Clinical Observation Paper

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For my observation, in the health care setting, I shadowed Nancy McAuley. She is a licensed speech-language pathologist. She works for the Mon Valley Hospital, but provides therapy at the outpatient rehabilitation facility that is still though the Mon Valley Hospital. This is for patients that were recently in the hospital, but is home bound now but still need some type of therapy. At the facility there is physical, speech, and occupational therapy. I shadowed her when she was at the Mon Valley rehabilitation center. I was able to watch two different types of clinical focuses. The first patient that I was able to observe had many clinical focuses that include apraxia, aphasia, and dysphasia. The other patient that I observed was working on cognitive tasks to work the brain on the right and left hemispheres. The speech-language pathologist said she does not have a particular therapy approach that she used but focuses on the functional aspects of task that the patient is doing. She focuses more on the functional everyday functions that individuals do rather than working on a task that that they will just become frustrated. Traditional approaches work on grammar focus on describing words through prescribing terms such as
During the therapy session, they administered VitalStim therapy. VitalStim was used for the patient because he was suffering with difficulty swallowing also known as dysphasia. Electrical stimulation is used to aid muscle strengthening and muscle recruitment to rehabilitate the swallow. The clinician applied the VitalStim while working with the patient on swallowing exercise. To make this happened she has the patient read one to two pages out a book to get the VitalStim to be effective. The patient was not only working on dysphasia, but was also working on aphasia and apraxia. All of these focuses are being worked on, but the therapy session that I saw was

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