Spelade
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On this episode, we discussed treating adult patients with aphasia and TBI. Special guest, Angela Ziegler MA, CCC-SLP, joined us to talk about preferred methods of assessment for aphasia, interventions for TBI, working with patient families, and more.
We Discuss
(0:00) Introduction Shenanigans (3:37) What Led Angela to Become a Speech Pathologist(10:15) How Confident Did Angela Feel at the Beginning(12:25) What Kind of Patients Does Angela Normally See(20:27) What Percentage of Angela's Patients have TBI(30:00) Preferred Method of Assessment for Aphasia(36:33) How to Develop Aphasia Interventions(41:25) Assessments for TBI(50:27) Intervention for TBI(54:25) How to Deal with Non-Socially Appropriate Behaviors with Patients(57:10) Is TBI or Aphasia Easier to Treat?(59:35) Why Angela Started Her Private Practice(1:06:43) Working with the Family of Patients(1:13:10) What’s Next for Angela?About Angela Ziegler MA, CCC-SLP
Angela began her professional career as an SLP in 2011 working in a series of skilled nursing facilities that ranged in size from 25 beds to over 400 beds, including a dedicated long-term pediatrics wing. She worked with kids in both home health and school settings for a period, but pediatrics was not her calling. Her heart lies in adult neurological disorders. She has worked at Orlando Regional Medical Center for nearly 9 years in all settings: acute care, in-patient rehabilitation, and outpatient care working with patients and their families through challenging diagnoses such as traumatic brain injury (TBI), stroke, brain tumors, Parkinson’s Disease, spinal cord injuries (SCI), and other diseases, both common and rare.
In 2017 Angela was recruited by Dr. Janet Whiteside to the UCF Communication Disorders Clinic as an adjunct clinical instructor after a chance encounter at a conference in Tampa. Angela has been deeply touched by aphasia, stroke, head and neck cancer, and brain injury in both her professional life and her personal life as well. She continues to work at both UCF and ORMC, treating patients, and teaching graduate students, and she began her private practice in 2021 to reach families through education and support. Angela has been married to her husband Tim for 17 years and together they have 4 daughters.
Where to Follow Angela Online:
https://atozslp.com/https://www.instagram.com/theatozslp/About the Show
Producer – Jonathan Cary
Assistant Producer – Katie Schrauben
Assistant Producer – Sam MacKay
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This month on the SLP Now Podcast, we are diving into all things data collection. We'll start off by talking about collecting probe data (and why we would even want to do that!), organizing the probes, strategies to collect data in groups, and how to document therapy data.
Download the resources mentioned in this episode at SLPNow.com/110
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This week, we hear from Dr. Andy Smidt, a professor at the University of Sydney who teaches a number of courses related to communication and supporting people with severe intellectual disabilities. Andy shares about teaching pre-service professionals in unique ways, her “TEAM” taxonomy that can help write goals for emergent (presymbolic) communicators, and more!
Before the interview, Rachel and Chris talk about playing “The Mind”, a card game where you only use observation and nonverbal communication to sequence a set of cards together. They reflect on what they learned playing this game, including how essential nonverbal communication is to our everyday lives and how we can learn to observe very subtle signals. They also share about how we can observe nonverbal communication and then attach language to it in a therapeutic setting.
Key ideas this week:
🔑How do we support someone with severe intellectual disabilities who is presymbolic and may never become symbolic? We can presume their potential, but becoming a symbolic communicator may take a long time. How do we write goals to be worked on right now? Andy came up with the TEAM taxonomy for goal writing that is useful when working with pre-symbolic communicators:
T = Train, e.g. train communication partnersE = Expand, e.g. expanding what the AAC use already does. Expand the people they interact with, the activities they participate in, the situation in which the person uses potential communicative acts, expand the people who can interpret these communicative acts.A= Augment, e.g. add something new. Allow the person to make choices in their daily routine. Add in new object symbols, community request cards, etc. M= Move, e.g. for the person to move to become intentional or symbolic.🔑In some cases, we need to regroup when we have hit a roadblock and look back at the TEAM framework. You might want to give it a few months and not add anything new - the AAC user may need a break to get comfortable with what they have already learned.
🔑Most clinicians feel they are doing family centered practice, but research indicates most families would say their therapy is not family centered. Family centered practice means going at the speed of the family, which may be slow if that is what they need.
Links from this Episode:
Full Text of Andy's article on the TEAM process
The Mind Card Game
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