nutritional, medical, developmental, social and legal implications for the child and their family. Group/team members Group/Team Leader: Brenda K. Thompson, M.A., CCC-SLP, Speech Pathologist II, Division of Speech- Language Pathology Support personnel: Mary Ellen Meier, MSN (...) is a diagnosis of impaired growth, particularly related to weight gain in young children without any underlying medical cause. It is a complex condition that requires a multidisciplinary approach for evaluation and management. Team members may include physicians, bedside nurses, speech pathologists, occupational therapists, social workers, and nutritionists. The incidence of failure to thrive is between 1-5% of tertiary hospital admissions in children under 1 year of age. It is estimated that up to 10

2011 Cincinnati Children's Hospital Medical Center

9. Communication of healthcare information to patients and caregivers using multiple means

(the extent to which the body of evidence directly answers the clinical question [population/problem, intervention, comparison, outcome]) 7. Impact on morbidity/mortality or quality of life Supporting information Introductory/background information This clinical question was selected by the Occupational Therapy and Speech Pathology Evidence-based Practice (EBP) team due to its relevance in a psychiatric setting. Occupational therapists and speech and language pathologists administer developmental screens (...) Communication of healthcare information to patients and caregivers using multiple means Copyright © 2011 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 1 of 5 Occupational Therapy and Speech Pathology/Mental Health/Caregiver Communication/BESt 096 Best Evidence Statement (BESt) Date: 05/12/11 Communication of health care information to patients and caregivers using multiple means 1 Clinical Question P (population/problem) In children 6-18 years old and their caregivers

2011 Cincinnati Children's Hospital Medical Center

10. Treatment and recommendations for homeless people with Chronic Non-Malignant Pain

and if they are currently experiencing any of these problems. Ask about suicide attempts, psychiatric hospitalizations, and past or current use of medications ?for nerves.? Inquire about symptoms of psychological problems often associated with chronic pain: stress, anxiety, problems with appetite, sleep, concentration, mood, speech, memory, thought process and content, suicidal/homicidal ideation, hallucinations, insight, judgment, impulse control or social interactions. ? Substance use history Information about use

2011 National Health Care for the Homeless Council

11. General Recommendations for the Care of Homeless Patients

, infection, strokes, tumors, poisoning or developmental disabilities. Cognitively impaired homeless persons with co-occurring substance use problems are frequently unable to access or benefit from traditional addiction treatment programs. • Developmental discrepancies Homeless children, adolescents and young adults frequently exhibit developmental levels that do not match their chronological age. Many homeless children have speech delays secondary to chronic ear infections. Insufficient opportunities (...) by languages other than English. Insensitivity to cultural heritage, native language, patient beliefs and values and to the special needs of people experiencing homelessness often present serious obstacles to health care. • Limited education/literacy Homeless adults, especially those in families, are more likely to have dropped out of high school and less likely to have completed education beyond high school, compared to all U.S. adults. Mobility, chronic illness, stress and anxiety associated

2010 National Health Care for the Homeless Council

12. Diagnosis and Management of Cerebral Venous Thrombosis

. According to the largest cohort study (the International Study on Cerebral Venous and Dural Sinuses Thrombosis [ISCVT]), 487 (78%) of 624 cases occurred in patients <50 years of age ( ). , Clinical features are diverse, and for this reason, cases should be sought among diverse clinical index conditions. A prior pathological study found a prevalence of CVT of 9.3% among 182 consecutive autopsies. No population studies have reported the incidence of CVT. Very few stroke registries included cases with CVT

2011 Congress of Neurological Surgeons

13. Stroke early management

care institution for dependent adults FAST Face Arm Speech Time (message based on the Cincinnati Prehospital Stroke Scale) HAS Haute Autorité de Santé IA Intra-Arterial ICU Intensive care unit IV Intravenous MA Marketing authorisation MRA Magnetic resonance angiography MRI Magnetic resonance imaging NIHSS National Institute of Health Stroke Scale SU Stroke Unit ROSIER Recognition of Stroke in Emergency Room Scale SAMU Emergency Medical Assistance Service SFMU Société française de médecine d’urgence (...) , in particular: general practitioners; neurologists, emergency physicians, intensivists, physicians attached to fire brigades, radiologists and neuroradiologists, neurosurgeons, cardiologists, internists, geriatricians, angiologists, physical medicine and rehabilitation specialists, coordinating physicians in residential care institutions for dependent adults (EHPAD); paramedical professionals (nurses, nursing auxiliaries, physiotherapists, speech therapists, etc.) in emergency departments, SUs

2010 HAS Guidelines

14. Tinnitus

) • Largest professional organization of otolaryngologists • AAO-HNS Bulletin • Otolaryngology–Head and Neck Surgery American Tinnitus Association (ATA) • Largest tinnitus patient membership and advocacy organization • Tinnitus T oday American Speech-Language- Hearing Association (ASHA) • Professional association of > 166,000 audiologists, speech- language pathologists, and hearing scientists • American Journal of Audiology • ASHA Leader American Academy of Audiology (...) of persistent, both- ersome tinnitus. It will discuss the evaluation of patients with tinnitus, including selection and timing of diagnostic testing and specialty referral to identify potential underly- ing treatable pathology. It will then focus on the evaluation and treatment of patients with persistent primary tinnitus, with recommendations to guide the evaluation and mea- surement of the effect of tinnitus and to determine the most appropriate interventions to improve symptoms and quality of life

2014 American Academy of Otolaryngology - Head and Neck Surgery

15. Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management

, and impairments in core communication skills, including pragmatic language, as well as inattention, impulsive behavior, and impaired executive function. – Many school-aged survivors of infant cardiac surgery require habilitative services, including tutoring, special education, and physical, occupational, and speech therapy. , The neurodevelopmental and psychosocial morbidity related to CHD and its treatment often limit ultimate educational achievements, employability, lifelong earnings, insurability (...) . Recently, focused neurodevelopmental follow-up clinics for children with complex CHD have been created at several pediatric cardiac centers in North America. These clinics have tremendous expertise in the identification of DDs and developmental delay through multidisciplinary teams, which may include a developmental pediatrician, pediatric psychologist, and neurologist, as well as important consultative services such as nutrition, special education or school intervention, speech and language therapy

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2012 American Heart Association

18. Head injury

haemorrhage The incidence of intracranial haemorrhage in a person with a score of 15 has been estimated at 1 in 3,615 [ ]. The risk is increased in people taking anticoagulant medication [ ]. Open or depressed skull fracture; basal skull fracture. Seizures. Problems with gait, mobility, muscle weakness, spasticity, and contractures [ ]. Communication and swallowing problems (may include dysarthria, dysphasia, and other difficulties in the use of language) [ ]. Hypopituitarism (particularly following (...) that 27.1% of people with a severe traumatic brain injury developed PTSD six months after the initial injury [ ]. PTSD can occur after severe head injury even if there is no recollection after the traumatic event (if the person has extended post-traumatic amnesia) [ ]. Cognitive impairments — may include problems with memory, attention and concentration, planning, problem-solving, language, and perception [ ]. Challenging behaviour — this may include inappropriate vocalisation, disinhibited

2016 NICE Clinical Knowledge Summaries

19. Multiple myeloma

information, see the CKS topic on . Ensure care is coordinated with the rest of the multidisciplinary team, including community district nurses, palliative care team, physiotherapists, occupational therapists, speech and language therapists (SALTs), and adult social care as appropriate. Offer discussion with the person and their family/carers of end-of-life issues such as: The disease process. Treatments, including explanations of short-term crisis treatments. What dying might be like and how symptoms (...) of multiple myeloma include: Pathological bone fractures. Spinal cord compression. Renal damage. Impaired resistance to infection. Anaemia. Bleeding disorders. Hyperviscosity of the blood. Symptoms of multiple myeloma include: Bone pain, often in the lower back. Fatigue. Confusion, muscle weakness, constipation, thirst, and polyuria (due to hypercalcaemia). Weight loss. Recurrent infection. Headache, visual disturbance, cognitive impairment, mucosal bleeding, and breathlessness (due to hyperviscosity

2016 NICE Clinical Knowledge Summaries

20. Dementia

Organisation (WHO) estimates that people with dementia can expect to be [ ; ]: In a mild or early stage (forgetful, and have some language difficulties) for the first year or two. In a moderate stage (very forgetful, have increasing speech difficulty, and need help with self-care) from the second to fourth or fifth years. In a severe or late stage (near total dependence and inactivity) from the fourth to fifth year onwards. Dementia has been found to progress more rapidly following an episode of delirium (...) Dementia Dementia - NICE CKS Clinical Knowledge Summaries Share Dementia: Summary Dementia is a clinical syndrome of deterioration in mental function which interferes with activities of daily living (ADLs). It affects more than one cognitive domain (for example memory, language, orientation, or judgement) and social behaviour (for example, emotional control or motivation). Early (or young) onset dementia is generally defined as dementia that develops before 65 years of age. Mild cognitive

2016 NICE Clinical Knowledge Summaries


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