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Clinical Resources

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Ask the Experts

No Volitional Vocalization in a 23-Month Old

Lauren Nelson, Ph.D

February 5, 2007

I have been working with a child for approximately 2 months who makes no open mouth vocalizations except when crying and laughing. He does make a closed mouth, humming noise to get someone's attention...   Read More

 


Screening for Auditory Processing Disorders

Martha Coen Cummings, Ph.D,CCC

January 29, 2007

What is a good way to screen an 11 year old child for a possible auditory processing problem?   Read More

 


Managing Tactile Defensiveness in Treatment of Dysphagia

Sue Curfman, M.A.,CCC

January 22, 2007

I have a question regarding how tactile defensiveness is best treated when managing dysphagia in patients with dementia. In what way may various textures and temperatures be introduced to inhibit spit...   Read More


Word Retrieval and Rapid Naming Tasks

Diane German, Ph.D

January 15, 2007

Do students with word retrieval problems always have difficulty with rapid naming tasks and can it be used as part of the assessment of word retrieval?   Read More

 


Soft Palate Cleft and Nippling

Donna Scarborough, Ph.D

January 8, 2007

I am currently seeing a 5-wk old with a soft palate cleft who left NICU with PO via Finger Feeding due to inability to achieve suction. The baby does continue to gain weight. Various nipples have been...   Read More


Uvula Asymmetry

Robert Shprintzen, Ph.D

January 1, 2007

What is the speech implication of uvula asymmetry?   Read More


How Does Oral Care Prevent Aspiration Pneumonia?

John Ashford ., Ph.D,CCC

January 1, 2007

How does oral care play a role in preventing aspiration pneumonia? How frequently should it be done for a patient who has dysphagia? Are there protocols to help address oral care for the aspiration ri...   Read More

 


The Role of Clinical Research in Communication Sciences

Clifford Highnam, Ph.D

December 18, 2006

What is the role of clinical research in communication sciences and disorders? How vital are these studies, and how can they be applied within the hospital or educational setting?   Read More


Dysphagia Management in a Skilled Nursing Facility

Sue Curfman, M.A.,CCC

December 11, 2006

I am a recent graduate and I have just started my CFY in a skilled nursing facility. I have a patient with a feeding tube and I am doing recreational feedings with her. She aspirates on 1/4 tsp of hon...   Read More


Addressing the Efficacy of Speech Therapy with Deaf Teens and Adults

Thomas Borton ., Ph.D

December 4, 2006

I have been working at a state school for the Deaf for five years. This is my first job working with Deaf individuals. I work primarily with high school students, many of whom are quite verbal. Severa...   Read More


Managing an Unrepaired Cleft Palate

Ann Kummer, Ph.D,CCC-SLP

November 20, 2006

I am seeing a new 10 year old student who was previously identified as speech impaired, mentally retarded, hyperactive, impulsive and with acting out behaviors. This child has had 3 unsuccessful surge...   Read More

 


Finding a Professional Trained in Treating Tongue Thrust

Marsha Lee-White ., M.S.,CCC-SLP

November 13, 2006

I have an 8 year old son who has tongue thrust. I am having a hard time finding a speech pathologist in Stuart, Florida who has experience with tongue thrust. Any reccomendations? Also, are you in fav...   Read More

 


Block Scheduling - An Alternative to Weekly Sessions

Shari Robertson, Ph.D,CCC-SLP

November 6, 2006

I work with 3 classes of special needs preschoolers in the public schools. I am planning to try block scheduling rather than weekly scheduling this next school year. I was considering 1-2 weeks per cl...   Read More


Treatment Approach for Submucous Cleft Palate

Lynn Marty Grames, M.A.,CCC-SLP

October 23, 2006

I see a 3 year old child diagnosed with a submucous cleft that reportedly does not require surgery. The child was not diagnosed until age 2. What treatment protocol would you suggest to address intell...   Read More

  


Concerned About My Toddler's Vocabulary

Cheryl Stewart Speech-Language Pathologist

October 16, 2006

My 16-1/2 month old daughter has a vocabulary of one word. She uses this one word for everything and repeats it throughout the day. She seems to hear normally and point at objects she wants or looks t...   Read More

 


Transitioning with Severe Apraxia to Public Schools

Carol Grasha, M.A.,CCC

October 9, 2006

We are working with a child, now 9 years old, who is severely apraxic in speech as well as in fine and gross motor skills. The child has been enrolled in a highly specialized intensive full day progra...   Read More

   


Dysphagia and Patients with Alzheimer's

David Stein, Ph.D

October 2, 2006

Could you please describe the methods involved with spoon feeding a patient with Alzheimer's disease who has a hyperactive gag reflex?   Read More

 


Promoting Speech Production in a Functional Communication Framework

Margaret Fish, MS, CCC-SLP

September 25, 2006

For nine months, I have been working with a nonverbal nine year old child with Down Syndrome in a self contained-collaborative classroom. Though I can see where the student makes attempts to imitate,...   Read More

   


Generalizing Target Sounds Into Conversation

Linda Wellman, Ph.D,CCC-SLP

September 18, 2006

I have 2 students with a lateral lisp. Both are able to stretch a /t/ and use a straw to direct airflow for a correct /s/ sound. The HS student is also able to say words, phrases and sentences monitor...   Read More


Severe Pharyngeal Dysphagia and Cricopharyngeal Dysfunction

Donna Scarborough, Ph.D

September 11, 2006

I have a patient with severe pharyngeal dysphagia including complete dysfunction of the cricopharyngeus muscle. He was referred to a GI doctor for dilation, but this did not help at all. The only way...   Read More


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