Let Me Help You: Unveiling the Expertise of a Nasendoscopy-Certified Speech Pathologist
As a dedicated, advanced Practice Speech Pathologist, my commitment to providing exceptional care extends beyond the conventional boundaries of my profession. Let me guide you through the advanced realm of nasendoscopy, swallowing problems and upper airway issues , where cutting-edge technology and collaborative efforts converge for patient-focused excellence.
Nasendoscopy: Peering into the Upper Airway with Precision
One of the hallmark features of my advanced practice lies in nasendoscopy—a technique that allows for unparalleled insight into a patient's upper airway. With a slender, flexible tube equipped with a tiny camera, I navigate through the nasal passages to visualize the intricacies of the throat, vocal cords, and surrounding structures. This diagnostic tool provides a level of detail that goes beyond traditional speech pathology assessments, allowing me to pinpoint issues related to breathing, coughing, and various swallowing difficulties or sensations.
The ability to examine the upper airway in such detail opens new avenues for understanding and addressing upper airway and swallowing disorders. Whether it's detecting abnormalities in vocal cord function or identifying potential sources of chronic cough, nasendoscopy offers a comprehensive view that informs evidence-based treatment plans.
Extensive Expertise in Dysphagia: Navigating the Challenges of Swallowing Disorders
Dysphagia, or swallowing difficulty, is a complex and often underdiagnosed condition. My extensive experience in this realm equips me with a nuanced understanding of the multifaceted nature of swallowing disorders. From assessing the coordination of oral and pharyngeal phases to identifying aspiration (food and fluid going the wrong way) risk factors, my goal is to unravel the intricacies of each patient's unique swallowing profile.
Moreover, my practice extends beyond assessment, encompassing evidence-based interventions tailored to address specific dysphagia challenges. Whether it's recommending modified diets, therapeutic exercises, or collaborating with other healthcare professionals for more invasive interventions, I am dedicated to ensuring that my patients receive the most comprehensive and effective care.
Collaborative Approach: The Power of Teamwork in Speech Pathology
In the pursuit of excellence, collaboration is key. My advanced practice is further elevated by close partnerships with Ear, Nose, and Throat (ENT) specialists and respiratory physicians. By working hand-in-hand with these colleagues, I ensure a holistic approach to patient care.
The collaboration allows for a seamless exchange of information, facilitating a more accurate diagnosis and streamlined treatment plans. This multidisciplinary teamwork ensures that each patient receives the benefit of diverse perspectives and expertise, leading to the development of comprehensive, patient-focused interventions.
Conclusion: Empowering Patients through Advanced Practice
In the realm of speech pathology, the "Let Me Help You" mantra is not just a tagline; it's a commitment to leveraging advanced skills, cutting-edge technology, and collaborative efforts to empower patients on their journey to improved communication and swallowing function. Through nasendoscopy and a deep understanding of dysphagia, I strive to offer not just a service, but a comprehensive and compassionate approach that makes a lasting impact on the lives of those under my care. As a Speech Pathologist, let me be your guide to a world where precision meets empathy, and expertise meets understanding.
The Role of Advanced Practice Speech Pathologists in Nasendoscopy and Collaborative ENT Access
Advanced Practice Speech Pathologists offer nasendoscopy services with collaborative access to Ear, Nose, and Throat (ENT) specialists.
Ellie’s advanced practice in nasendoscopy brings individuals in Ballarat facing complex swallowing, upper airway and voice challenges a welcome option - not ever provided outside the hospital before.
Nasendoscopy Services in Speech Pathology:
Nasendoscopy is a valuable tool in the assessment of swallowing, upper airway and voice disorders. Speech Pathologists who offer this service can directly visualise the structures involved in voice and swallowing, allowing for a more precise diagnosis. Real-time visualisation allows a client to benefit from this procedure, understanding what they’re seeing and experiencing at the same time. This visual insight also enables tailored and effective treatment plans.
Collaboration with ENT Specialists:
What sets Speech Pathologists who can provide nasendoscopy apart is their advanced skills and collaborative approach to care. By having access to ENT specialists, we can seamlessly integrate medical insights into treatment plans. This collaboration ensures a comprehensive understanding of both anatomical and functional aspects of swallowing, upper airway and voice disorders.
Enhanced Diagnostic Capabilities:
Advanced Practice Speech Pathologists who provides direct functional nasendoscopy can play a crucial role in diagnosing conditions that may have eluded traditional speech pathology assessments. Visualising the vocal cords and surrounding structures in real-time allows for a more accurate identification of impairments and the necessary treatment approaches required.
Patient-Centered Care:
The collaborative model between Advanced Practice Speech Pathologists and ENT specialists contributes to a patient-centered approach. Individuals experiencing swallowing, upper airway and voice concerns benefit from a unified and coordinated approach, ensuring that all facets of a condition are addressed with precision and care.
The integration of Advanced Practice Speech Pathologist services with nasendoscopy at Errard Specialists marks a significant opportunity for the Grampians Region. The ability to collaborate with ENT specialists enhances the diagnostic and treatment capabilities for individuals facing complex swallowing, upper airway and voice concerns. If you or a loved one is grappling with swallowing, upper airway or voice concerns, consider contacting Ellie from Speech Scope at Errard Specialists, Ballarat for a comprehensive evaluation.
Embracing the Power of Insight: The Impact of Flexible Endoscopic Evaluation of Swallowing (FEES) in Speech Pathology
Above: Me, in my element. I love what I do for my patients and the power that FEES brings them and myself.
In the realm of Speech Pathology, the quest for innovative and effective diagnostic tools is unending. One such method that has transformed the landscape of dysphagia assessment and intervention is the Flexible Endoscopic Evaluation of Swallowing, or FEES.
As a Speech Pathologist, I've witnessed firsthand the invaluable insights and transformative power that FEES brings to both diagnosis and intervention. In this blog, I'll explore the reasons why FEES has become an indispensable tool in my practice and how it has enhanced the lives of my clients.
Unraveling the Mysteries of Dysphagia:
Dysphagia, a condition characterized by difficulty swallowing, poses significant challenges for both individuals and clinicians. Traditional methods of assessment often lacked the precision needed to pinpoint the root causes of swallowing difficulties. Enter FEES – a non-invasive, real-time imaging technique that allows Speech Pathologists to visualize the swallowing process from within.
The Beauty of Real-Time Visualization:
One of the most powerful aspects of FEES is its ability to provide real-time images of the structures and movements involved in swallowing. This means I can observe and assess the entire swallowing process, from the moment food or liquid enters the mouth to its passage into the esophagus. This level of detail enables me to identify specific abnormalities, such as aspiration or residue, guiding me towards a more accurate diagnosis.
Empowering Diagnoses and Tailored Interventions:
FEES has proven to be a game-changer when it comes to tailoring interventions for individuals with dysphagia. Armed with a precise understanding of the nature and severity of the swallowing impairment, I can develop targeted treatment plans that address the unique challenges faced by each client. Whether it's recommending specific swallowing strategies, exercises, or dietary modifications, FEES enables a personalized approach to care.
Enhancing Patient Engagement:
Clients often find it challenging to comprehend the intricacies of their swallowing difficulties. FEES bridges this gap by allowing me to share visual evidence with them, fostering a deeper understanding of their condition. This visual insight not only validates their experiences but also serves as a powerful motivator throughout the rehabilitation process.
Monitoring Progress and Improving Outcomes:
The dynamic nature of FEES makes it an invaluable tool for tracking progress over time. Periodic evaluations help me gauge the effectiveness of interventions and make necessary adjustments to the treatment plan. This continuous feedback loop contributes to better outcomes, instilling a sense of accomplishment and empowerment in both myself and my clients.
Conclusion:
Flexible Endoscopic Evaluation of Swallowing has undoubtedly revolutionized the field of Speech Pathology, offering a level of precision and insight that was once unimaginable. As a Speech Pathologist, the power that FEES brings to my practice is immeasurable. It allows me to diagnose with confidence, tailor interventions with precision, and witness the positive transformations in the lives of my clients. In the journey to enhance the quality of life for those with dysphagia, FEES stands as a beacon of hope and empowerment.
Unraveling the Mystery of Vocal Cord Dysfunction: How Speech Pathology Can Provide Relief
The human voice is a powerful tool, allowing us to communicate, express emotions, and connect with others. However, for some individuals, the gift of speech is accompanied by a challenging condition known as Vocal Cord Dysfunction (VCD). This disorder can significantly impact one's ability to breathe and speak effectively.
But with the help of speech pathology, individuals can find relief and regain control over their vocal function.
Understanding Vocal Cord Dysfunction:
Vocal Cord Dysfunction is a condition where the vocal cords close inappropriately during breathing. Unlike typical vocal cord function during speech, these abnormal movements can lead to symptoms such as shortness of breath, wheezing, and a feeling of tightness in the throat. VCD is often misdiagnosed as asthma due to the similarities in symptoms, making accurate identification crucial for effective treatment.
Causes of Vocal Cord Dysfunction:
While the exact cause of VCD remains unclear, various factors can contribute to its development. Common triggers include stress, anxiety, exposure to irritants, respiratory infections, or even reflux. Speech pathologists play a vital role in identifying these triggers and tailoring therapeutic interventions to address the root causes of VCD.
The Role of Speech Pathology in VCD Treatment:
Speech pathologists specialise in assessing and treating disorders related to speech, language, and voice. When it comes to Vocal Cord Dysfunction, speech pathology interventions focus on the following key areas:
Breathing Techniques: Speech pathologists teach individuals with VCD specific breathing exercises to promote proper airflow and reduce tension in the vocal cords. These techniques help patients gain better control over their breathing patterns, alleviating symptoms associated with VCD.
Voice Therapy: Voice therapy aims to optimise vocal cord function during speech and other activities. Speech pathologists work with individuals to improve vocal care, develop proper vocal cord coordination, and enhance overall vocal strength.
Counseling and Stress Management: Since stress and anxiety can trigger or exacerbate VCD symptoms, speech pathologists often incorporate counseling and stress management techniques into their treatment plans. Helping individuals identify and cope with stressors can contribute to long-term symptom relief.
Education and Lifestyle Modifications: Speech pathologists educate patients about VCD, its triggers, and lifestyle modifications that can reduce the impact of the disorder. This may include dietary changes, avoiding environmental irritants, and incorporating relaxation techniques into daily routines.
Collaboration with Other Healthcare Professionals: In some cases, VCD may coexist with other medical conditions. Speech pathologists collaborate with Ear Nose and Throat Surgeons, Respiratory physicians, allergists, and other healthcare professionals to ensure a comprehensive approach to diagnosis and treatment.
Vocal Cord Dysfunction can be a challenging condition, affecting not only an individual's physical well-being but also their ability to communicate effectively. Speech pathology offers a multifaceted approach to address the complexities of VCD, providing tailored interventions to improve breathing, vocal function, and overall quality of life. Through education, therapeutic techniques, and a collaborative approach with other healthcare providers, speech pathologists play a crucial role in helping individuals with VCD find relief and regain control over their voice and respiratory function.
Balancing Clinical Practice and Education: The Rewarding Journey of a Speech Pathologist Lecturer
Being a speech pathologist is not only about diagnosing and treating communication and swallowing disorders.
It's also about sharing knowledge and experience with the next generation of speech pathologists.
In this blog post, I'll delve into the fulfilling role of being both a clinical speech pathologist and a lecturer - and how this unique combination can make a profound impact on students and the community.
The Clinical Speech Pathologist
As a clinical speech pathologist, my primary focus is helping individuals overcome communication and swallowing disorders. I work directly with patients, providing assessments, developing treatment plans, and guiding them on their journey to improved communication, nutrition/hydration and quality of life. This hands-on experience is invaluable. It allows me to witness the transformative power of my profession firsthand.
The Transition to Lecturer
Transitioning into the role of a lecturer brings a new dimension to my career. It's an opportunity to share my knowledge and real-life experiences with students who are eager to embark on their own journeys as speech pathologists. This transition enables me to be both a practitioner and a mentor, a role that comes with its own set of rewards.
The Rewards of Being a Speech Pathologist and Lecturer in the field
Imparting Knowledge and Experience: One of the most fulfilling aspects of being a lecturer is the ability to impart my practical knowledge and experience to up-and-coming ‘speechies’. I have the privilege of bringing the real world into the lecture theatre, allowing students to connect theory to practice.
Creating Relevant and Accessible Content: As a speech pathologist lecturer, I’m responsible for curating and delivering up-to-date and accessible content. This not only benefits my students but also the broader community. The resources I create can serve as valuable references for professionals and ultimately, the public.
Passion for Teaching: My role as a lecturer is an expression of my passion for teaching. I genuinely care about the growth and success of my students, and I’m dedicated to providing them with the tools they need to excel in their careers.
Inspiring Future Clinicians: By actively participating in both clinical practice and education, I believe I can become a role model for potential clinicians. My dedication to the profession and commitment to both my students and my community can inspire the next generation to follow in our footsteps.
Community Impact: My work as a speech pathologist and lecturer has a broader impact on your community. By producing knowledgeable and empathetic speech pathologists, I hope i’m contributing to the well-being of those who rely on their services in the future.
Balancing a career as a clinical speech pathologist and a lecturer is a rewarding journey that allows me to make a meaningful impact in both the professional and educational realms. My connection with students through real-life scenarios accessible content, and inspiring future clinicians is my commitment to my profession and my community.
Understanding Thickened Fluids for Swallowing: Why They Aren't Always the Best Choice
When it comes to dealing with swallowing difficulties, thickened fluids are often recommended as a solution. These specially prepared drinks have a thicker consistency, making them potentially easier to swallow.
However, are they always the best option? In this post, i’ll explore the use of thickened fluids for swallowing difficulties and discuss why they may not be the ideal choice in all situations.
Swallowing Difficulties: A Common Challenge
Swallowing difficulties, medically known as dysphagia, can affect people of all ages. This condition can result from various causes, such as stroke, neurological disorders, or aging. Dysphagia can lead to aspiration, where food or liquid enters the airway, causing pneumonia and other health issues. To prevent this, thickened fluids have been suggested as a way to ease the process of swallowing.
The Role of Thickened Fluids
Thickened fluids are designed for individuals with dysphagia. They come in various thickness levels, from mildly thick to extremely thick, depending on the severity of the swallowing difficulty. These drinks aim to slow down the flow of liquids, potentially reducing the risk of aspiration and making it easier for people to swallow comfortably.
Not Always the Best Option
While thickened fluids can be helpful in some cases, it's essential to understand that they aren't the best choice for everyone with dysphagia. Here are a few reasons why:
Nutritional Concerns: Thickened fluids are often less nutritious than regular fluids. They might not provide the necessary hydration and nutrition for individuals, potentially leading to malnutrition or dehydration, especially for those who rely on them as a primary source of hydration.
Unpleasant Taste and Texture: Many people find thickened fluids to be unappealing due to their altered taste and texture. This can result in reduced fluid intake, which can, in turn, lead to dehydration.
Impact on Quality of Life: Thickened fluids can significantly impact a person's quality of life. They may feel frustrated or isolated, as their ability to enjoy meals and social gatherings is limited.
Compliance Issues: It can be challenging for individuals to consistently adhere to a thickened fluid regimen, particularly when dining outside of their usual environment. Non-compliance with thickened fluids can lead to unintended risks.
Evidence-Based Alternatives
To address the limitations of thickened fluids, Speech Pathologists and individuals with dysphagia should explore evidence-based alternatives:
When prescribing thickened fluids, the decision is often accompanied by a swallowing study using a nasendoscope (Flexible Endoscopic Evaluation of Swallowing - FEES) or swallow x-ray (Videofluoroscopy) conducted by a Speech Pathologist.
Oral Care and Exercise: Certain exercises can help improve swallowing function. Additionally, proper oral care can reduce the risks associated with aspiration and improve overall oral health.
Texture-Modified Foods: Rather than altering liquids, some individuals might benefit from modifying the texture of their food, making it easier to swallow. This can be a more satisfying and nutritious option.
Speech Pathology: Working with a speech pathologist can help individuals improve their swallowing function through targeted exercises and strategies.
While thickened fluids play a valuable role in managing dysphagia, it's essential to recognise that they aren't a one-size-fits-all solution. The best approach for each person with swallowing difficulties vary. Exploring evidence-based alternatives and consulting a Speech Pathologist can lead to a more balanced and effective solution that not only promotes safety but also considers an individual's quality of life, nutritional needs, and personal preferences. Always remember that choices about swallowing strategies should be made on a case-by-case basis, with a focus on overall well-being.
Unlocking Communication: The Role of Speech Pathologists in Augmentative and Alternative Communication (AAC)
Communication is a fundamental human need. Yet, for individuals with speech and language disorders, it can be a complex challenge. Augmentative and Alternative Communication (AAC) offers a lifeline to those who struggle with verbal expression. In this blog post, i’ll explore what AAC is and delve into the vital role that speech pathologists play in this specialised field.
Understanding AAC
Augmentative and Alternative Communication (AAC) refers to a set of communication methods, strategies, and tools that aid individuals with communication difficulties. These difficulties may arise from various conditions, such as autism, cerebral palsy, stroke, or degenerative diseases like MND. The goal of AAC is to support effective communication, whether it's a temporary supplement to speech or a long-term alternative.
The Role of Speech Pathologists in AAC
Speech pathologists are crucial players in the world of AAC. They are highly trained professionals who specialise in diagnosing and treating speech and language disorders. When it comes to AAC, speech pathologists have several critical roles:
Assessment: The first step in implementing AAC is to assess the individual's unique communication needs. Speech pathologists conduct thorough assessments to understand the client's abilities, limitations, and preferences. This assessment helps determine the most appropriate AAC system or strategy.
Selection and Implementation: Speech pathologists are responsible for selecting the most suitable AAC system or tools for their clients. This can include low-tech options like picture communication boards, high-tech devices such as speech-generating devices (SGDs), or apps on tablets. They also guide individuals in learning to use these tools effectively.
Customisation: AAC is not one-size-fits-all. Speech pathologists customise AAC systems to match the individual's communication goals and abilities. They may create personalized communication boards or programming for high-tech devices to ensure they are user-friendly and efficient.
Training and Support: Implementing AAC effectively requires both the individual and their communication partners to be well-versed in the system. Speech pathologists offer training and ongoing support to clients, family members, caregivers, and educators. They empower those around the individual to facilitate successful communication.
Progress Monitoring: AAC is a dynamic field. Speech pathologists continually monitor progress, making necessary adjustments to the AAC system as the individual's communication skills evolve. They ensure that AAC remains a functional and meaningful form of communication.
Advocacy: Speech pathologists often play a crucial advocacy role, helping individuals with AAC access the resources and support they need in various settings, including schools, workplaces, and healthcare facilities.
Augmentative and Alternative Communication (AAC) is a powerful tool that opens doors to communication for many individuals who face speech and language challenges. Speech pathologists are the guiding lights in this journey, offering assessment, selection, customisation, training, and support to ensure that AAC is not just a tool but a means for individuals to express themselves effectively.
Discovering the Power of Voice: Exploring Voice Therapy and Speech Pathology
Our voices are more than just a means of communication; they're an integral part of who we are. When vocal issues arise, whether due to medical conditions, trauma, or other factors, it can have a profound impact on our daily lives. That's where voice therapy and speech pathology come into play. In this blog, I'll delve into the world of voice therapy with a speech pathologist, exploring the conditions we address, and the transformative impact a speech pathologist can have on individuals.
The Essence of Voice Therapy
Voice therapy is a specialized field within speech pathology that focuses on the assessment and treatment of voice-related disorders and difficulties. It's not just about restoring the ability to speak; it's about helping individuals regain confidence and control over their voices. Here's a closer look at the key aspects of voice therapy:
Voice Assessment: The journey begins with a comprehensive assessment by a speech pathologist. This may include perceptual voice assessment or more in-depth assessment including analysis of pitch, resonance, loudness or variance in quality.
Individualized Treatment Plans: Once the assessment is complete, Speech Pathologists develop personalized treatment plans tailored to the specific needs of each individual. These plans may include a range of exercises, strategies, and techniques.
Voice Exercises: Voice therapy often involves exercises to strengthen vocal muscles, improve breath control, and enhance overall vocal function. These exercises can be performed in sessions with the Speech Pathologist and as part of a home practice regimen.
Resonance and Pitch Training: For individuals with voice disorders, resonance and pitch may be affected. Voice therapy helps individuals find their optimal pitch and resonance, ensuring clear, effective voice use to maintain stamina and endurance for the individual vocal load required.
Vocal Hygiene Education: Speech Pathologists provide guidance on maintaining vocal health, including tips on hydration, avoiding vocal misuse, and managing factors like reflux that can affect the voice.
Conditions Treated by Voice Therapy
Voice therapy and speech pathology can address a wide range of conditions and challenges, including:
Vocal Cord Nodules and Polyps: Non-cancerous growths on the vocal cords that can result from vocal strain or misuse.
Dysphonia: A condition characterized by hoarseness, breathiness, or strained voice quality.
Vocal Cord Paralysis: A condition where one or both vocal cords cannot move properly, leading to voice and breathing difficulties.
Aphonia: The loss of voice due to vocal cord issues or other causes.
Transgender Voice Therapy: Helping individuals undergoing gender transition achieve a voice that aligns with their gender identity.
Professional Voice Users: Voice therapy is also valuable for actors, singers, teachers, and other professionals who rely heavily on their voices.
The Transformative Impact
Voice therapy and speech pathology have the power to transform lives in profound ways:
Improved Communication: Individuals who have struggled with vocal issues often experience a significant improvement in their ability to communicate effectively.
Boosted Confidence: As vocal difficulties are addressed and voices become stronger and more controlled, self-confidence and self-esteem often soar.
Pain Relief: Voice therapy can provide relief from the discomfort associated with vocal disorders, such as sore throats and vocal fatigue.
Career Advancement: Professionals reliant on their voices can enhance their careers through voice therapy, unlocking new opportunities.
Conclusion
Voice therapy and speech pathology can give people their voices back, quite literally. Whether it's overcoming a medical condition or achieving a desired voice quality, the impact of voice therapy is profound, enriching lives one spoken word at a time. If you or someone you know is facing vocal difficulties, consider seeking the expertise of a speech pathologist to embark on a journey toward vocal well-being and empowerment.
Unlocking Relief: Chronic Cough and the Role of Speech Pathology
Imagine dealing with a persistent cough that just won't go away, disrupting your daily life, and causing discomfort in social situations. This is the reality for millions of people around the world who suffer from chronic cough. Chronic cough can be more than just a physical issue; it can have a profound impact on one's quality of life. In this blog, i’ll explore the connection between chronic cough and speech pathology, and how speech pathologists can play a crucial role in providing relief and improving the lives of those affected.
Understanding Chronic Cough
Chronic cough is defined as a cough that lasts for more than eight weeks in adults and more than four weeks in children. While it is often associated with respiratory conditions like asthma, chronic bronchitis, or postnasal drip, it can also be caused by issues beyond the lungs. One such factor is laryngeal hypersensitivity, where the throat becomes overly sensitive to irritants, leading to frequent and often uncontrolled coughing.
The Impact of Chronic Cough
Living with chronic cough can be emotionally and physically taxing. Individuals with chronic cough often experience:
Social Isolation: The constant coughing can lead to social embarrassment, causing people to withdraw from social activities and even work.
Communication Challenges: Chronic cough can impact on the voice, making it difficult for individuals to express themselves effectively.
Physical Discomfort: The frequent coughing can lead to a sore throat, hoarseness, fatigue, and even muscle strain.
Speech Pathology's Role in Chronic Cough
Speech pathologists are increasingly recognized for their vital role in managing chronic cough. Here's how they can make a difference:
Assessment and Diagnosis: Speech pathologists can help identify the root causes of chronic cough, whether they are related to vocal cord dysfunction, laryngeal hypersensitivity, or other factors. A thorough assessment is the first step toward effective treatment.
Behavioral Therapy: Speech therapists employ behavioral techniques to modify coughing behaviors. This may include teaching patients strategies to suppress the urge to cough and improving their ability to control coughing episodes.
Voice and Communication Training: Chronic cough can take a toll on vocal cords and overall voice quality. Speech pathologists can provide voice therapy to help individuals regain and maintain clear, strong voices despite their coughing episodes.
Education and Coping Strategies: Understanding the triggers and learning how to manage chronic cough is crucial. Speech Pathologists can educate patients on lifestyle changes, dietary modifications, and stress-reduction techniques to minimize coughing episodes.
Collaboration with Healthcare Teams: Speech pathologists often work alongside respiratory physicicans, allergists, physiotherapists, gastroenterologists, ear nose and throat surgeons and other medical professionals to provide comprehensive care for chronic cough patients. This multidisciplinary approach ensures a holistic treatment plan.
Chronic cough can be a frustrating and isolating condition, but it doesn't have to be a lifelong struggle. Speech pathologists are equipped with the knowledge and skills to help individuals manage and alleviate chronic cough symptoms. By addressing the underlying causes, teaching coping strategies, and improving communication, speech therapy can significantly enhance the quality of life for those living with chronic cough.
If you or someone you know is dealing with chronic cough, consider seeking the expertise of a speech pathologist. With their support and guidance, you can work towards a life with fewer coughing episodes, improved voice quality, and a brighter outlook on the future.
Embracing the Journey: A Speech Pathologists Perspective
Communication serves as the bedrock of human interaction. Breathing, eating and drinking is the essence of life.
Speech pathologist are a group of specialists working to optimise all of these.
I often joke about my work; pointing from my neck to above my head saying ‘I only work from here on up!’. But so much happens from the neck UP!
The journey and (frequent) challenges of being a speech pathologist is incredibly rewarding. It allows me to work closely with individuals to achieve their communication goals, get control of that incessant cough, and navigate swallowing changes. I work and learn alongside amazing medical and allied health clinicians to achieve holistic outcomes for people, learning and teaching along the way.
Empowerment
One of the most fulfilling aspects of being a speech pathologist is the ability to empower individuals to regain their voice, reclaim their communication independence, identity and to eat and drink safely with friends and family.
Empowering clients with education and strategies is incredibly rewarding, too. Particularly when I see them step back into my office with a smile saying that what I’ve provided them has made a positive difference.
Navigating Swallowing Challenges
Speech pathologists play a pivotal role in helping individuals manage swallowing difficulties. Swallowing is an intricate process that we often take for granted until it becomes a struggle.
As a speech pathologist, I have the privilege of assessing and addressing these challenges, improving the quality of life for those affected. Being able to guide individuals through exercises, dietary adjustments, and adaptive strategies to ensure safe and efficient swallowing brings such satisfaction - to me, to my clients, and their carers/family.
Lifelong Learning
The field of speech pathology is constantly evolving, something I love about my career. Every client I work with, every case I encounter, provides an opportunity for me to learn something new. Whether it's exploring innovative therapy techniques, staying updated with the latest research, or collaborating with fellow professionals; the journey of lifelong learning is an integral part of being a speech pathologist. The beauty lies in not just imparting knowledge to clients, but also gaining insights from them, broadening my understanding of communication, voice, swallowing and all the nuances of each individual.
Building Connections
As a speech pathologist, my clients become more than just cases – they are individuals with unique stories, aspirations/goals, and challenges. Building connections goes beyond addressing speech, language or swallowing concerns; it's about understanding the journey, fears, challenges and victories. Seeing individuals grow and flourish through this connection is a constant reminder of the privilege of being part of their lives.
The positive ripple effect that comes from enhancing communication and swallowing skills reaches far beyond the individual - enriching families, communities, and connection overall.
Inspiring Change
In a world where effective communication is often taken for granted, the role of a speech pathologist stands as a beacon of hope and change. With each therapy session a goal may be achieved, an obstacle overcome. I am reminded of the incredible capacity for transformation that lies within every individual.
As our profession grows, and with a collective growth mindset, we continue to inspire change not only in our clients, but within ourselves and outside our profession.
As a speech pathologist, I am not only helping others find their voice, but also finding mine in the process - embracing the power of connection, growth, and learning each step of the way.
What are vocal folds?
Have you ever wondered how your voice works?
Every time you speak, sing, or even whisper, the remarkable, yet tiny vocal folds are responsible for producing sound. They play a crucial role in shaping the way we communicate and express ourselves.
What Are Vocal Folds?
Vocal folds, are a pair of delicate structures located in the larynx, commonly known as the voice box. When air from the lungs passes through the larynx, the vocal folds vibrate, producing sound waves that resonate in the oral and nasal cavities, ultimately resulting in the sound of your voice.
Structure of Vocal Folds
The vocal folds are tiny! Approximately 1.5 to 2 centimeters in length, and are positioned horizontally across the larynx. Each fold consists of several layers, including a mucous membrane, ligaments, and muscle tissue. These layers work together to create a flexible structure that can open and close as needed during breathing, swallowing, and phonation (speech).
How Vocal Folds Produce Sound
Speaking or singing begins with the initiation of airflow from the lungs. As air passes through the larynx, it causes the vocal folds to close together. When you're not producing sound, the vocal folds remain open to allow unrestricted airflow for breathing.
However, when you speak, the vocal folds come close enough to disrupt the airflow, causing them to vibrate rapidly. This vibration creates sound waves, which then travel through the throat, mouth, and nasal passages, shaping the unique sound of your voice.
Different Pitches and Tones
The pitch of your voice is determined by the tension and thickness of your vocal folds. Higher pitches are produced when the folds are stretched and thinner. Lower pitches result from more relaxed, thicker folds vibrating together. Think of a guitar string, or elastic band - as you create more tension on the string or band, the pitch rises and vise-versa.
Voice Changes
If you have prolonged changes in your voice, or discomfort whilst speaking/singing, an Ear Nose and Throat Surgeon and Speech Pathologist can provide diagnostic and therapeutic information to support your needs. Errard Specialist Practice provides both of these services in house.
Caring for Your Voice
Just like any other part of your body, it's essential to take care of your vocal folds to maintain a healthy voice. Here are some tips to keep them in top condition:
Stay Hydrated: Drink plenty of water to keep your vocal folds lubricated. Avoid excessive caffeine and alcohol, as they can dehydrate the vocal folds. Remember; What you drink today, can impact the hydration of your vocal folds tomorrow!
Avoid Strain: Don't push your voice too hard, especially when you're experiencing a sore throat.
Avoid excessive throat-clearing or coughing - Ellie can help you with ideas on how to manage this.
Warm Up and Cool Down: Before intensive vocal activities like singing or public speaking, warm up your voice with gentle exercises. Afterward, cool down with some light humming or gentle speech. Ellie can help design a program specifically for you.
Flexible Endoscopic Evaluation of Swallowing (FEES): Your Comprehensive Guide from Ellie at Speech Scope
Frequently Asked Questions:
Q: What is Flexible Endoscopic Evaluation of Swallowing (FEES)?
A: FEES is a procedure conducted by a speech pathologist to evaluate swallowing difficulties (dysphagia). It involves passing a flexible endoscope through the nose to visualise the swallowing process in real-time.
Q: Why is FEES performed?
A: FEES is performed to assess the safety and efficiency of swallowing. It helps identify any structural or functional abnormalities that may contribute to swallowing difficulties. This information guides the development of appropriate treatment plans.
Q: Is Ellie experienced in performing FEES?
A: Ellie has been conducting FEES for over a decade. This includes in the hospital setting, for acutely unwell patients in the intensive care unit, stroke unit and in specialist outpatient clinics. Ellie prides herself in providing a comfortable, safe and professional environment and procedure that gains the most for both patients and her treatment plans.
Q: What happens during a FEES procedure?
A: During a FEES procedure, a thin, flexible endoscope is inserted through one of the nostrils and advanced into the throat. This allows the speech pathologist to observe the swallowing process as the patient consumes various food and liquid consistencies.
Q: Is FEES uncomfortable or painful?
A: While the procedure may cause some mild discomfort, it is generally well-tolerated by patients.
Q: Are there any risks or side effects associated with FEES?
A: FEES is considered a safe procedure with minimal risks. Some possible temporary side effects include a slight sore throat, nasal irritation, or nosebleeds. These typically resolve shortly after the procedure.
Q: How long does a FEES procedure take?
A: A FEES procedure usually takes around 15 to 30 minutes, depending on the specific needs of the patient and the extent of evaluation required.
Q: Is any preparation required before a FEES procedure?
A: In most cases, there is no special preparation required. However, Ellie may provide specific instructions regarding fasting or medication management prior to the procedure.
Q: Will I be able to eat or drink before a FEES procedure?
A: Yes, unless instructed by Ellie, you can eat/drink as usual prior to the procedure.
Q: Where does Ellie perform the FEES?
A: Ellie conducts the FEES in the procedure room at Errard Specialists, where she practices in Ballarat.
Q: What happens after a FEES procedure?
A: After the procedure, you can resume your normal activities immediately. Ellie will discuss the preliminary findings with you and develop an appropriate treatment plan based on the results.
Q: How soon will I receive the results of the FEES procedure?
A: Ellie will provide you with immediate feedback and preliminary findings shortly after the procedure. Once the in-house Ear Nose and Throat (ENT) surgeon has also reviewed the images, a detailed report will be provided, where further recommendations and treatment options will be outlined.
Q: Will insurance cover the cost of a FEES procedure?
A: Because each procedure is reviewed by ENT, there is a possible rebate available. Coverage for FEES may vary depending on your insurance provider and specific policy. It is advisable to check with your insurance company beforehand to determine the extent of coverage and any out-of-pocket expenses. Please contact Speech Scope at Errard Specialists Practice for further information on costs, or see the ‘Costs and Funding’ tab/section.
For more information or to schedule a FEES evaluation, contact Speech Scope at Errard Specialists Practice.
Note: This blog post provides general information and should not replace professional medical advice. Always consult with a qualified healthcare professional for personalized guidance.
That annoying cough… and Speech Pathology?
It all begins with an idea.
When an annoying cough or constant throat clearing interrupts our conversations, it can be frustrating- particularly during COVID peak periods!
Sometimes, the cough or tightness in the throat is as bad as feeling like no air is going in or out. This is truly debilitating and impacts not only our own lives, but also our close ones.
Thankfully, speech pathology offers valuable techniques and strategies to help individuals overcome and manage the spectrum of these difficulties.
Persistent coughing, throat clearing or tightness/difficulty breathing can occur for many reasons, including respiratory issues, allergies, reflux, significant recent illness and more.
It is important that initially, these issues are evaluated by a medical professional - ENT or Respiratory Physician - to rule out any underlying health conditions with the lungs or larynx.
Luckily, Ellie works in a specialist practice with a respiratory physician and Ear, Nose and Throat (ENT) Surgeon. In addition, Ellie has advanced practice skills to provide instrumental assessments of the upper airway to support evaluation of the upper airway - this is completed in conjunction with ENT and can provide essential understanding and visualisation for biofeedback, education and sometimes simply peace of mind for clients.
Some strategies Ellie may introduce to you may be:
Breathing - strategies to support you when feeling ‘tight’ or short of breath - when exercising, when someone sprays perfume, the cold air hits the back of your throat, or you’ve been talking for a long period.
Vocal care - Ellie can provide education and tips on ensuring your upper airway is as healthy as possible
Cough suppression techniques - depending on the severity, Ellie will design strategies best suited to you
Posture and alignment strategies - this may include relaxation, stretches, or laryngeal postures to support a relaxed, ‘open throat’ posture.
Discussing other medical issues that may be impacting your upper airway, including reflux or medication effects
What does a speech pathologist do?
It all begins with an idea.
Speech Pathology is an extremely broad profession focusing on communication (speech, language, thinking), and swallowing - from birth, into older age.
Speech Pathologists understand the intricacies and complexities of the brain and how it controls speech, language, swallowing and the upper airway (voice, coughing, throat clearing and sensations in the throat).
Speech Pathologists work in schools, community centres, hospitals, rehabilitation centres, privately and in specialised areas. They can work independently or within teams.
Using a high level of understanding of neurology, neurodevelopment and neurodegenerative processes, speech pathologists assess and manage communication and swallowing to establish client centred goals and management plans with evidence-based practices, ensuring best possible function and quality of life for all clients.
Speech Pathologists can participate in specialist training programs to gain advanced practices in particular areas - such as using nasendoscopy for in-depth functional assessment of the upper aerodigestive tract. This credentialling allows for more detailed understanding of swallowing and the upper airway, and is used in collaboration with Ear, Nose and Throat Surgeons.
What to expect:
Depending on your referral information, Ellie will ask a number of questions. She may then look at the muscles in your head and neck, look at your breathing patterns and listen to your voice. If you’re referred for swallowing difficulties, Ellie may observe you eating and drinking something. It may be necessary for Ellie to look at your throat via nasendoscopy - a small scope going through your nose, sitting at the top of your voice box. You will be asked to eat and drink something whilst the scope views the food/fluids going down. This assessment is called a Flexible Endoscopic Evaluation of Swallow (FEES) and is an advanced practice skill that Ellie has been doing for over a decade.
Ellie will ensure you have the information and decision making opportunities prior to any further assessment. She may even decide that a different specialist assessment is necessary (Videofluoroscopy). This is completed at Grampians Health, Ballarat - where Ellie also works and performs these procedures.
If you’re seeing Ellie about a cough, throat clearing, or tightness in your throat which causes you to have difficult breathing, Ellie will assess the severity of this using evidence based tools. She will provide education, strategies and tools for your to trial.
You may require a review appointment, or even a block of therapy. Ellie will discuss this with you so that you understand what may be considered best for you and your outcomes, and what you’re able to commit to.
Communication
It all begins with an idea.
Communication is a basic human right.
The Universal Declaration of Human Rights addresses communication from 4 different perspectives: (1) communication rights of all people; (2) communication rights of people with communication disabilities; (3) communication rights of children and (4) communication rights relating to language. Read more: Full article: Communication rights: Fundamental human rights for all (tandfonline.com)
Communication is pivotal in expressing emotions, needs and wants. When communicating becomes difficult, it can have significant impacts on a person’s independence, relationships and identity.
Speech Pathologists work with people to optimise communication using numerous tools, strategies and programs that target clients’ goals, function, participation, environment and personal factors (based on the International Classification of Functioning - read more: What is ICF? (icfeducation.org)
Swallowing
It all begins with an idea.
Dysphagia is the term used to describe difficulties swallowing.
Dysphagia can occur for many reasons - due to neurological processes such as stroke or Parkinsons’ Disease. It can also occur after a critical illness, with cancer, or simply through the aging process.
Speech Pathologists manage dysphagia through clinical assessment of the cranial nerves, the function of the swallow through observation and their in-depth knowledge of the intricacies of the swallow. Specialised assessment tools including fluoroscopy (similar to x-ray) or nasenoscopy can also be used to provide more detailed understanding of the swallow. Speech Pathologist use all of these tools to establish client centred goals, strategies and rehabilitation programs to optimise health and wellbeing through safe and effective oral intake.