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  • Patient-Centered Dining

    Recently, a staff member at a facility casually asked me what I was going to do next year, ''when everyone had to eat a regular diet.'' I asked what she meant by a ''regular diet,'' and she that nursing homes would no longer be allowed to serve pureed or mechanical soft foods to any resident. She said that she had been told that this was a ''new ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on May 30, 2013
  • Seasonal Crafts

    Holiday or seasonal craft activities can target many cognitive and language skills, while giving both the SLP and the residents a break from workbook activities, paper and pencil tasks, and lists of questions and directions. I have a favorite coloring activity that I have used for several years that targets receptive language, memory, sequencing, ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on November 29, 2012
  • Daily and Weekly Notes

    I know what I want my patients to achieve. I want one to be able to resume PO intake after a PEG placement. I want another to communicate wants and needs with family and staff. I want a new patient with memory loss to adapt to the living environment and daily routine at the SNF and take part in social activities. I use several objective measures ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on June 28, 2012
  • Key to Reimbursement

    Both short- and long-term goals may be scrutinized in order to determine whether skilled speech therapy services are medically necessary in the SNF setting, as well as in other settings involving adult and geriatric patients, such as Home Health Care (HHC) and Assistive Living Facilities (ALF). It is the responsibility of the SLP to clearly define ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on June 21, 2012
  • Short-Term Goals

    Short-term goals are our steps toward long-term goals and should be seen as milestones that we can use to help the patient to reach along the way to attaining a functional outcome. Therapists identify skills to target as short-term goals that can be learned in a specific time frame of three weeks or so, and these  should be updated as ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on June 14, 2012
  • Assistive Technology Devices

    Last week I posted the first half of my interview with a trained speech language pathologist who is now using her speech and language skills in a new role, as an Assistive Technology Consultant/ Professional Development Specialist. Today I would like to share the second half of my interview where my guest provides instructive and helpful ...
    Posted to Early Intervention Speech Therapy (Weblog) on June 12, 2012
  • Goal-Writing Goals

    Recently, I have been thinking of goals and how we write them. Many of us use a ''goal bank'' at our jobs, which is helpful because we don't have to type the same wording over and over; however, we have to be very careful not to fall into the pitfall of ''cookie-cutter'' goals. We all learned to write clear, measurable goals in graduate school, ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on May 10, 2012
  • Practical 'Do's and Don'ts' for CFYs

    Recently, I posted an interview with Christine Costello, a CFY-SLP who shared some of her experiences and thoughts about working in long-term care. As spring approaches, I know that many graduate students are anticipating graduation and beginning a search for employment. While graduate programs offer a variety of clinical experiences, they do not ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on March 22, 2012
  • The CFY Experience: A New Grad's Perspective

    This week's post is an interview with Christine Costello about her Clinical Fellowship Year (CFY) experiences. Last year I had the privilege of supervising Christine for a few months in the skilled nursing facility (SNF) setting. Although Christine decided to explore an opportunity in the public education system while still in her CFY, I know ...
    Posted to Focus on Geriatric and Adult Services (Weblog) on February 23, 2012
  • Speech Therapy with an iPad!

    This past week, as promised, the Assistive Technology representative from our county paid me a welcomed visit, bringing with her the much anticipated iPad! Very exciting! When we met, she walked me through several of the applications that were previously downloaded onto the device. I quickly fell in love with a select few. I also learned ...
    Posted to Early Intervention Speech Therapy (Weblog) on January 10, 2012
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