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presented by John Costello, MA, CCC-SLP and Meghan O'Brien, MS, CCC-SLP
The ALS Association Alabama Chapter receives compensation for this course.
Financial: John Costello received an honorarium for participating in project (ALS Association, Alabama Chapter). He is a full-time, salaried employee at Boston Children's Hospital. There is no other financial interest beyond the production of this course.
Nonfinancial: John Costello collaborated in the creation of www.mymessagebanking.com. My Message Banking™ was created in collaboration with Tobii Dynavox with initial funding from the Prize for Life grant. The content of this lecture was developed from the clinical practice and innovations of the ALS Augmentative Communication Program at Boston Children's Hospital. He has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Financial: Meghan O'Brien received an honorarium for participating in project (ALS Association, Alabama Chapter). She is a full-time, salaried employee at Boston Children's Hospital. There is no other financial interest beyond the production of this course.
Nonfinancial: Meghan O'Brien has no competing nonfinancial interests or relationships with regard to the content presented in this course. The content of this lecture was developed from the clinical practice and innovations of the ALS Augmentative Communication Program at Boston Children's Hospital.
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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John Costello, MA, CCC-SLP
John Costello has been a speech-language pathologist at Boston Children's Hospital for 36 years where he directs the Augmentative Communication Program and the ALS Augmentative Communication Program. He founded the first dedicated inpatient AAC service in an acute and intensive care hospital where he developed the Message Banking Process, initially for children in the ICU…
Read full bioMeghan O'Brien, MS, CCC-SLP
Meghan O'Brien, MS, CCC-SLP, is a speech-language pathologist in the Augmentative Communication Program and ALS Augmentative Communication Program at Boston Children's Hospital. She has specialized in augmentative/alternative communication (AAC) for 14 years. She is an adjunct instructor in the Department of Communication Sciences and Disorders at the MGH Institute of Health Professions in Boston, Massachusetts.…
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1. Motor Speech and ALS
This chapter addresses clinical heterogeneity, progression, and implications of dysarthria secondary to ALS. Clinicians will learn strategies for motor speech evaluation and differential diagnosis, including cranial nerve examination and auditory-perceptual speech evaluation.
2. Speech Intelligibility and Energy Conservation
This chapter addresses goals related to motor speech and energy conservation in ALS. Time is spent in discussion regarding compensatory strategies and strategies to enhance intelligibility of speech. Additionally, voice amplification is introduced as a mechanism for increased volume and energy conservation.
3. Voice Preservation
This chapter introduces the processes of voice banking, message banking™, and double-dipping to allow for voice preservation. These processes allow for integration into speech-generating technologies, as needed.
4. High-Tech AAC Evaluation and Implementation
Speech-generating technology evaluation is explained as a dynamic, ongoing process including PT/OT to address physical access needs. Critical features to consider during evaluation are highlighted, and importance of an evidence-based trial to ensure goodness of fit is emphasized.
5. Quick-Access Communication Strategies and Emergency Alerting
Systems and strategies to call for attention and to address communication needs if or when a high-tech system is not available or practical are addressed. The importance of system personalization and customization is emphasized.
6. Communication Partner Training
It is critical that the burden for modifying communication strategies does not fall entirely on the person with ALS. Suggestions for communication ground rules for maintaining privacy and dignity are offered, and solutions for maximizing communication success are discussed.
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