[Dysphagia] "What is it like to have trouble communicating?" Question

[jk2 at cardinalhill.org (Jill Kobak)]

Malinda,
We simulated aphasia for the residents at by having them read a paragraph and answer questions about what they read.  The paragraph and questions were written as the should be with some made up of made up words (neologisms) and some russian words mixed in.  We tried to show them how difficult it is for an aphasic client to comprehend and them answer questions with a language disorder.  I hope this helps.

Jill Kobak, MEd, CCC/SLP
Program Coordinator
Center for Outpatient Adult Services
Cardinal Hill Rehabilitation Hospital
Lexington, KY 40504

-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com]On Behalf Of
dysphagia-request at dysphagia.com
Sent: Saturday, July 14, 2007 2:00 PM
To: dysphagia at dysphagia.com
Subject: Dysphagia Digest, Vol 44, Issue 11


Send Dysphagia mailing list submissions to
	dysphagia at dysphagia.com

To subscribe or unsubscribe via the World Wide Web, visit
	http://lists.b9.com/mailman/listinfo/dysphagia
or, via email, send a message with subject or body 'help' to
	dysphagia-request at dysphagia.com

You can reach the person managing the list at
	dysphagia-owner at dysphagia.com

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Dysphagia digest..."


Today's Topics:

   1. Re: off-topic - simulating communication disorders
      (malindam at samhealth.org)
   2. Mouthwash for Oral Care Prerequisite for Free Water	Protocal
      (Rehabstaff)
   3. Re: off-topic - simulating communication disorders (Teri Szmansky)


----------------------------------------------------------------------

Message: 1
Date: Fri, 13 Jul 2007 11:01:26 -0700
From: <malindam at samhealth.org>
Subject: Re: [Dysphagia] off-topic - simulating communication
	disorders
To: <swlslp at yahoo.com>, <dysphagia at b9.com>
Message-ID:
	<C911E068369E2D4DAFD65BACB801373F04E4724D at SHSEXVS02.int.samhealth.net>
Content-Type: text/plain;	charset="iso-8859-1"

"What is it Like to Have Trouble Communicating?  A Series of Simulation Activities to Educate Family, Friends and Caregivers" by Jacqueline J. Hinckley, Ph.D, Interactive Therapeutics, Inc.  Product #265.   (1-800-253-5111).  There are many great activities in this book.  Don't know if it is still in print.

Malinda Moore, CCC-SLP



-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[  <mailto:dysphagia-bounces at dysphagia.com> mailto:dysphagia-bounces at dysphagia.com]On Behalf Of Sandi Lancaster
Sent: Friday, July 13, 2007 8:06 AM
To: dysphagia listserve
Subject: [Dysphagia] off-topic - simulating communication disorders


Hi all,
  
  Sorry for the off-topic post, but this listserve is always such a wealth of knowledge and ideas!  Our hospital is looking at doing comprehensive staff training on communication disorders.  One idea we've had is that during an inservice, we'd like to simulate some communication disorders so that the participants will get to experience what it feels like to have a communication disorder.  (Sort of like how a PT might have participants be wheelchair-bound, or an OT might have participants keep one arm behind their back while doing ADLs, to simulate physical disabilities.)
  
  So, we'd like have our participants experience simulated communication disorders, but we are having difficulty coming up with specific ways to do this.  Has anyone done this before...?  Any ideas...?
  
  Thanks,
  
  Sandi


Sandi Lancaster, M.A. CCC-SLP
Speech-Language Pathologist
Adventist Rehabilitation Hospital of Maryland

---------------------------------
Expecting? Get great news right away with email Auto-Check.
Try the Yahoo! Mail Beta.
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at dysphagia.com
Manage subscription:  <http://lists.b9.com/mailman/listinfo/dysphagia> http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum:  <http://dysphagia.com/forum> http://dysphagia.com/forum




Confidentiality Notice: This e-mail message, including any attachments, is
for the sole use of the intended recipient(s) and may contain confidential
and privileged information. Any unauthorized review, use, disclosure or
distribution is prohibited. If you are not the intended recipient, please
contact the sender by reply e-mail and destroy all copies of the original
message.


------------------------------

Message: 2
Date: Fri, 13 Jul 2007 15:23:12 -0400
From: "Rehabstaff" <rehabstaff at graceworks.org>
Subject: [Dysphagia] Mouthwash for Oral Care Prerequisite for Free
	Water	Protocal
To: <dysphagia at dysphagia.com>
Message-ID: <5508D3AF46B7944399E1BBC2A3B1BE1D01AEF28E at ntserver.lss1>
Content-Type: text/plain;	charset="us-ascii"

This is an update on the search for mouthwash to use for oral care in
rehab/extended care facilities.

 

The FDA has noted that mouthwashes containing Cetylpyridinium chloride
or Stannous fluoride both safe and effective as an antibacterial &
antiplaque.  Products containing hydrogen peroxide are noted as being
safe but the effectiveness has not yet been demonstrated.  Please feel
free to e-mail me for a summary of the report - this was privately
e-mailed to me by a member and I'd be happy to forward it to you.

 

There are over the counter mouthwashes that contain Cetylpyridinium
chloride, namely Breath Rx (approx cost $10) and Crest Pro Health - not
the whitening (approx cost $4).  Interestingly, I tried the Crest Pro
Health and if you follow the direction you may be left with a long
lasting slight bitter taste in your mouth for hours.  A few of the
resident's who trialed this noted this effect as well.  I'm guessing
that this may account for some decreased PO intake in these residents.  

 

The free (Frazier) water protocal oral care procedure that I currently
have recommends a 1.5% hydrogen peroxide mouthwash be used after oral
care.  This is also available over the counter in Colgate Peroxle
mouthwash (approx cost $11).  I do have residents that develop foaming
and those with diminished lingual movement are having difficulty
expelling this even when a staff member is simply swabbing the mouth
with a moistened toothette.  They are literally foaming at the mouth a
bit! :-)

 

I am wondering if anyone else is using mouthwashes containing these
products, especially as part of the oral care program with the free
water protocal.  My facility's purchasing department is still running
into some difficulty locating individual mouthwashes.  Sage makes a
product but it contains only 1.5oz.  I am currently asking select
resident's families to purchase the recommended mouthwashes on their
own.

 

We've been working on implementing the oral care and free water protocal
procedure since March.   The staff has stopped using thickened water to
do oral care so progress is being made!

 

Sonja Dragich M.A., CCC-SLP

Graceworks Lutheran Services

Rehabstaff at graceworks.org

 

 

 

CONFIDENTIALITY NOTICE: The information contained in this email message
and in any accompanying documents, may constitute confidential
information. This information is intended only for the use of the
individual or entity named above. If you are not the intended recipient
of this information, you are hereby notified that any disclosure,
copying, distribution or the taking of any action in reliance on this
information is strictly prohibited

 



------------------------------

Message: 3
Date: Fri, 13 Jul 2007 20:07:09 -0700 (PDT)
From: Teri Szmansky <tszmansky04 at yahoo.com>
Subject: Re: [Dysphagia] off-topic - simulating communication
	disorders
To: lobsterpam at aol.com, mary.joan.mcclure at ncmail.net, swlslp at yahoo.com
Cc: dysphagia at b9.com
Message-ID: <71751.81855.qm at web30804.mail.mud.yahoo.com>
Content-Type: text/plain; charset=us-ascii

Have them place a large marshmallow in one cheek and then try to speak (say the months of the year, Pledge of Allegience, etc--or, something novel.  Perhaps a get to know someone new that they are sitting near) in order to simulate dysarthria.

Ask the people to swallow 4-5 rapid, consecutive saliva swallows...by the 3rd or 4th swallow, they will be able to understand the patient who has difficulty initiating a swallow...not sure if you will be including dysphagia.

Just a couple.......


----- Original Message ----
From: "lobsterpam at aol.com" <lobsterpam at aol.com>
To: mary.joan.mcclure at ncmail.net; swlslp at yahoo.com
Cc: dysphagia at b9.com
Sent: Friday, July 13, 2007 1:31:08 PM
Subject: Re: [Dysphagia] off-topic - simulating communication disorders


You can simulate word finding and formulation problems by having students respond to open ended questions, but with some sort of word selection guideline (that I usually put on a note card and only the speaker knows the guideline):

For example, "You can use no words that have an /l/ in them" (or any other phoneme - makes them have to search their vocabulary and creates very hesitant output; lots of stops/starts and corrections, even occasional profanity!) Then the class discusses the output pattern, and the speaker discusses his/her feelings about the experience.? 
?? 
Pam Smith
Bloomsburg University
?




-----Original Message-----
From: Mary Joan McClure <mary.joan.mcclure at ncmail.net>
To: Sandi Lancaster <swlslp at yahoo.com>
Cc: dysphagia listserve <dysphagia at b9.com>
Sent: Fri, 13 Jul 2007 12:28 pm
Subject: Re: [Dysphagia] off-topic - simulating communication disorders










Earplugs + cheap sunglasses wrapped with thick layer of plastic wrap to 
simulate difficulties with receptive language (obviously, more closely 
resembles dual sensory impairment, but this is as close as I can get).

Play "Charades" to simulate difficulties with expression, but each 
person gets assigned a different way of communicating - gestures, 
drawing, use of first letter of words, aug comm board/device, sign 
language (giving descriptions/diagrams to person, but not group trying 
to guess), etc.


Sandi Lancaster wrote:
> Hi all,
>    
>   Sorry for the off-topic post, but this listserve is always such a wealth of 
knowledge and ideas!  Our hospital is looking at doing comprehensive staff 
training on communication disorders.  One idea we've had is that during an 
inservice, we'd like to simulate some communication disorders so that the 
participants will get to experience what it feels like to have a communication 
disorder.  (Sort of like how a PT might have participants be wheelchair-bound, 
or an OT might have participants keep one arm behind their back while doing 
ADLs, to simulate physical disabilities.)
>    
>   So, we'd like have our participants experience simulated communication 
disorders, but we are having difficulty coming up with specific ways to do this.  
Has anyone done this before...?  Any ideas...?
>    
>   Thanks,
>    
>   Sandi
>
>
> Sandi Lancaster, M.A. CCC-SLP
> Speech-Language Pathologist
> Adventist Rehabilitation Hospital of Maryland
>  
> ---------------------------------
> Expecting? Get great news right away with email Auto-Check.
> Try the Yahoo! Mail Beta.
> _______________________________________________
> Dysphagia mail list: Normal and disordered swallowing information
> Dysphagia at dysphagia.com
> Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
> Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
>   
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at dysphagia.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum






________________________________________________________________________
AOL now offers free email to everyone.  Find out more about what's free from AOL at AOL.com.
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at dysphagia.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum


       
____________________________________________________________________________________
Moody friends. Drama queens. Your life? Nope! - their life, your story. Play Sims Stories at Yahoo! Games.
http://sims.yahoo.com/  

------------------------------

_______________________________________________
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum

End of Dysphagia Digest, Vol 44, Issue 11
*****************************************



Disclaimer: This e-mail, including any attachments, is intended only for the  
use of the individual or entity to which it is addressed and may contain  
confidential information that is legally privileged and exempt from disclosure  
under applicable law. If the reader of this message is not the intended  
recipient, you are hereby notified that any review, use, disclosure,  
distribution or copying of this communication is strictly prohibited. If you  
have received this communication in error, please contact the sender by reply 
e-mail and destroy all copies of the original message. 
 
Finally, the recipient should check this email and any attachments for the  
presence of viruses. The company accepts no liability for any damage caused by  
any virus transmitted by this email.