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Ms. Gardenia's Speech Room

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You are here: Home / SNF Speech Therapy / When Communication, Cognition And Swallowing Are Affected By Decreased Breath Support

When Communication, Cognition And Swallowing Are Affected By Decreased Breath Support

Through my experience working in a skilled nursing and long term care facility, I have found that patients can greatly benefit from therapy exercises and strategies to improve their breathing coordination as well as expiratory duration and strength. This in turn will positively affect their breath support, swallowing and communication skills. Patients who have are going through vent/trach weaning, COPD, Congestive Heart Failure, Multiple Sclerosis, Muscular Dystrophies, Parkinson’s, asthma, emphysema, chronic bronchitis and even patients who have suffered a CVA that has left more severe residual effects affecting their breath support can certainly benefit from speech therapy. 

When a patient’s breathing coordination and strength is affected, it places them at a higher risk for aspiration due to the open mouth breathing patterns that usually interfere with safe eating and swallowing as well as the open airway during mastication.

Cognition is most often affected by low oxygen levels resulting in a higher risk of falling or poor decision making during daily living activities.

The following is an excerpt from my best selling e-book that will guide you in determining whether a patient is a candidate for speech therapy, completing a thorough evaluation with Medicare and third party billing in mind, writing functional, measurable goals and numerous therapy techniques to use over the course of treatment. 

The patient pictured here was only volunteering to help with my book at her therapist’s request and ended up having a pulse ox reading of less than 90% after just a few simple activities. Always keep in mind, looks can be deceiving. The patient who “looks good” may have seriously compromised unseen systems that require intervention. 

This book is available in .pdf format and is easily viewed in iBooks on your iPad/iPhone or using Adobe Viewer on a PC. 

With purchase, you will receive a .zip file with the complete ebook,
Printable patient education handouts to use throughout the treatment period,
Printable phrase/sentence strips based on severity in a variety of functional activities,
and phrase/sentence lists of increasing length to use in therapy or as a home exercise program.
 Add to Cart
Add to Cart

One of my clinical supervisors from MANY years ago who taught me the foundation behind these strategies also had this to say:

“Finally!! Darla wrote the book I had always intended to write. This up to date comprehensive book details the areas important for a speech pathologist treating clients exhibiting weak breath control following a change in medical condition. She shows how to find the “tell tale” signs during review of medical chart for medical history, current medical condition, implications on cognition, swallowing and communication. She wrote this book with the treating therapist in mind with detailed chapters on assessment, patient education, goal setting and therapy techniques. This book will become your “go-to” resource. Thank you, Darla for putting our proven strategies down on paper.”—Edith Young, SLP


For more success stories, PLEASE click here.

 

To purchase one of the tools I use in breath support treatment, click below (Affiliate Link)

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Reader Interactions

Comments

  1. AvatarElaina says

    April 16, 2018 at 12:14 pm

    This looks great! Where do I purchase this? I see it linked to your TPT but Im not able to find this particular resource on there.

    Reply
    • Avatarmsgardenia says

      April 21, 2018 at 10:01 pm

      Just click on the “add to cart” button in the post and it will direct you to check out. Thank you!

      Reply

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About Me

Darla Gardner

Darla Gardner is an ASHA certified Speech Language Pathologist with extensive experience in both the skilled nursing and educational settings.
“Ms Gardenia” was created after an adorable and otherwise quirky second grader with autism lovingly referred to her by that name on a daily basis despite multiple attempts to correct. Although he is no longer on caseload, many more students like him remain and his nickname is used as a reminder that although therapy can be frustrating and challenging it is the most rewarding and life changing field to be a part of.
This site was created as a resource for parents, therapists and other professionals to share therapy ideas and activities, to encourage therapists and parents who feel overwhelmed and to promote products that improve communication across settings.
If you would like to read more about my professional journey please click the read more link below. Read More…

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