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Acute Care
18 Response(s) / Resource(s)-
ViewAcute Care Library home
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ViewRMT precautions in acute care
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ViewAcute care standard for cognitive evals?
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ViewHow to get involved in GOC discussions in acute?
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ViewHHFNC: Parameters for holding a swallow eval?
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ViewCan patients have speaking valves in the acute post-op phase of esophagectomy?
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ViewStandards for productivity vs billing in acute care?
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ViewDo you recommend a screener for acute care that easily diagnoses aphasia type?
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ViewWhy do acute stroke patients have fluctuating levels of alertness?
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ViewIn acute care, can you provide an example of when you would make the decision to insert a PEG after the patient has been on a NGT?
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ViewDo we have a role in managing delirium?
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ViewTreating communication in advanced dementia in the acute setting?
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ViewWhat does a cognitive-linguistic eval look like for you in an acute care setting?
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ViewCan you share any helpful guidance on deciding on timing for swallow evaluation in acute care for patients who have a known acute exacerbation of Myasthenia Gravis or Multiple Sclerosis?
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PreviewShould I use EMST with this patient on HHFNC?
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ViewWould age, code status, or diagnosis change your decision on completing an MBS?
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ViewIs person-centered care possible in acute care?
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ViewHHFNC: Is LPM or FiO2 more important?
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Aphasia
6 Response(s) / Resource(s)-
ViewAphasia Library home
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ViewDo you recommend a screener for acute care that easily diagnoses aphasia type?
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ViewCan you expand on these aphasia techniques?: ORLA, ACRT, and MOR
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PreviewCan the Communication Participation Item Bank be completed by proxy? Does the Communication Confidence Rating Scale for Aphasia have an MCID?
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ViewSuggestions for a non-communicative patient after a large L hemisphere stroke
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ViewIs patient-centered care possible in acute care?
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Cognitive Communication
11 Response(s) / Resource(s)-
ViewCognitive Communication Library home
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ViewAcute care standard for cognitive evals?
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ViewDementia: evidence-based interventions when other things aren't working?
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ViewDo we have a role in managing delirium?
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ViewTreating communication in advanced dementia in the acute setting?
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ViewWhat does a cognitive-linguistic eval look like for you in an acute care setting?
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ViewRecommendations on how to approach physical medicine and rehab doctors about our role in cognition?
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ViewWhat's the SLP Diagnosis Code for Dementia and Cognitive Impairment
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ViewWould cognitive eval and treatment be indicated for a patient with PRES?
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PreviewHow do we treat delirium?
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ViewWhich cognitive-communicative assessments do you find to be the most useful/efficient to administer in a fast-paced acute inpatient setting?
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Dysphagia & Swallowing
56 Response(s) / Resource(s)-
ViewDysphagia & Swallowing Library home
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ViewWhy might a patient have difficulty swallowing pills when oropharyngeal and esophageal swallow WFL during MBSS?
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ViewDoes Medicare require a radiologist to be present or supervise the completion of VFSS?
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ViewIs there a phrase you can add to an MBSS report indicating that “impairments” are functional/WFL and intervention is not warranted?
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ViewIs a chin tuck an appropriate strategy during MBSS for residue in the valleculae?
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ViewIs an infarct in the pons a concern for silent aspiration?
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ViewSudden-onset dysphagia after swallowing a pill - treatment thoughts?
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ViewIf a pt complains of globus sensation, what other things should I be thinking of before jumping to recommend a MBSS or not?
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ViewHow to get involved in GOC discussions in acute?
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PreviewAdvice for when patient outcomes aren't what you hoped for?
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ViewCopious oral secretions and no dysphagia likely - what to consider?
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ViewHHFNC: Parameters for holding a swallow eval?
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ViewPatient choked on Levadopa - next step?
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ViewDysphagia in parapharyngeal mass?
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ViewDo we have a role in helping patients who have chronic hiccups? How about problematic belching?
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ViewCan MBS prevent Medicare coverage of tube feeds?
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ViewWhy did this patient end up NPO with a PEG?
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ViewCSE or MBS for this patient with COPD + esophageal dysphagia?
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ViewRMT for dysphagia in lateral medullary stroke?
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ViewMDTP for brainstem stroke?
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ViewCTAR contraindications?
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ViewIs it typical during a VFSS to not always see a CP bar as prominently with some bolus trials vs others?
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ViewFunctional dysphagia treatment resources?
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ViewIn acute care, can you provide an example of when you would make the decision to insert a PEG after the patient has been on a NGT?
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ViewHow to best evaluate pill swallowing?
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ViewWhen conducting a VFSS do you measure and record the amount of Ba ingested by the patient?
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ViewTactile-thermal stimulation (TTS) for apraxic dysphagia?
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ViewCan I rely on cough to detect or rule out aspiration?
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ViewPulse oximetry to detect aspiration?
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ViewAlternatives if a patient is having difficulty swallowing meds due to dysphagia?
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ViewWhat would you bill for evaluation and also for treatment of rumination syndrome?
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ViewLogistics of possibly removing a thickened liquid restriction for this patient?
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ViewWhat plan of care would you establish for this patient based on MBS findings and current status?
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ViewDo you use the effortful pitch glide exercise and dysphagia therapy when appropriate based on an instrumental?
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ViewWould swallowing exercises be indicated in a patient with dysphasia following a cerebellopontine angle tumor resection?
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ViewAre exercises indicated in this patient with likely LMN involvement and advanced cancer?
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ViewWhat are you using for an MBS chair for bariatric patients?
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PreviewThoughts on the Frazier Free Water Protocol for this patient with a brain injury?
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ViewHave you ever seen little to no tongue movement on an MBS? (A bit of a mystery case!)
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ViewRecent evidence regarding free water protocol and who it's appropriate for versus which patients may be safest only with thick liquids?
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ViewWhy would esophageal manometry be normal and not pick up on dysmotility seen on barium swallow? Patient was advised to avoid triggering foods. Is there anything else we can do to help this patient?
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ViewAny thoughts on what might cause a patient to have a very audible swallow post total thyroidectomy?
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ViewDo you have a good resource to point to me to for brushing up on different compensatory strategies and when to use them on MBS?
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ViewWhen do you do, or defer, a 3 oz water swallow test / Yale Swallow Protocol?
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ViewShould I use chest x-ray findings to determine candidacy for an instrumental swallow study?
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ViewWhen would you recommend a PEG tube?
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ViewFreezing thin Varibar for VFSS / MBS? How has it been done in order to be compliant with most hospital policies?
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ViewCan you share any helpful guidance on deciding on timing for swallow evaluation in acute care for patients who have a known acute exacerbation of Myasthenia Gravis or Multiple Sclerosis?
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ViewCan a patient have a normal esophageal manometry study but still have a motility disorder?
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ViewWould age, code status, or diagnosis change your decision on completing an MBS?
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ViewHow do we advocate for MBS / FEES in the SNF?
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ViewWould you have continued this MBS on a patient with MND?
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ViewHow much are patients supposed to have to tuck their chin down to get to the towel during CTAR?
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ViewDo you have any references or recommendations regarding decision making for PEG tube placement versus NG tube following a stroke with moderate to severe dysphagia?
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PreviewIs it appropriate or ethical for SLPs to recommend NPO status or recommend alternative means of nutrition?
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ViewHHFNC: Is LPM or FiO2 more important?
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Essentials & Medical
14 Response(s) / Resource(s)-
ViewEssentials Library home
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ViewWhat does age indeterminate tiny infarct mean?
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ViewClariFix Cryotherapy: Opinions / experience?
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ViewWhy do acute stroke patients have fluctuating levels of alertness?
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ViewHow can I tell how advanced a patient’s dementia is?
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ViewWhat would be the etiology of sialorrhea in CVA patients?
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ViewDistinguishing UMN vs LMN lesions
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ViewCan CN IX have aberrant regeneration after microvascular decompression?
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ViewTransitioning from Ed to Med - can you help me learn how to write plans of care and determine treatment frequency in these settings?
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ViewIs incentive spirometry contraindicated in COPD?
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ViewHow can I improve my knowledge of medical abbreviations?
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ViewResources for predicting deficits based on neuro lesion location?
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PreviewHow do major diagnoses affect cognition & swallowing?
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ViewHow to document the body systems approach in our notes?
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Motor Speech
11 Response(s) / Resource(s)-
ViewMotor Speech Library home
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ViewAphonia in advanced Parkinson Disease: Is it worth working on voicing?
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ViewIf a patient presents with nonverbal oral apraxia, does that mean verbal apraxia is guaranteed?
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ViewWhen diagnosing AOS, can you please provide an example of what groping actually looks like?
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ViewWhat type of dysarthria would you expect given a diagnosis of a L MCA stroke?
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ViewHow to distinguish and diagnose dysarthria types?
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ViewBrainstem strokes: dysarthria vs dysphonia, and ENT referrals?
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ViewAtaxic dysarthria vs Apraxia of Speech?
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ViewWhat can we do for someone with impaired respiratory support for speech?
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ViewReducing muscle tension dysphonia in a person with apraxia and aphasia?
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PreviewNon-speech exercises for dysarthria?
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Professional Topics
20 Response(s) / Resource(s)-
ViewProfessional Topics Library home
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ViewAdvice for when patient outcomes aren't what you hoped for?
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ViewWords of wisdom for writing legally defensible documentation?
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ViewCopyright issues reporting a score in a patient's note?
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ViewStandards for productivity vs billing in acute care?
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ViewHow do you handle different point of views between full time and contingent staff members on acute care?
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PreviewIs it within our scope to carry out oral care on a patient? Or is that the nurse’s role?
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ViewHow do I know when to discharge an adult outpatient?
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ViewToxic work environment with senior and newer clinicians. What to do about it?
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ViewWhat ICD-10 code do you use when you complete a dysphagia evaluation and find no signs of dysphagia or feeding difficulties?
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ViewAre MedSLPs required to work Saturdays?
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ViewWhat are your thoughts on burnout among Med SLPs? I've been wanting to get into the Med SLP realm, but I have Med SLP friends who question me about that.
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ViewWhat are tips and recommendations to navigate insurance and billing in medical settings (ex, SNF, acute, LTAC)? How come some patients are denied for speech therapy ?
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ViewWhen F80.2 is a "developmental code", what does that mean?
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ViewMedical Diagnosis for Alzheimer's and Dementia: Which One to Use? 🤔
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ViewIn NYS is there any issue with working and billing as a CFY without a state license?
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ViewHow would you manage a dilemma involving transitioning to the MBSImP when half of the speech pathology department is for it and half against it?
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PreviewHow do you forgive yourself when you make a mistake?
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ViewWhat are common job interview questions for MedSLP positions?
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ViewWhat do you wish you knew before stepping foot in a medical facility?
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Respiratory Muscle Training (RMST)
30 Response(s) / Resource(s)-
ViewRMT Library home
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ViewRMT precautions in acute care
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ViewIs EMST contraindicated for patients with a chest tube?
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ViewIs EMT contraindicated in vocal polyps?
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ViewIMT or EMT in this complex acute care patient?
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ViewSetting the EMST75 Lite: guidance
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ViewEMT in an acute patient with reduced breath support?
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ViewMultiple medical diagnoses and possible contraindication: should we wait on EMT?
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ViewRMT in Presbyphonia?
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ViewShould I offer EMT to this patient with multiple medical diagnoses?
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ViewBenefit of EMT in advanced parkinsonism?
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ViewRMT for reduced breath support in acute care?
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ViewSterilizing RMT assessment equipment
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ViewIncentive spirometry vs EMT for cough?
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ViewEMT for dysphagia & cough in a person w/ Parkinson Disease?
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ViewRMT for dysphagia in lateral medullary stroke?
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ViewAdjusting an EMT device in the ALS population
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PreviewHow often do you 1) adjust RMT device load and 2) repeat MEP?
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ViewHow to go about having the hospital cover devices for patients?
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ViewRMT in Myotonic Dystrophy for vent liberation?
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ViewCan I use a peak flow meter, or just a perception scale, to set an RMT device?
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PreviewEMT for a lung transplant recipient after a prolonged hospitalization?
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PreviewShould I use EMST with this patient on HHFNC?
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ViewHow can my patient get reimbursed for an Aspire device? (EMST150, EMST75 Lite)
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ViewShould I continue EMST in this trach patient who has met their swallowing goals?
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ViewIs this textbook something you'd recommend SLPs have in their library?
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ViewIA150 adapter: should there be a honking sound?
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ViewRMT for a patient s/p brainstem tumor resection?
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PreviewWhich RMT devices do you recommend?
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ViewWould EMST be indicated in an acute care patient with dysphonia status post total thyroidectomy a week ago?
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Trach & Vent
6 Response(s) / Resource(s)-
ViewTrach / Vent Library home
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ViewCan patients have speaking valves in the acute post-op phase of esophagectomy?
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ViewHow do you educate nurses about speaking valves?
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ViewAre there certain ventilator modes which should immediately exclude inline PMV candidacy if all other parameters are within optimal settings?
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ViewWhen performing a standard, “best case scenario” in-line PMV assessment, is there urgency to go through all steps quickly?
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PreviewDo you use the blue dye test with trach patients?
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Voice
14 Response(s) / Resource(s)-
ViewVoice Library home
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ViewRMT in Presbyphonia?
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ViewNew to voice therapy and suspect presbyphonia - thoughts on this treatment plan?
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ViewResources for working with patients who have ABductor spasmodic dysphonia?
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ViewCopyright issues reporting the VHI-10 in a patient's note?
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ViewVHI-10 as a clinical outcome measure?
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ViewAphonia in advanced Parkinson Disease: Is it worth working on voicing?
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ViewHow long is too long to wait to ask for a patient to be rescoped?
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ViewAre unilateral vocal nodules a thing?
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ViewTreating Bamboo vocal nodules related to rheumatoid arthritis?
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ViewBrainstem strokes: dysarthria vs dysphonia, and ENT referrals?
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PreviewIs there any research supporting vocal fold augmentation in patients with Parkinson Disease?
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ViewHow might we most appropriately assess ILO (VCD) in the acute inpatient setting?
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ViewCan you give an overview on laryngeal reposturing?
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