Increasing Cultural Competence in the Field of Speech-Language Pathology

During my interview with Speech Pathologist, Deborah Kirsch, I learned countless details about the Speech Pathology career field. When we first began talking, I learned that Mrs. Kirsch works out of a company called “Professional Therapy Services”, where she is contracted out to work for “Eunice Smith Nursing Home” which is located in Alton, Illinois. She has been working at this facility for about a year. She is a newly found graduate from Southern Illinois University Edwardsville, and she graduated in May 2011. Another thing that I learned about Mrs. Kirsch is that she originally did not go to school to become a speech pathologist, this was a career that she found later in life. After she had graduated from SIUE, the first time with a bachelors in Psychiatry, she started working at a nursing home around this area. She came to know a Speech Pathologist that worked there and she quickly found the field very fascinating. She had always been driven to help others, and she witnessed some of the exercises being done with individuals at the nursing home and decided to go back to school to get her masters in Speech Pathology.

The five following questions are a great way to discuss today’s communication in the health care field; this paper will give a better explanation on what therapeutic communications are, cultural blindness as well as cultural competence, and identifying cultural backgrounds. Working in the health care field we use these very few things every day without even realizing it. It is important that health care professionals have a clear understanding about these concepts to provide the proper care to patients.

The opportunity to observe the work overview of a Speech Pathologist, has tremendously solidified my interest in this field. At the Diana Rogovin Speech Center at Brooklyn College, I observed clients of various ages with different speech language disorders including articulation, language, voice, fluency and accent modification. Observing clinicians at the speech center gave me the opportunity to learn how important client-clinician interaction is for the session and how essential it is to build a good relationship with the client. Although I learned the

Many people would like to make a difference, not only in their own life, but in others’ lives as well. Deepak Chopra once said, “Everyone has a purpose in life…a unique gift or special talent to give to others. And when we blend this unique talent with service to others, we experience the ecstasy and exultation of our own spirit, which is the ultimate goal of all goals.” All of us, at one point in our lives, have to make the difficult decision of the goals we want to work towards. We all have certain goals, standards, and expectations of ourselves. Not everyone will figure out what they want to be right away, and some will know from the very beginning. My plan for my life is helping others through Speech Language

Harris (2010) investigated school-based speech-language pathologists’ perceptions regarding the supports and barriers experienced when assessing the language skills of k-12 students from culturally and linguistically diverse backgrounds. Unlike teachers, speech-language pathologist lack information concerning the perceptions and correct practices of cultural competency. Therefore, speech-language pathologists could misdiagnose or provide inadequate services to cultural or linguistically diverse patients resulting from the lack of cultural competency. The author concluded recruiting more culturally and linguistically diverse speech-language pathologist offers the field a broader representation of the American population.

Can you imagine the how the healthcare industry would be without language, what seems to be impossible to imagine is the everyday reality of some patients because of their native language. Language is a major contribution to the health disparities that some populations face, because it makes it difficult for some patients to communicate their problems as well as understand the care they provided. Language contributes to the health disparities that some populations face because it creates a barrier between the patient and the care provider, making it difficult for a patient to receive proper care. Language barriers create a communication gap between a patient and a provider, forcing the patient to feel misunderstood and unable to trust his/her provider to properly care for them. I come from a family that speaks more than one language, so I have seen the impact language barriers can have on someone who doesn’t speak fluent English.

Many people have seen the increase of immigrants coming to the United States. “Census 2000 measured a U.S. population of 281.4 million, including 1.2 million who reported and Arab ancestry” (de la Cruz and Brittingham, 2000). Arab Americans are those people who speak or are descendents of Arabic-speaking populations. As doctors and caregivers continue to provide care to those that speak English, communication between them is easy. But when this simple task is changed when there is a patient from a different culture, it produces challenges that both parties have to overcome. Doctors and caregivers have to increase their cultural awareness and sensitivity so that there is a good

A phenomenon applicable to the vast field of Speech-Language Pathology, and the foundation of research now and in the future can all be attributed to, difference versus disorder. This concept considers the complexities of those served within the profession and highlights the range of possibilities displayed from an individual, that draws a fine line between a person being labeled as having a dialectal difference or a speech and/or language disorder. A difference can be defined as an alteration in an individual’s speech and/or language that can be attributed to internal and external factors such as race, culture, and the environment in which a person lives. In contrast, a disorder is an actual disability that interferes with a person’s speech

Class,  In our first DQ, we discussed the various cultural barriers that we might see on a routine basis; however there are still many more barriers to effective communication.  These might be more associated with physical and psychological barriers.  Here are two real-world questions that we most of us will encounter throughout our health care career regularly... How might a provider communicate more effectively with a person who is hearing impaired? Also, how might a provider communicate more effectively with an adolescent versus an adult?

An issue frequently debated by the legislature concerns funding of various social/public programs which include speech-language pathology services. As a child who suffered from an auditory processing disorder, and a future licensed Speech-Language Pathologist (SLP), I know all too well how important SLP services are for children. Currently, funding for social/public programs to include Speech-Language Pathology services in the United States is not adequate for children with learning disabilities and the legislature must act to remedy this.

(1997). The spirit catches you and you fall down: A Hmong child, her American doctors, and the collision of two cultures. New York: Farrar, Straus, and Giroux. Karliner, L. S., Jacobs, E. A., Chen, A. H., & Mutha, S. (2007). Do professional interpreters improve clinical care for patients with limited english proficiency?

In a culture as diverse as the United States it is of utmost importance that individuals in settings such as the health care field learn to communicate with people from different cultures. This type of setting offers many chances for misunderstanding, miscommunication, and mistrust. It is imperative for the health care field to have an effective strategy to minimize these negative consequences of poor intercultural communication. One must also remember when implementing a communication strategy that there are many elements that effect the experience; cultural variations, personal dignity, and interpersonal relationships. An effective intercultural

Some of the duties of a speech pathologist are, but are not limited to, evaluate patients’ levels of speech, language, or swallowing difficulty, identify treatment options, teach patients how to make sounds and improve their voices, work with patients to develop and strengthen the muscles used to swallow, and counsel patients and families on how to cope with communication and swallowing disorders (Duties, www.bls.org, 2015). ‘If the speech-language pathologists work in medical facilities, they work with physicians and surgeons, social workers, psychologists, and other healthcare workers’ (Duties, www.bls.org, 2015).

During the semester, I was successful at completing the objective, of collaborating with peers, other professionals and families plan and implement culturally competent nursing care to childbearing families. I improved my skill of communicating with patients whose culture was different than mine; I did this by picking patients with a unique culture. For example, I would pick to work with a patient that didn’t speak the same language as me. This helped me with communicating with different groups and cultures. For example, if a mother or their family member spoke a different language than me, I wouldn’t not joke around with them as they have a different culture, and my joke may be translated differently or negatively. Unfortunately, that barrier

I can provide quality services to an individual from a culturally and linguistically diverse background by seeking assistance from a trained interpreter and setting up a meeting with the client’s family to inquire about their exposure to English. I think it’s extremely important to ask questions about the client’s language developmental history