CSD 444 Exam 1 – study guide and practice exam preparation material
Medical/Health Care Settings
1. Acute Care Hospital - ✔✔Critical or severe phase of illness Short term (3-10 days)
SLP:
Primarily diagnosis & recommendations
Patient's first therapy experience (limited)
Large role in patient & family education
Medical/Health Care Settings
2. Acute Inpatient Rehab - ✔✔Patient:
A. past acute phase of illness (they are medically stable)
B. has increased endurance for therapy
C. involved in rehabilitation / intensive therapy
D. seen by interdisciplinary team
E. given therapy daily for a total of 3-5 hours; all disciplines such as: PT, OT, SLP
F. length of stay ~2-6 weeks.
medical/ health care settings
3. Sub-acute rehab - ✔✔Patient:
A. past acute phase of illness
B. has less intensive therapy program involving interdisciplinary team
C. seen by SLP 3-5 times per week
D. rehab takes place within a 'nursing home' setting
E. length of stay 1-5 months
,*Some patients are long term residents if they cannot improve enough to go home.
medical/ health care settings
4. Outpatient setting - ✔✔Patient:
A. usually healthier than in acute care hospital or acute rehab
B. seen in office or outpatient department of the hospital or nursing home
C. seen 1-3 times per week
D. provides less intensive rehabilitation
E. length of treatment is variable
*living at home, just going somewhere for therapy
medical/ health care setting
5. Home health - ✔✔A. medically stable
B. therapy in the home
C. seen 1-3 times per week; scheduling is variable
D. treatment is provided in a functional environment
functional communication problems/disorders - ✔✔problems for which no organic or physical
cause has been determined (ex: maturational lag or environmental influences)
EX: child says "tuperman it awtome"
organic communication problems/disorders - ✔✔problems—arise from physical
anomalies/problems affecting structure or function of the mechanisms of speech and or
language
,Damage may be to structures of
1. Oral mechanism
2. CNS
3. PNS
4. or any combination of the above
*also the laryngeal mechanism
Organic disorders arise from problems with any or a combination of the following systems:
•respiration
•phonation
•articulation
•hearing
•Neurologic
Organic disorders as an umbrella term - ✔✔The umbrella term organic disorders should not be
interpreted as meaning a single disorder
Organic disorders include a number of types of disorders, each with its own specific causes,
speech and language characteristics, and associated problems
In this course we will study:
Stroke
Laryngeal cancer
Voice disorders
Stuttering
Dementia
, TBI
Motor Speech Disorders
Right Hemisphere Disorder
Swallowing Disorders
Treatment of organic disorders v. functional disorders - ✔✔ORGANIC DISORDERS
Treatment tends to be with a multidisciplinary team
-Especially for TBI, cancer, and stroke
FUNCTIONAL DISORDERS
The SLP may be the only professional involved
Prognosis of organic disorders v. functional disorders - ✔✔There may be major differences
between organic vs functional disorders in terms of prognosis
In organic disorders, prognosis has a direct relationship to the degree of physical damage to the
PNS or CNS
-depends on location of damage a lot
Success achieved is related to the degree of physical damage (severity)
Defining treatment outcomes (3) - ✔✔Successful treatment outcomes may be defined
differently for functional and organic disorders
For organic disorders the SLP will focus on maximum communication potential rather than
maximum potential for speech.
•In "mild" cases: normal articulation may be the goal
•In "moderate" cases: intelligible speech may be the goal
Medical/Health Care Settings
1. Acute Care Hospital - ✔✔Critical or severe phase of illness Short term (3-10 days)
SLP:
Primarily diagnosis & recommendations
Patient's first therapy experience (limited)
Large role in patient & family education
Medical/Health Care Settings
2. Acute Inpatient Rehab - ✔✔Patient:
A. past acute phase of illness (they are medically stable)
B. has increased endurance for therapy
C. involved in rehabilitation / intensive therapy
D. seen by interdisciplinary team
E. given therapy daily for a total of 3-5 hours; all disciplines such as: PT, OT, SLP
F. length of stay ~2-6 weeks.
medical/ health care settings
3. Sub-acute rehab - ✔✔Patient:
A. past acute phase of illness
B. has less intensive therapy program involving interdisciplinary team
C. seen by SLP 3-5 times per week
D. rehab takes place within a 'nursing home' setting
E. length of stay 1-5 months
,*Some patients are long term residents if they cannot improve enough to go home.
medical/ health care settings
4. Outpatient setting - ✔✔Patient:
A. usually healthier than in acute care hospital or acute rehab
B. seen in office or outpatient department of the hospital or nursing home
C. seen 1-3 times per week
D. provides less intensive rehabilitation
E. length of treatment is variable
*living at home, just going somewhere for therapy
medical/ health care setting
5. Home health - ✔✔A. medically stable
B. therapy in the home
C. seen 1-3 times per week; scheduling is variable
D. treatment is provided in a functional environment
functional communication problems/disorders - ✔✔problems for which no organic or physical
cause has been determined (ex: maturational lag or environmental influences)
EX: child says "tuperman it awtome"
organic communication problems/disorders - ✔✔problems—arise from physical
anomalies/problems affecting structure or function of the mechanisms of speech and or
language
,Damage may be to structures of
1. Oral mechanism
2. CNS
3. PNS
4. or any combination of the above
*also the laryngeal mechanism
Organic disorders arise from problems with any or a combination of the following systems:
•respiration
•phonation
•articulation
•hearing
•Neurologic
Organic disorders as an umbrella term - ✔✔The umbrella term organic disorders should not be
interpreted as meaning a single disorder
Organic disorders include a number of types of disorders, each with its own specific causes,
speech and language characteristics, and associated problems
In this course we will study:
Stroke
Laryngeal cancer
Voice disorders
Stuttering
Dementia
, TBI
Motor Speech Disorders
Right Hemisphere Disorder
Swallowing Disorders
Treatment of organic disorders v. functional disorders - ✔✔ORGANIC DISORDERS
Treatment tends to be with a multidisciplinary team
-Especially for TBI, cancer, and stroke
FUNCTIONAL DISORDERS
The SLP may be the only professional involved
Prognosis of organic disorders v. functional disorders - ✔✔There may be major differences
between organic vs functional disorders in terms of prognosis
In organic disorders, prognosis has a direct relationship to the degree of physical damage to the
PNS or CNS
-depends on location of damage a lot
Success achieved is related to the degree of physical damage (severity)
Defining treatment outcomes (3) - ✔✔Successful treatment outcomes may be defined
differently for functional and organic disorders
For organic disorders the SLP will focus on maximum communication potential rather than
maximum potential for speech.
•In "mild" cases: normal articulation may be the goal
•In "moderate" cases: intelligible speech may be the goal
