SpeechPathology.com Phone: 800-242-5183

New master brand. Same great company. Introducing continued! Read Our Story

Progressus Therapy

Speech-Language Pathology in a Home Care Setting

Speech-Language Pathology in a Home Care Setting
Megan Malone, Jennifer Loehr
May 7, 2010
Share:

Introduction

Today, the settings in which a speech-language pathologist can practice are as varied as the patients served. From the skilled nursing facility to outpatient treatment to acute care, speech-language pathologists (SLPs) provide services in more settings than ever before. One setting that is growing in need is the home health setting. The home health setting provides many benefits to an SLP and to the clients receiving services. This article describes the current home health population and the benefits and challenges encountered by an SLP delivering services in a home health environment. It also provides information regarding evaluation, treatment, and carryover of intervention skills. Finally, the article will shed light on this interesting but rarely discussed service delivery setting.

Overview of Home Care

According to the National Association for Home Care and Hospice, approximately 7.6 million individuals currently receive care in their homes from 17,000 providers. (National Association of Home Care and Hospice, 2008; U.S. Census, 2002). Care is provided due to acute illness, long-term health conditions, permanent disability, or terminal illness. Home health care is considered to be a cost-effective strategy for many families and insurance companies while maintaining the highest quality of life possible for the individual. With the onset of shortened hospital stays and the strong desire by individuals to remain in their homes for as long as possible, many older adults and their families are turning to home care providers to receive rehabilitative services, including the services of a speech-language pathologist. Home health agencies typically provide the skilled services of registered nurses, social workers, physical and occupational therapists, speech-language pathologists, registered dieticians, and home health aides for their patients (U.S. Department of Health and Human Services, 2009).

There are a number of reasons why a patient may need or would benefit from home health care. These include post-surgery care (such as following a hip or knee replacement); post-acute rehabilitation (such as after a stroke); treatment of ongoing, progressive illness (such as Parkinson's disease, Alzheimer's disease, or cancer); or following injury (such as a hip fracture or head injury). The overall adult population seen in home care is typically more medically acute and fragile, is more culturally diverse, and can have a wide range of disorders. Referrals to home care agencies may occur upon discharge from a hospital or a long-term care facility, or can come directly from a physician (American Speech-Language-
Hearing Association, ASHA; 2008).

According to ASHA's 2009 Health Care Survey, 39% of speech-language pathology (SLP) services in home care are provided to infants & toddlers, 14% to preschoolers, 11% to school-age children, and 37% of services are with adult clients. According to ASHA (2009), the top areas of intervention for adult clients seen by home care SLPs include swallowing disorders (35%), aphasia (26%), cognitive-communication disorders (16%), and motor speech difficulties (9%). ASHA (2008) also identified that most adult home care clients are age 70 and older (70%) and that a cardio-vascular accident (CVA) or stroke is overwhelmingly the top medical diagnosis (63%) seen by SLPs in this setting.

This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.
This page The rest of this article is not available, because you are not logged in to your SpeechPathology.com account.

Join Now to get the whole article and handouts.

megan malone

Megan Malone


jennifer loehr

Jennifer Loehr



Related Courses

Alzheimer's 101: A Practical Overview for Health Care Professionals
Presented by Megan L. Malone, M.A., CCC-SLP, Jennifer Loehr, M.A., CCC-SLP
Video
Course: #6386 2 Hours
This 2-hour course will provide the health care professional with the most essential and practical knowledge about Alzheimer’s disease. Differences between normal aging and dementia, causes of Alzheimer’s, treatment trends, management of behavioral issues and family counseling/education will be highlighted in this course.

Understanding the OASIS-C: An Overview for SLPs
Presented by Megan L. Malone, M.A., CCC-SLP, Jennifer Loehr, M.A., CCC-SLP
Video
Course: #7434 1 Hour
The Outcome and Assessment Information Set (OASIS) is the instrument/data collection tool used to collect and report performance data by home health agencies. This presentation will provide an overview to SLPs on this tool and describe how to implement it successfully when treating home health patients.

Supporting Aging in Place: Providing Strategies for Persons with MCI
Presented by Jennifer Loehr, M.A., CCC-SLP, Megan L. Malone, M.A., CCC-SLP
Video
Course: #7438 1 Hour
This presentation will review the signs and symptoms of mild cognitive impairment (MCI), the impact on resident safety, and interventions that will allow these residents to remain independent and safely age in place.

Alzheimer's 101: An Overview for Healthcare Professionals
Presented by Megan L. Malone, MA, CCC-SLP, Jennifer Loehr, MA, CCC-SLP
Video
Course: #8009 2 Hours
This course will provide an overview for the healthcare professional about Alzheimer’s disease and related disorders. Participants will learn strategies related to improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence.

Evidence-Based Interventions for Dementia: An Overview of Spaced Retrieval & Montessori
Presented by Megan L. Malone, MA, CCC-SLP
Video
Course: #8132 1 Hour
This course will provide an overview of two evidence-based interventions for working with persons with dementia: Montessori-Based Dementia Programming and the Spaced Retrieval technique. Participants will learn about each intervention along with practical applications of each method to patients in different practice settings.