Mrs Carter's Speech And Language Therapy

In order to determine the nutritional care of Mrs Gale the nursing process will be used. Nursing was described as a problem-solving process with 4 stages termed; assessment, planning, implementation and evaluation by Yura & Walsh (1967) (cited Aggleton & Chalmers 2000). This principle is still used in clinical practice today and is considered to be best practice (Bloomfield & Pegram 2012).

As Mrs B has diminished mobility we have to make sure she gets enough exercise and movement so she doesn’t get stiff, so it’s important that she goes for small assisted walks in the ward. Mrs B has a healthy appetite and likes to choose her own meals.

State in your own words what you would say to this patient to explain why she is unable to eat or drink (relate to diagnosis).

Independent and out of bed as tolerated, the client was ambulating well. J.S. was considered a fall risk because of her decreased level of consciousness upon arrival to the unit and possibility of decreased blood

At today’s visit she is found sitting in her room in her wheelchair. She is awake, alert and oriented. She reports that she has had multiple falls over the weekend. She denies pain, shortness of breath and chest pain. The facility staff reports that she has had multiple falls and seems to be falling more lately. The patient uses a wheelchair;

Now, Ms. Matson claims her current disabling medical conditions are to her lower back which inhibits her from not walking not more than ten minutes at a time while using a walking cane. Furthermore, the pain to the left side of her neck because of her left shoulder injury has caused the nerves from her left shoulder travel up to the left side of her neck which is now painful enough where she cannot turn her head to the left.

State in your own words what you would say to this patient to explain why she is unable to eat or drink (relate to diagnosis).

The patient was positive on the left side UE and LE however her response was negative on the right side. She presented flexor tone in right elbow, and extension tone in the right knee. PROM and PNF patterns were performed to help decrease tone. RB was dependent for all bed mobility and required maximum assistance of two therapist at the bed side. She was unable to hold her trunk midline, pushing to the right and falling backwards. She was max assist for sitting, with one therapist in front correcting the right pushing, and another behind her for support. We started her weight bearing through her left UE with assistance, RB was unable to support herself when the therapist did not support her right shoulder, RB returned to pushing towards the right. This sequence was continued five days a week for two weeks. By week three RB was still max assist times two therapists but, showing spontaneous movements during bed mobility. She still required assistance with sitting with weight bearing, through left LE but, she could now hold her trunk for a few seconds, before pushing to the right. To help her find her mid-line this time we had her weight bear with her elbow by leaning on her left side. In this position we first assisted her right UE over her head, working on the flexion tone and stretching of her right side obliques. Next we used

In the field of speech language pathology parent education and involvement in treatment programs can be very beneficial to a client’s progress(TEMPEL). Evidence supports the use of programs that contain interactive approaches to speech and language intervention(LORRAINE). The importance of education is often recognized but can be difficult to deliver. The challenge of providing an effective parent/ caregiver education is an issue that Speech Language Pthologists may come in contact with.

S: Pt. reports no pain in the residual limb but still has difficulties getting in and out bed independently. Pt also complains of loss of balance when hopping from the kitchen to the bathroom c the RW. O; Pt. began the session c vital signs assessment: BP, HR, RR and SpO. Pt. performed Functional activities. Bed mobility: Supine to sit, sit to supine x5 Mod.I. Patient completed x3 standing pivot transfer Mod. I in order to improve getting in and out of bed without difficulties. Pt. also performed pre-gait activities: Sto S x15 c one arm support and prolonged standing c RW x5, 10 sec holding to improve balance. Pt. hoped about 16 feet c RW Mod.I. Pt. educated in HEP during TE training: Clamshells c GTB seated 3x10; Adduction ball squeezes

The next step towards Josephine’s self-feeding goal will be to learn oral motor exercises and compensatory techniques. Oral motor exercises include smiling, puckering the lips, pressing her lips tightly together, opening the mouth, sticking out the tongue and moving it to the left side of the lips, and opening the mouth as though one was yawning and then lifting the tip of the tongue to the roof of the mouth. Each oral motor exercise is held for approximately 5 seconds followed by relaxing and repeating twice each exercise . Josephine is to complete these exercises 3 times a day. Josephine will be educated on two compensatory techniques to promote self-feeding. While she will be seated in her supported wheelchair at the table, Josephine will

As a parent, you wait with baited breath for your child’s first word. In fact, you may find yourself encouraging momma over daddy or vise a versa. When that first word is delayed, hard to understand, or even absent anxiety can set in. Pediatric speech therapy can help a child who is struggling to speak communicate more effectively. In addition, it can help a parent learn tactics that positively reinforce a child’s attempts at speech.

At today's visit, she is accompanied by her daughter. She is awake, alert. The daughter reports that the patient has a fair appetite. She states that the patient has an unsteady gait and she uses a walker. The patient denies, pain, shortness of breath and chest pain. No new concerns reported at this time. The daughter reports that the patient continues to needs assistance with her ADLS, but appears stable at this time.

I am writing to refer Mr Stephen to you for follow up care. He experienced cerebrovascular accident for 2 years ago. Because of this he has slight slurred speech, but is agile and mentally active. He was able to walk with limp unstably previously, so his wife, Sandra assisted his mobility.

There are many reasons why it is important to keep patients mobile, even when they are in a position where extended activity is not feasible. Mrs. Simmons is at risk for many health ailments because of her immobility, some of which include pressure ulcers, muscle weakness, and Atelectasis. Her attending nurse must keep these in mind when talking to her about repositioning and also use the proper movement techniques and assistive devices. Not only does the nurse have to keep Mrs. Simmons from developing health