Vocal Fold Nodules Essay

Based on the outcome assessments the speech therapist may find alternatives to increase treatment outcomes.

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.

Watching my friends’ face quiver in disgust after recounting my experience of a videofluoroscopicy and my excitement from viewing the barium travel through the oropharyngeal and pharyngeal phases of swallowing, I realized I wanted to study the extraordinary field of Communication Sciences and Disorders. During my undergraduate career at East Carolina University, my anatomy and physiology class further fostered my enthusiasm for the field when discovering how intricate and complex it is for the human body to perform a simple task such as breathing and swallowing. I was able to utilize my thirst for knowledge of the human anatomy working in Dr. Perry’s Speech Imaging and Visualization Laboratory and enhance my writing skills by reviewing peer reviewed journal articles. Ultimately working and observing lab assistants create 3D anatomical models of the laryngeal mechanism, velopharyngeal mechanism, swallowing mechanism, skull and cranium,

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

Mrs. Newman has been experiencing hoarseness and a change in her voice, but she did not seek medical help until she began to have difficulty swallowing. After being seen by her healthcare provider, she is scheduled for outpatient surgery for a direct laryngoscope to obtain a culture and take a biopsy.

The career of speech pathology offers many opportunities in a variety of different settings. For those who are willing to tackle the challenge of advanced education and have a passion for working with others, speech pathology could be a great career choice. Through my individual research and interaction with other Speech Pathologists,

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).

The scope of practice of speech-language pathology describes the ethical and clinical responsibility of clinicians to implement therapy techniques, which contains efficacy that is supported by evidence. Non-speech oral-motor exercises (NSOMEs), in particular have raised controversy among speech-language pathologists (SLPs) and researchers when treating children with articulation and phonological disorders. The use of NSOMEs is a debated issue in the profession due to the lack of evidence based practice (EBP), poor clinical assumptions, and the avoidance of meeting the client’s needs.

I am writing with great interest regarding a potential speech-language pathologist opening at Gull Lake Community Schools. During the spring of 2014 I completed an internship at Richland Elementary, working under Shawn Herron and Stacy Robbins. I believe I had the pleasure of meeting you a few times as well. I have spoken with Mrs. Robbins regarding the possible opening this fall and she advised I send my resume to you.

Unilateral vocal fold paralysis (UVFP) is the complete immobility of one vocal fold. According to Sapienza and Ruddy (2013), “90% of vocal fold paralysis that occurs is unilateral and caused by damage to the peripheral nervous system” (p. 189). Vocal fold paralysis is typically considered a symptom of a disease or neurologic disruption. In one study, it was found that vocal fold paralysis was caused by surgical trauma, tumors or neoplasms, unknown or idiopathic factors, trauma, central nervous system dysfunction, radiation, inflammatory, cardiovascular, and other causes (Chen, Jen, Wang, Lee, & Lin, 2007). Symptoms of unilateral vocal fold paralysis may include: aphonia, abnormal vocal quality (breathy, hoarse, and/or strained), and dysphagia. Onset of UVFP may be life altering as the individual has to find compensatory strategies for voicing or even alternative methods of communication. The individual is also left susceptible to aspiration due to the lack of airway protection. These factors make it critical to diagnose the impairment so as to provide the appropriate treatment.

The success of speech therapy intervention is dependent on successful surgical correction. The authors note that postsurgical complications may include stiffness due to scar tissue decreasing the flexibility of the velum, tethering of the velum, weakness of the velum, and shrinking of the velar tissues. The authors also note the risk of malocclusion as the child grows and the palate continues to grow and develop.

The goals presented are voice-therapy-only approach. Evidence suggests nodules however if the ENT discovers evidence of cysts surgical intervention is necessary and the therapy goals will be adjusted accordingly (Gellena, 2007). Behavioral-based therapy should commence due to evidence that it

Despite him trying out various vocal exercises with different therapists, it is made obvious to us that the

The last option is surgical voice restoration which was introduced by Singer & Blom in 1980(Blom,1995) Not all patients are suitable for this however, It involves a tracheoesophageal speaking valve, a small fistula is surgically created through the tracheal wall into the oesophagus. A small, one way valve is inserted into the fistula and it allows air to be shunted from the trachea to the oesophagus and up through the pharyngo-oesophageal segment creating an acoustic wave form and voice. A longer flow of voice can be achieved as pulmonary air is used as the initiator for voice.