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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. 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

6. 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

7. 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

8. 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

9. 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

10. Tinnitus

) www.entnet.org • Largest professional organization of otolaryngologists • AAO-HNS Bulletin • Otolaryngology–Head and Neck Surgery American Tinnitus Association (ATA) www.ata.org • Largest tinnitus patient membership and advocacy organization • Tinnitus T oday American Speech-Language- Hearing Association (ASHA) www.asha.org • 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

11. 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

14. 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

15. 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

16. 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

17. Parkinson's disease

to induce parkinsonism: The drug should be reduced or stopped if appropriate. Referral should not be delayed to assess the response. A person with confirmed Parkinson’s disease should be managed by a specialist multidisciplinary team including a Parkinson's disease nurse specialist who should monitor the person and help manage symptoms and complications. Primary care may be involved in the following: Onward referral to the multidisciplinary team, such as speech and language therapy, physiotherapy (...) drives to inform the Driver and Vehicle Licensing Agency (DVLA) and their car insurer. See the section on for more information. Consider referral to other members of the multidisciplinary team, such as speech and language therapy, physiotherapy, occupational therapy, dietetics, adult social care, community nursing, continence and urology specialists, and psychology and mental health services, as necessary. Referral should be considered for people in the early stages of Parkinson's disease

2016 NICE Clinical Knowledge Summaries

18. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury

disorders 23 3. Clinical question 1: Predictors 24 3.1 Background 24 3.2 Recommendations 24 3.2.1 Language 24 3.2.2 Speech 25 3.2.3 Swallowing 25 3.3 Summary of evidence 25 3.3.1 Language 25 3.3.2 Speech 26 3.3.3 Swallowing 264. Clinical question 2: Health professionals 27 4.1 Background 27 4.2 Recommendations 27 4.3 Summary of evidence 28 5. Clinical question 3: Timing of assessment 28 5.1 Background 28 5.2 Recommendations 28 5.3 Summary of evidence 29 6. Clinical question 4: Areas to assess 30 6.1 (...) Background 30 6.2 Recommendations 30 6.2.1 Language 30 6.2.2 Speech 31 6.2.3 Swallowing 31 6.3 Summary of evidence 32 6.3.1 Language 32 6.3.2 Speech 32 6.3.3 Swallowing 33 7. Clinical question 5: Assessment tools 34 7.1 Background 34 7.2 Recommendations 34 7.3 Summary of evidence 34 7.3.1 Language 34 7.3.2 Speech 35 7.3.3 Swallowing 36 8. Clinical question 6: Treatment 36 8.1 Background 36 8.2 Recommendations 36 8.2.1 Language 37 8.2.2 Speech 37 8.2.3 Swallowing 38 8.3 Summary of evidence 38 8.3.1

2017 Clinical Practice Guidelines Portal

19. Cerebral palsy in under 25s: assessment and management

Contents Overview 5 Who is it for? 5 Recommendations 6 1.1 Risk factors 6 1.2 Causes of cerebral palsy 7 1.3 Looking for signs of cerebral palsy 9 1.4 Red flags for other neurological disorders 10 1.5 Multidisciplinary care 11 1.6 Information and support 13 1.7 Information about prognosis 15 1.8 Eating, drinking and swallowing difficulties 16 1.9 Speech, language and communication 19 1.10 Optimising nutritional status 21 1.11 Managing saliva control 21 1.12 Low bone mineral density 22 1.13 Pain (...) 1 in 3 children have specific difficulties with speech and language. The more severe the child's physical, functional or cognitive impairment, the greater the likelihood of difficulties with speech and language. Uncontrolled epilepsy may be associated with difficulties with all forms of communication, including speech. A child with bilateral spastic, dyskinetic or ataxic cerebral palsy is more likely to have Cerebral palsy in under 25s: assessment and management (NG62) © NICE 2019. All rights

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

20. Stroke and TIA

with sudden onset of focal neurological symptoms (such as numbness, weakness, slurred speech, or visual disturbance) which cannot be explained by another condition such as hypoglycaemia. Widespread cerebral hypoperfusion may present with non-focal or global deficits. TIA should be suspected when a person presents with sudden onset, focal neurological deficit which has completely resolved within 24 hours of onset. Stroke should be suspected when a person presents with sudden onset, focal neurological (...) — radiological or pathological evidence of an infarction without an attributable history of acute neurological dysfunction. Transient ischaemic attack (TIA) — transient (less than 24 hours) neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, without evidence of acute infarction. The diagnosis of TIA has historically been based on resolution of focal neurological symptoms within 24 hours of onset. More recently, imaging studies have indicated that infarction occurs in up

2013 NICE Clinical Knowledge Summaries

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