Roles Of Speech Therapist In Laryngectomy Management
A speech therapist also has different roles in each phase, that’s why it is vital for a therapist to know the two phases he plays a role in.
Pre-operative Management
Pre-operative management includes informing the patient of the anatomical changes, and expectations regarding swallowing, voice, and the family as a part of the team. The therapist also informs the patient on the different speech options he has after the operation.
During this phase, the speech therapist should initiate ordering of the hardware or alternative means of communication. The therapist should also be open to questions that the patient may come up with. This is also the time for him to establish rapport with the patient.
The therapist can also offer re-assuring consultation with appropriate laryngectomee volunteers. This is also the time where he assesses the pre-laryngectomy speech and cognition of the patient. The laryngectomee is also informed with his prognosis, where the potential for recovery and long-term rehabilitation is discussed.
The advantages of this phase would be the evaluation of preoperative speaking skills such as speaking rate, articulation errors, accent patterns, oral opening degree when speaking, and vocal parameters. Cognition and hearing is also evaluated, along with oral-peripheral-mouth strength and sensation. The family can also get emotional support in this phase.
Assessment is done by the use of modified barium swallowing or Fiberoptic Endoscopic Evaluation of Swallowing. The patient’s communication needs are also assessed where living situation, occupation, social requirements and hobbies are looked at.
Postoperative Management
During this phase, the therapist is given an opportunity to help lessen the patient’s fears, and depression. He should also help the patient to accept the loss of voice and swallowing difficulties. The motivation of the patient should be increased, so that he can easily learn how to use alternative speech. Social implications are also addressed. Arrangements for voice rehabilitation are also done during the early parts of this phase.
Firs off, the therapist should confirm if the patient is already medically cleared for therapy. Then he should review the treatment procedure, re-evaluate the patient’s swallowing function then give diet recommendations, and create a treatment plan.
Problems Encountered During Postoperative Management
After the operation some problems may still occur. With regards to Tracheostomy, the patient and therapist should always be watchful of stoma hygiene, cannula hygiene, stoma covers, excessive mucus in the trachea, mucus encrustations in the stoma, and stoma safety and first aid.
There could also be problems related to taste, swallowing, smell and digestion. The patient may find it difficult to trap air within the lungs. This can lead to difficulties in creating internal subglottic pressure, elimination of body waste and childbirth.
Problems of social adjustment may also be present. The patient may find it hard or embarrassing to use alaryngeal speech in public. The altered physical appearance of the patient may also be an issue. Sometimes, the laryngectomee also has unrealistic expectations regarding acquisition of alaryngeal speech.
Comments
Menu
My Articles
Speech Therapy For Intermediate StutteringSpeech Therapy Fluency Shaping: A Different Approach
Speech Therapy Activities For Aphasia
Early Learning To Listen Sounds And Speech Therapy
Importance Of Play In Speech Therapy
Play Levels Of Social Interaction In Speech And Language Therapy
Speech Therapy: An Overview
Delineating Speech And Language Therapy
Speech Therapy Management For Fluency Disorders
Teaching Hearing Impaired Children At The Nonverbal Level
Speech Therapy: An Overview On Fluency Disorders
Speech And Language Problems Presented By Crouzon Syndrome
Speech Therapy For The Hearing Impaired
Speech Therapy Of Hearing Impaired Children At The Verbal Level
Roles Of Speech Therapist In Laryngectomy Management
Conditions For Speech Therapy: Laryngectomy
Therapy Procedures For Speech Disorders
The Role Of Speech Therapy In Traumatic Brain Injury
Speech Therapy Assessment Tips For Fluency Disorders
Speech Therapy: PROLAM-GM Approach
Conditions For Speech Therapy: Autism
Speech Therapy Voice Training For The Laryngectomee
Speech Therapy Diagnosis: Autism
Toys As Materials For Speech Therapy
Related Sites | My Articles Speech Therapy Diagnosis: Autism Before a child could undergo speech therapy with the diagnosis of.. Speech Therapy: An Overview On Fluency Disorders One of the main categories of speech problems in need for.. Speech Therapy Activities For Aphasia To begin with, the primary cause of aphasia should be stabilized.. |
|
|
Related News:
|