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presented by Jo Puntil, MS, CCC-SLP, BCS-S, F-ASHA
Financial: Jo Puntil receives compensation from MedBridge for this course. She is also a full-time salary employee at St. George Regional Medical Center.
Non-Financial: Jo puntil is a past chair of the ASHA CFCC Council, and a DRS Program committee member (2020–2021). She is a Reviewer of Applications for Board Specialty in Swallowing/Swallowing Disorders, and a reviewer for AJSLP and DRS for possible publication. She is also a SIG 13 Member.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Jo Puntil, MS, CCC-SLP, BCS-S, F-ASHA
Jo Puntil is an ASHA Fellow, past chair of the CFCC, and a board-certified specialist in swallowing and swallowing disorders. She has extensive experience in developing interdisciplinary rehab programs/teams throughout southern California and Utah, specifically in the areas of critical and acute care. Jo has lectured nationally for more than 30 years. She has numerous…
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1. Acquired Brain Injuries From Mild to Severe
Mild to severe injuries to the brain are extremely common and seen daily in an ICU unit. Speech pathologists are key players of the team to evaluate the patient and help them identify the somatic, affective, cognitive, and sleep issues they are experiencing. Rehabilitating and educating patients on these issues helps them improve their outcomes post discharge from the ICU.
2. SLP Communication/Cognition Evaluation and Documentation
It is important for speech pathologists to evaluate patients' expressive, receptive, and cognitive abilities post injury to the brain. Educating patients and families regarding brain injury levels and how to improve mentation outcomes by structuring their environment is key for patient success. Team collaboration and communication to the medical staff helps patients achieve their goals.
3. SLP Swallowing Evaluation and Documentation
A thorough bedside swallowing evaluation is needed for patients with injuries to the brain. Assessing cranial nerves involved in swallowing for both motor and sensation issues helps the speech pathologist conclude route of nutritional intake. The key is to utilize enough trial feedings with all consistencies of food and fluids to determine if safety of oral intake is a critical thinking task for the speech pathologists. Knowing the fluctuations of the patient's medical and cognitive status helps determine if a patient can start all oral feeds or combination of nonoral and oral feeds. Team collaboration is imperative for the patient to achieve safe oral alimentation.
4. Interprofessional Collaboration: Cross Communication
When multiple healthcare professionals work together to achieve patient-centered care, optimal outcomes are achieved. Communication with all team members, especially the RN, before and after patient care is needed due to the medical fragility of these patients. Coevaluations with PT/OT and cotreatments integrate communication and keep the patients’ goals in perspective. With a team approach, the patients can transfer to the next level safely. Team collaboration daily is the key to success.
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