When a patient's breathing coordination and strength is affected, it places them at a higher risk for aspiration due to the open mouth breathing patterns that usually interfere with safe eating and swallowing as well as the open airway during mastication.
Cognition is most often affected by low oxygen levels resulting in a higher risk of falling or poor decision making during daily living activities.
The following is an excerpt from my best selling e-book that will guide you in determining whether a patient is a candidate for speech therapy, completing a thorough evaluation with Medicare and third party billing in mind, writing functional, measurable goals and numerous therapy techniques to use over the course of treatment.
The patient pictured below was only volunteering to help with my book at her therapist's request and ended up having a pulse ox reading of less than 90% after just a few simple activities. Always keep in mind, looks can be deceiving. The patient who "looks good" may have majorly affected internal systems that require intervention.
This book is available in .pdf format and is easily viewed in iBooks on your iPad/iPhone or using Adobe Viewer on a PC.
With purchase, you will receive a .zip file with the complete book as well as printable patient education handouts and phrase/sentence strips and lists to use in therapy.
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One of my clinical supervisors from MANY years ago who taught me the foundation of these strategies also had this to say: