With cognitive therapy, prognosis for improvement is strongly determined by the patient and caregivers’ motivation and participation. —Contributed by Jenn Eagerman, MS, CCC-SLP, and Kari Griffin MS, CCC-SLP, SALMON VNA & Hospice. Create therapeutic exercises for brain health. In recognition of the American Speech-Language-Hearing Association’s designation of May as National Better Hearing & Speech Month, SALMON VNA speech department team members share some of the ways speech-language pathologists (SLPs) may help improve the health and communication of those they serve. However, when we consider that anywhere from 20 to 80 percent of individuals who suffer strokes have a post-stroke cognitive impairment, per the Annals of Translational Medicine, we must consider the importance of therapeutic intervention for cognitive abilities as well the linguistic aspects. Expressive communication deficits are often addressed with linguistic exposure and repetitive tasks for naming and verbalization. Interventions are developed based on each individual’s type and severity of impairment. Speech-language pathology can help guide and direct this restoration of function. Checklists, planners, reminders, and more. An individual who suffers from a traumatic brain injury can present with deficits in attention, executive function, information processing (receptive communication), memory, metacognition, orientation, and spatial cognition. Engaging Alzheimer’s and dementia patients in speech therapy activities can prolong the worst effects that come along in the late stages of these diseases. An SLP may further be concerned with upper gastrointestinal dysfunction, while the OT is looking at the total-body picture. If you suffer from memory loss after brain injury, it will be nearly impossible for … The speech-language pathologist’s job is to assess all aspects of a client’s communication: speech, language, and cognition. This is done via support with nonverbal communication strategies. Speech-Language Pathologist. In fact, I once encountered a medical professional who proclaimed, “If we live long enough, we will all get dementia.” The problem with this belief is that the over-acceptance of cognitive changes in older adults may lead to many individuals with cognitive impairments not receiving the care they need and deserve. Evaluation and treatment by a Speech-Language … The goal of speech therapy for seniors is to increase functional communication, cognitive skills and teach safe swallowing by introducing diet modifications and special feeding techniques. Hyperbaric Oxygen Therapy (HBOT) can also be very useful in cognitive and language repair. Our role is to identify strengths and highlight those strengths to compensate for the weaknesses. We should strive to encourage individuals to seek answers for the cause of their cognitive deficits and reassure these individuals that there is help. Subscribe to get updates sent directly to your inbox. The common thread between the two professions is clear: A desire to help patients improve their lives. For SALMON’s Coronavirus safety measures visit this page. Occupational therapy practitioners are experts at addressing the effects of cognitive deficits on daily life. Unfortunately, this misconception can be perpetuated by other members of the individual’s social group and even occasionally the individual’s healthcare providers. They learn to modify their environment, which is crucial. Many will also need psychologic care to help them cope with their life after COVID-19. ASC’s speech therapy programs may include muscle retraining, compensatory strategies and use of communication devices. Occupational therapy can help with Developmental Disabilities and can improve skills such as motor skills development, hand-eye coordination and more. Would you like to receive digital marketing insights in your inbox? Palliative Care vs. Hospice Care: What’s the Difference? They also target language, swallowing, and cognition. Acupuncture by a licensed acupuncturist has been shown to improve articulation. Among other things, those who struggle with mild cognitive impairment may present with difficulty recalling when to take their medications. Like Physical Therapy (PT), it starts with an initial assessment meeting to determine the degree of impairment, whether Cognitive Therapy is needed, and the frequency of the therapy sessions. A speech-language pathologist can help across the spectrum of severity. For instance, frontotemporal dementia will have an early onset, fast progression, and will likely result in behavioral deficits. From there, they may need physical, occupational or speech therapy. Spaced Retrieval. Outpatients with physical or cognitive issues need to be seeing a physical medicine and rehabilitation physician, or at the very least, their primary care physician. Parents can learn more about the signs of ADHD on the American Speech-Language-Hearing website. There are normal age-related changes that occur, and part of a speech pathologist’s role is educating patients and families about typical versus atypical changes. We’re as dedicated to our team members are we are to our residents. It is imperative to treat the associated disorder to promote the resolution of the cognitive impairments. These include memory and attention and executive function, which refers to an individual’s ability to plan, sequence, organize, problem-solve, decision-make, initiate, and be self-aware. Receive our monthly newsletter for the latest in senior living. A person with a cognitive-communication deficit can benefit a great deal from therapy. Speech therapy for this child won’t be over in a few months or even in a year or two.” ... doctors and other professionals may not be sharing with parents of a child with a language delay related to delays in cognition. Also known as Speech-Language Therapy, Speech-Language Pathology is the assessment and treatment of speech (articulation, prosody, intonation and rate), language (reading, writing, talking, understanding and the alternative communication systems), cognition (thinking skills), voice, swallowing and social communication skills (social interactions). On average, 75 percent of strokes occur in people 65 or older. For example, a person with cognitive issues related to language processing (following directions, using written strategies for memory and organization) may focus on speech-language pathology services. Using a person-centered perspective, they work with the client, family, and involved others to set collaborative goals and intervention priorities. Individuals working with a speech pathologist learn how to compensate for their deficits. A speech-language pathologist can assist with dementia staging through education on current and potential future functioning. We do not sell or share your data. For example, Speech Anxiety Cures Inc. (SAC) utilizes The Lovett Method to help individuals overcome speech anxieties and impediments. From your first worry to your first appointment, and your last speech therapy session – find the information you need to help your child thrive and gain necessary speech skills. On the other hand, Parkinson’s dementia will have a late-onset, a slower rate of progression, and fewer behavioral considerations. When most people think about speech-language pathologists (S-LPs) they probably think of someone who helps people who stutter or have a lisp. Try waiting for up to 90 seconds before repeating yourself. Obviously, speech-language pathology is beneficial for individuals suffering from verbal expression and receptive communication deficits status post-stroke. At SALMON, the speech therapists are all Certified Dementia Practitioners. Speech therapists (or speech language pathologists) provide therapy to help increase a person’s communication ability in writing, reading, speaking and gesturing. Some individuals with cognitive impairments do not seek medical intervention due to the fear of receiving an Alzheimer’s diagnosis, limited awareness of their deficits, a belief that the deficits are “normal,” or the perception is that nothing can be done. While it’s true that they do help with those issues, their scope of practice is a whole lot broader. including a cognition group, two expressive language … Learn more about the fundamentals of communication, common language disorders and the different kinds of speech Into Words therapy can help with. Let’s consider a few of these diagnoses. Together they blend their skill… Overall, as professionals who work with older individuals, it is important for all of us to be alert for changes in cognitive function. A person with aphasia may seem to be confused because they cannot recall words or names of familiar people and places. We will send you a few emails each month about our newest content, upcoming events, and new services. Caregivers are then taught strategies that will ultimately improve their lives as well. It is true that word retrieval can be affected by cognitive changes, but it can also be the result of a patient suffering from aphasia, which affects the production of words and language. Speech-language pathologists work closely with the individual, their family, their caregivers, as well as their physical and occupational therapists to provide a holistic approach to cognitive intervention to maximize an individual’s function. ©2021 FOX Rehabilitation™ and FOX Rehabilitation Logo are registered trademarks. Often, SLPs have seriously considered going into occupational therapy before finally settling on speech-language pathology, and vice versa. A basic speech-language pathology assessment will examine each of these areas of cognition to determine which components are affected, and the severity of the impairment. Meanwhile, you can help the person communicate by taking a few simple actions: Allow the person extra time to process what you’ve said. Oftentimes we will call a patient receiving VNA services to schedule an evaluation for speech therapy, and the patient will say, “Why? A cognitive disorder can range from a mild cognitive impairment to advanced dementia. Cognitive-behavioral therapy (CBT) This is a type of treatment that allows individuals to alter their way of thinking about certain situations and their style of speech. Although the benefit of speech-language pathology with Alzheimer’s dementia was previously established, it is important to note that not all individuals with dementia are struggling with Alzheimer’s disease and each form of dementia progresses differently. Memory deficits are often dealt with by training the patient on the use of compensatory strategies or practice with recall. However, when we consider that one in 10 adults over the age of 65 has Alzheimer’s disease, as stated by the Alzheimer’s Association, it is not surprising that an overgeneralized belief that the development of cognitive deficits which impact an individual’s daily functioning, safety, independence, and general quality of life is a “normal” and untreatable process of aging. Multimodality input and increased processing time help with receptive communication deficits. However, it is important to be aware of the differences in the two types of impairments from an intervention standpoint. IEP (16) ... You Can Help Develop Your Child’s Cognition. They may struggle with solving problems related to their medical needs or activities of daily living. For example, they may not be able to recall what they had for breakfast because they cannot think of the word “muffin.” It is important to differentiate these impairments in order to guide treatment strategies and lead to better outcomes for both patients and caregivers. Additionally, the SLP can develop an individualized plan of care just as they would for patients with Alzheimer’s. Occupational Therapy’s Role in Cognitive Rehabilitation . It is well known that individuals who struggle with mild cognitive impairment are at greater risk of developing Alzheimer’s disease. The awareness of speech-language pathology’s benefits for individuals with Alzheimer’s is slowly growing throughout the healthcare community. We use it to enhance your experience with our site and to analyze the performance of our marketing efforts. For instance, mild cognitive impairment has a myriad of disorders associated with the root cause, including diabetes, hypertension, hypercholesterolemia, obesity, and depression to name a few. Articulation Skills/Speech Intelligibility. 6 Ways to Help Someone with a Cognitive-Communication Disorder. To do this cognitive … Individuals at every stage of the disease can benefit from intervention. According to research by the National Center for Biotechnology Information as well as the Department of Speech and Hearing Sciences at Indiana University, there is evidence to support the benefits of medication use, participation in physical activity, behavioral and environmental modifications, and participation in speech-language pathology in the treatment of Alzheimer’s and dementia. However, even with appropriate medical treatment, impairments do not always resolve as quickly or completely as one would hope. The SLP will help with: bolus size, food consistency, decreasing aspiration, and techniques such as chin tuck swallow or multiple swallows per bolus. Speech Pathology Begins with the Physical Processes of Speech. Consequently, the line between mild cognitive impairment and the early stages of dementia can become blurred. What about those individuals who are struggling with cognitive impairments from an illness or disease other than Alzheimer’s? Speech-language pathology is a powerful tool to help a variety of individuals navigate the frightening process of cognitive function changes. Evaluate attention, concentration and reasoning. FOX Geriatric Residency in Physical Therapy, FOX Geriatric Fellowship in Occupational Therapy, physical activity, behavioral and environmental modifications, participation in speech-language pathology, 75 percent of strokes occur in people 65 or older, As Cognitive Decline Commences, Here’s How SLPs Can Help Keep the Golden Years Gold, The Many Roles an SLP Plays in Older Adults Thriving, We Elaborate On An SLP’s Role In Geriatric Care, Hottest 5: Our Tips On Point Of Service Documentation. 3. To learn more, please see our. While TBI is not the first diagnosis one thinks of in reference to older individuals, their increased risk of falls, miscellaneous injuries, and car accidents place them at risk for sustaining a traumatic brain injury. Challenges caregivers may face include communication breakdown, agitation, and resisting necessary procedures such as dressing, taking medications, and eating meals. Lynn Gallandt, M.S., CCC-SLP is a licensed and certified Speech Language Pathologist who provides individual and group therapy to adults with neurological disorders.She currently facilitates several weekly groups at B.R.A.I.N. Card Matching. Overview Music is Processed in All Areas of the Brain. However, when we consider that one in 10 adults over the age of 65 has Alzheimer’s disease, as stated by the Alzheimer’s Association, it is not surprising that an … In this article, we will focus on the positive effects a speech therapist may have on cognition, which is essential for being able to live at home and for sustaining one’s current living environment. Consequently, due to the varying methods for intervention with each root cause of communication breakdown and the frequency of cognitive impairment in individuals who have suffered a stroke, speech-language pathologists are compelled to consider cognitive function in their CVA assessments. 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