An Integrative Approach to Speech Therapeutic Services in Adult Populations with Neurological Disorders Dysphasia Pragmatic Communication Cognitive Impairments
Integrative Approaches • Medical Integrative Therapies • History and development • Research Basis • Used to call it Holistic Medicine, now we integrate and synthesize our approaches to incorporate all areas of treatment into our Speech Therapy treatment approaches.
Neurological Basis • Speech Evaluation Includes an assessment of • Overall Neurological functioning (TBI, Stroke, Dementia, Progressive Neuro) • Feeding and Swallowing Function • Cognitive Ability • Language Ability , Receptive/Expressive/Pragmatic
Neurological Fx • Neuro report • Observation: Hemiplegic? Do they walk? How do they walk to the therapy room? With assistance? Ataxic? Rate? • Handedness and dominant for writing? • Hemianopsia or other visual field disorders?
Feeding and swallowing • Diagnostic Screening • FEES • Approaches
Cognitive Functioning • Cognitive Linguistic Quick Test
Language Ability • Tests to use