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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. 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

15. 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

16. Clinical Holding Guidelines

it does need to be completed. Examination of lateral oblique radiographs does not reveal any other pathology. In discussion with carers, agreement is reached to consult with his parents, who live elsewhere, and reach a best interests decision. Following this discussion, a treatment plan with a range of treatment options is agreed based on Andrew’s current clinical and his inability to consent due to a lack of capacity. Using a ‘least restrictive’ approach, the treatment plan proposes that an initial (...) and the dental team to discuss plans for her long term oral care. 17 Case Study 5 Robert Robert has cerebral palsy and attends regularly for check up. His movements are athetoid, characterised by involuntary movements of his fingers, hands, toes and feet as well as uncontrolled movements of his arms. Robert’s speech is also severe affected and although it is quite difficult to understand him, he refuses to use and augmentative communication methods. Although he wife usually accompanies him to the surgery, he

2010 British Society for Disability and Oral Health

17. Clinical Guidelines & Integrated Care Pathways for the Oral Health Care of People with Learning Disabilities

in the early stages is crucial and determines good oral health in later years, but they need support and guidance from the specialist dental team. Anne is now an adult and in full time residential care. She is profoundly disabled with little speech, but she does have the great ability to bring a sense of happiness to everyone she meets. She would be unlikely to initiate or maintain an oral care regimen on her own and it is thanks to the help of many people over the years, that her oral health is good today (...) with Learning Disabilities 2012 92.4 Cultural Issues People from ethnic minority groups are subjected to the same barriers to oral care but these may be exacerbated by factors related to ethnicity (NHS SSI Executive, 1999), including language. There are different customs and practices between cultures and it is important to be aware of them and how they may impact on the use of dental services. People from ethnic minority groups may have different attitudes and beliefs about oral matters. Females may prefer

2012 British Society for Disability and Oral Health

18. APA Guidelines on Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists

and communities. Guideline 3. Psychologists strive to recognize and understand the role of language and communication through engagement that is sensitive to the lived experience of the individual, couple, family, group, community, and/or organizations with whom they interact. Psychologists also seek to understand how they bring their own language and communication to these interactions. Guideline 4. Psychologists endeavor to be aware of the role of the social and physical environment in the lives of clients (...) and gender diversity, social class, language, immigration status), and the other focused specifically on the race/ethnicity- related scholarly developments since the 2002 Multicultural Guidelines were adopted (APA, 2015a). III. Purpose The purpose of the Multicultural Guidelines is to provide psychologists with a framework from which to consider evolving parameters for the provision of multiculturally competent services. Services include practice, research, consultation, and education, all of which

2002 American Psychological Association

19. Guidelines for the Evaluation of Dementia and Age-Related Cognitive Change

Neurocognitive Disorders Work Group has pro- posed that a new category, neurocognitive disorders, replace the DSM-IV category of delirium, dementia, amnestic, and other geriatric cognitive disorders. 1 January 2012 ? American Psychologist © 2011 American Psychological Association 0003-066X/11/$12.00 Vol. 67, No. 1, 1–9 DOI: 10.1037/a0024643giene, or even utter comprehensible speech. These more malignant forms of cognitive deterioration are caused by a variety of neuro- pathological conditions and dementing (...) pertinent today: Psychologists can play a leading role in the evaluation of the memory complaints and changes in cognitive functioning that frequently occur in the later decades of life. Although some healthy aging persons maintain very high cognitive performance levels throughout life, most older people will experience a decline in certain cognitive abilities. This decline is usually not patholog- ical, but rather parallels a number of common decreases in physio- logical function that occur

2012 American Psychological Association

20. Cultural Competency

, such as standard American EnglishforaspeakerofBlackEnglish)shouldnot be confused with the grammatical or lexical abnormalities of language disorders. In contrast, de?cits associated with psychiatric and language disorders (such as auditory-verbal working memory de?cits) may slow the acquisition of a second language. Specialized consultation and assessment over time by a speech/language pathologist with expertise in dual-language childrenmaybenecessarytodifferentiatenormal from disordered language acquisition (...) be healthily ex- posed to and learn 2 languages with no signi?- cant detrimental effects. 26 Although it may be true that certain children with linguistic or other de?cits may become overwhelmed by the additional cognitive and linguistic demands of dual-language learning, recommendations to discontinue learning the home language may have potentially serious consequences and should not be made lightly. Rather, such de- cisions should ideally involve full assessment by a speech/language pathologist

2013 American Academy of Child and Adolescent Psychiatry

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