Thursday, January 5, 2017

2017 New Year’s Resolutions





Wishing all of you a belated Happy New Year! I accidently left my laptop in Kansas City, with my parents, so I haven’t been able to finish this post, until now!

 I’m not sure about all of you but after Christmas I usually start thinking about what I would like to change in 2017 to make it a better year. Even though it is a few days past the official New Year, it is not too late to think about and implement your New Year resolutions.

My previous New Year’s resolutions have included everything from weight loss to reading more often. However, this year is a little different. My husband and I are expecting our first child in May! Here he is, Benjamin Patrick Moore! Maybe he will be a speech-language pathologist when he grows up? J


Picking a New Year resolution this year is a bit different because I am focusing on my family! Spending quality time with my family is more of a priority then ever before. I also want to continue to grow as a speech-language pathologist to be the best I can for my patients. So how can I make that happen? I’m going to share my two New Year resolutions with all of you!


First, I want to better my skills as a speech-language pathologist. This year I want to brush up on my Spanish! I found this amazing FREE app called Duolingo. In this app you have the opportunity to pick a language that you are interested in learning. It gives you the opportunity to learn vocabulary and sentence structure receptively and expressively.




My goal is to complete one lesson 3-4times each week. I am pretty excited about this goal because it will help me communicate more efficiently with my patients who speak Spanish. Now of course, I always utilize our wonderful interpreters, but I think learning a different language shows great respect to our patients who are bilingual or who only speak their primary language. I am also pretty excited because I want to try to teach my little Benjamin both Spanish and English! Here is a link to their website: https://www.duolingo.com.


My second goal is to be able to spend more time with my family. By being more efficient at work I hope that this will also alleviate some stress. I believe that organization of my work life is just one of the ways that I can be sure to make that goal a reality.

At my full time job I work in outpatient rehabilitation in a hospital. We currently have electronic medical record and a soft/paper chart for our patients. In outpatient rehabilitation we are responsible for tracking insurance visits, g-codes, progress notes, daily notes, as well as any unique therapy needs our patients may have (such as ordering prosthesis or therapy tools).

In order to help this process I created a 2017 calendar that will go into the paper chart. This calendar will allow for me to have immediate access to pertinent information such as patient contact, insurance, insurance visits, date that progress notes are due, order renewal due date and the contact for physicians. I have used these before and it does take a bit of time in the beginning, but in the long run it is worth it since I do not have to dig through the chart anytime I need to find some information. It is pretty easy to customize your own calendar. I simple entered in “free 2017 calendars” into the search engine and found what I was looking for.

I utilized this this link in order to make my calendar. Just download it into a word document and then you are able to edit to uniquely fit your needs. Here is an example of the calendar I made for work.



What are you New Year resolutions and how do you plan on achieving them?


Sunday, May 1, 2016

Happy Better Speech and Hearing Month!




May is one of my most favorite months of the year! It is Better Speech and Hearing Month! This is the perfect time of the year to spread awareness of all of the wonderful services that Speech-Language Pathologists and Audiologists can provide to the community.

In honor of the month I created a helpful handout that explains the roles and the opportunities of a speech-language pathologist. If you know of a friend that is interested in the field, this is the perfect handout! Hop on over to my store and pick up your free version!  https://www.teacherspayteachers.com/Product/Better-Speech-and-Hearing-Month-2531396

How will you celebrate Better Speech and Hearing Month?

Sunday, April 3, 2016

I Vote for Voice!

Dear Presidential Candidates,




You’ve been campaigning for months. There have been heated debates, countless rallies, and news interviews to boot! I am sure you all are exhausted but there is something very important that you are all neglecting. No I am not talking about a policies or political views. I am talking about your voices!

When you all speak there is a collective cringe from speech-language pathologists (SLPS) across the world. Each of you have been found guilty of vocal abuse and misuse! The evidence is right in front of us!

Donald Trump - Please don't hate the microphone...it's your friend!

Hillary Clinton

          Let's not forget about this coughing fit Hillary...Have you been hydrating? http://www.realclearpolitics.com/video/2016/01/25/one_week_to_caucus_hillary_clinton_has_coughing_fit_briefly_loses_her_voice_in_iowa.html

Bernie Sanders 


Seriously, all jokes aside, get yourself to an Ear Nose and Throat (ENT) Physician and then a Speech-Language Pathologist to teach you how to keep your voice safe and healthy! You all are at risk for vocal nodules, hemorrhage, or polyps! And those, my friends, take time, therapy, and possibly surgery to recover. We will cross our fingers that there isn’t something worse going on!

Here are some quick tips that you can implement in the mean time…

1.     Stop yelling and let the microphone work for you!
2.     Give yourself vocal rest.
3.     Stay away from foods/liquids that may irritate reflux or act as a diuretic.
4.     Drink more water!
5.     Get in for a formal evaluation with an ENT and an SLP.

I know all of you are in different parts of the country and it may be hard to find an ENT and SLP that you trust. So here are a few of the national organizations that may be able to lead you in the right direction.

1.     American Academy of Otolaryngology – www.entnet.org
2.     American Board of Otolaryngology – www.aboto.org
3.     American Laryngological Association – www.alahns.org
4.     American Speech-Language Hearing Association – www.asha.org
5.     Voice Foundation – www.voicefoundation.org

Please take care of your voices.


Sincerely,

Mallory Moore M.S. CCC-SLP
www.spiritedspeechpathology.blogspot.com 


P.S. Can we please change the Medicare Part B therapy cap so that speech-language pathology has their own funds and not share with physical therapy? Thanks!

Thursday, March 10, 2016

Podcasts for the Pediatric and Adult Based Speech-Language Pathologist


            One of my new favorite morning routines is to listen to a short podcast. For those of you who are unfamiliar with podcasts, they are audio files that are available on the internet to download. I don’t know why I didn’t start listening to these until this year! I love listening to these podcasts while I am getting ready for work or when I am driving to my work. Podcasts for the field of speech language pathology can be a bit tricky to find. So I thought I would share my top 15 podcasts. These are in no particular order! Happy listening and learning!







7.     StutterTalk - http://stuttertalk.com







13.  So not technically found in the podcast app but www.speechpathology.com has CEU’s available that you can download, listen to, and take a test later!




If you have other podcasts that you love be sure to share below!

Saturday, February 13, 2016

Myofascial Release



Receiving the diagnosis of head and neck cancer (HNC) is a life changing experience. An individual who receives this diagnosis faces the possibility of undergoing surgery and/or chemo-radiotherapy (CRT). With either of these potential life-saving options, one’s ability to speak or swallow may be substantially affected. Thus, intervention from a speech-language pathologist (SLP) is needed to improve upon altered communication and dysphagia. A therapy technique that may be beneficial for individuals post HNC is myofascial release.
Myofascial release is a therapeutic intervention that involves massage to the muscles and fascia. (Kelly, 2014: Myofascial, n.d; Shah & Bhalara, 2012). Fascia is the connective tissue that surrounds the muscles. There are three layers of fascia, the superficial fascia (directly under the skin), deep fascia (embedded into muscles), and subserous fascia (lines the body cavities and organs) (Kelly, 2014: Myofascial, n.d; Shah & Bhalara, 2012). There are three types of myofascial release, direct (very intense), indirect (more gentle), and self (patient driven) (Kelly, 2014: Myofascial, n.d; Shah & Bhalara, 2012).
Personally, I have used myofascial release with individuals with dysphagia post head and neck cancer and with Parkinson’s disease. Other patient populations that may benefit include individuals with TMJ disorder/issues, chronic pain, neck and shoulder pain/tension, whiplash, post surgical and injury scarring may benefit (Kelly, 2014: Myofascial, n.d; Shah & Bhalara, 2012). Myofascial release would not be indicated for individuals with aneurysm, open wounds, or who have an active cancer (William, 2004).   
Myofascial release is used in several disciplines such as with chiropractors, physical therapists, and massage therapists. Speech-language pathologists use this method typically in the treatment of dysphagia or voice disorders. Myofascial release has also been used to improve esophageal speech for laryngectomees  (Marszałek et al, 2009). Check out this videos for a peak at some different myofascial release techniques!


According to American Speech-Language-Hearing Association (2007), SLPs should only engage in practice that they show competence. There are two main training places for MFR one is with John Barnes (Barnes, n.d.) a physical therapist, and the other with John Kelly another physical therapist (Ciao Seminars, 2013). The American Speech-Language and Hearing Association approved training with John Kelly for continuing education units. Personally, I attended the CEU course with John Kelly and it was wonderful, I would highly recommend it! If you know of additional training opportunities for myofascial release please post in the comment below. Have you used myofascial release with your patients? Do you find this technique useful?

References

American Speech-Language-Hearing Association. (2007). Scope of Practice in Speech-Language Pathology. Retrieved from http://www.asha.org/policy/SP2007-00283/

Barnes, J. (n.d.). Welcome to Myofascial Release - John F. Barnes, PT. Retrieved from http://www.myofascialrelease.com

Ciao Seminars. (2013). CIAO Seminars. Retrieved from http://www.ciaoseminars.com/searchResults.cfm
Gerwin, R. D. (2005). A review of myofascial pain and fibromyalgia–factors that promote their persistence. Acupuncture in Medicine, 23(3), 121-134.
Harden, R. N. (2007). Muscle pain syndromes. American Journal of Physical Medicine & Rehabilitation, 86(1), S47-S58.
Hodgson, L., & Fryer, G. (2006). The effect of manual pressure release on myofascial trigger points in the upper trapezius muscle. International Journal of Osteopathic Medicine, 9(1), 33.
Hutcheson, K. A. (2013). Late radiation-associated dysphagia (RAD) in head and neck cancer survivors. American Speech-Language-Hearing Association 61-72.
Hutcheson, K. A., Bhayani, M. K., Beadle, B. M., Gold, K. A., Shinn, E. H., Lai, S. Y., & Lewin, J. (2013). Eat and exercise during radiotherapy or chemoradiotherapy for pharyngeal cancers: use it or lose it. JAMA Otolaryngology–Head & Neck Surgery, 139(11), 1127-1134.
Louie, K. S., Mehanna, H., & Sasieni, P. (2015). Trends in head and neck cancers in England from 1995 to 2011 and projections up to 2025. Oral Oncology, 51(4), 341-348. doi:10.1016/j.oraloncology.2015.01.002
Marszałek, S., Żebryk-Stopa, A., Kraśny, J., Obrębowski, A., & Golusiński, W. (2009). Estimation of influence of myofascial release techniques on esophageal pressure in patients after total laryngectomy. European Archives of Otorhinolaryngology, 266(8), 1305-1308. doi:10.1007/s00405-008-0861-z
Massage Sloth. (2013, August 18). Massage tutorial: Myofascial release for TMJ pain [Video file]. Retrieved from https://www.youtube.com/watch?v=Dkdk_fjRTho

Pierson, M. J. (2011). Changes in temporomandibular joint dysfunction symptoms following massage therapy: a case report. International Journal of Therapeutic Massage & Bodywork, 4(4), 37-47.
Purcell, A. (2013). Head and neck lymphoedema management practices. Journal of Lymphoedema, 8(2), 8-15.
Results Massage and Bodywork LLC. (n.d.). Myofascial release [image]. Retrieved from http://results-massage.com/myofascial-release/

Shah, S., & Bhalara, A. (2012). Myofascial release. International journal of Health Science & Reserarch, 2(2), 69-77.
Teachey, W. S. (2004). Otolaryngic myofascial pain syndromes. Current pain and headache reports, 8(6), 457-462.
Vernon, H., & Schneider, M. (2008). Chiropractic management of myofascial trigger points and myofascial pain syndrome: A systematic review of the literature. Journal of Manipulative & Physiological Therapeutics, 32(1), 14-24. doi:10.1016/j.jmpt.2008.06.012