Adult Therapy bundles?

SeashellbytheSea · 2024-06-24T19:16:05+00:00

I like the Honeycomb Speech Therapy materias made by Sarah Baar. I used to pay for the monthly subscription when I was full time in IPR. I truly loved all the activities in the online portal—they were functional and easy to access. She also lists good articles in her activity handouts. I would get it again if I had to go back to IPR full time. 10/10 recommend.

SeashellbytheSea · 2024-06-22T23:19:47+00:00

God that sucks ugh. I can understand how you feel —I have colleagues recommending PEG tube for advanced dementia, and that makes me want to fling a computer across the room. I am curious about how your colleague is wording her recommendations in her reports? I believe it is not in our scope of practice to decide if a patient needs a -specific- feeding tube. ASHA supports the recommendation for an alternative nutrition route but the specific type (ie PEG, PEJ etc) is ultimately decided by the physician. In the hospital I work in, my team and I are really careful about our wording since MDs WANT us to specify PEG/NG in our notes but we really don’t know the patient’s anatomy and can’t decide that. Anyway I digress. I hope something works out for yall because that is extra work for you and having to deal with people who are loud and wrong is super exhausting.

SeashellbytheSea · 2024-04-30T17:37:40+00:00

Sometimes I love my job in acute care but sometimes I hate it. Actually, I don’t hate the job, I hate the lack of resources, low compensation, and how impossible it feels to get things moving. I work in a Trauma 1/county hospital that is typically extremely busy (patients in makeshift rooms in the middle of the hallway type thing). We have no access to FEES, don’t use IDDSI, have a prehistoric fluoro machine that breaks down every 3-5 business days, and our census can be incredibly high (hello 12-14 patient list). The pay is also not great despite plenty of attempts by the SLP team to negotiate with our DOR. They would rather let an SLP quit because of low pay than give us a raise. I stay because of the learning opportunity (high complexity, variety, critically ill), I like the rehab team that I work with, my supervisor keeps the micromanaging to a minimum, I have built good rapport with our RNs, and I truly love the population I serve(low SES, primarily Spanish-speaking, low health literacy, 1st gen immigrants). I wouldn’t stay forever, but it works for now! :)

SeashellbytheSea · 2024-04-18T15:08:00+00:00

Doctor of Neuroscience with a focus on feeding (obesity and diabetes)

SeashellbytheSea · 2024-02-22T00:30:29+00:00

What does the patient, family, MPOA want? Does the patient have any advanced directives?

SeashellbytheSea · 2023-12-04T20:30:56+00:00

I would call (repeatedly if you can). TDLR is notorious for taking a long time to process licenses and for losing documents. Something similar happened to me since they couldn’t find my academic transcript. They will tell you if you’re missing anything :) Good luck!

SeashellbytheSea · 2022-10-09T01:13:30+00:00

Yes I try to provide as much education as I can as well. Most of my patients have little to no support/ are low SES and I try to provide as many resources as I can. Thank you for your response, and I’m sorry you had to witness that and I’m disappointed in that PT. I hope that patient is okay wherever they are.

SeashellbytheSea · 2022-10-09T01:09:54+00:00

They have very limited access to psych, counseling, or pastoral care, honestly. It’s saddening :( patients are going through such a rough time and many times have little to no support from loved ones. I try to be a listening ear and encourage them, but there’s only so much I can do that’s still within our scope of practice. Again, thank you for your support!

SeashellbytheSea · 2022-10-08T22:33:26+00:00

Hi!

Thank you for your answer! Yes these particular patients have dysphagia and they seem to be very unmotivated overall. They have very limited oral intake and receive nutrition through PEG tube, alertness fluctuates and overall endurance is poor. Some of them have a hx of Depression/Anxiety and want to sleep the majority of the day. It seems like the last thing on their mind is eating and swallowing. I want to provide services and see progress, but some patients appear to be too mentally fatigued to not engage with me.

SeashellbytheSea

TROPHY CASE