*****Originally Aired April 2024****

Guest: John Ashford, PhD, CCC-SLP

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In this week's rewind episode of the Brainstorms Functional Neurorehab for SLPs podcast, hosted by Renee Garrett, we take a deep dive into the topic of aspiration pneumonia with Dr. John Ashford. The discussion covers the medical definitions of aspiration and aspiration pneumonia, the misconceptions that surround these conditions, and the critical role of oral care in preventing pneumonia. Dr. Ashford also explains the complex interplay between the biomechanical processes of swallowing, the immune system, and bacterial infections. Tune in for expert insights and practical advice for speech-language pathologists and healthcare providers on managing dysphagia and reducing the risk of aspiration pneumonia.

About the guest:

John R. Ashford, PhD, CCC-SLP, is Education Director and co-owner of SA Swallowing Services, Nashville, Tennessee, USA. He is a Navy Veteran, a retired Medical Speech-Language Pathologist for the Department of Veterans Affairs, and previously served as a tenured Associate Professor at Tennessee State University, adjunct Assistant Clinical Professor at Vanderbilt University School of Medicine, and guest professor at Dar Al-Hekma University, Jeddah, Saudi Arabia. He has been published and a member of ASHA for 58 years. Professional interests include understanding factors associated with pneumonia development in patients with dysphagia, and educating and training providers of FEES services.

Guest: Luis Riquelme, PhD, CCC-SLP, BCS-S

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/dementia-and-dysphagia

Join host Renee Garrett as she welcomes Dr. Luis Riquelme to discuss his extensive experience and research in the field of dysphagia, particularly in aging populations and dementia. This episode explores topics such as Presbyphagia, cognitive decline, the physiological changes in swallowing that occur with age, and the importance of individualized patient care. Dr. Riquelme shares valuable insights on the continuum of neuro-rehab for speech-language pathologists, touching on the ethical considerations and caregiver education. A must-watch for SLPs looking to deepen their understanding of neuro-rehab and swallowing disorders.

Episode Timeline:

00:00 Introduction and Disclosures

01:10 Welcoming Dr. Luis Riquelme

02:35 Dr. Riquelme's Career Journey

08:17 Aging and Dysphagia

10:52 Understanding Presbyphagia

19:44 Challenges in Diagnosing Dementia

24:37 Research on Swallowing and Dementia

32:01 Exploring Oral Pharynx Research

32:40 Cued vs. Uncued Swallows in Dementia

33:51 Epiglottic Inversion and Dementia

34:55 Retrospective Study on Thin Liquid Swallows

36:24 Prospective Study and Cognitive Status

37:37 Caregiver Burden and Management Strategies

38:21 Polypharmacy and Medication Management

43:52 Behavioral and Sensory Considerations in Eating

54:28 The Role of Singing in Dementia Care

56:15 Counseling and Ethical Considerations

01:00:28 Concluding Thoughts and Personal Stories

About the Guest:

Dr. Riquelme is Consulting Director, Rehabilitation & Speech-Language Pathology, Maimonides Health; Associate Professor, Universidad Católica del Uruguay, and Adjunct Professor, Teachers College, Columbia University. His current research focuses on changes in swallow physiology in dementia and pill swallowing. Publications also include relationships between culture and dysphagia. Luis has presented locally and internationally. He serves as Co-Chair of the IDDSI and a member of ASHA’s Healthcare Economics Committee. Recipient Honors ASHA and Fellow of ASHA.

Guest: Brooke McGivern, MS, CC-SLP

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Join host Renee Garrett in this episode where she revisits an engaging conversation with Brooke McGivern (formerly Brooke Beilman). Brooke shares her in-depth insights on head and neck cancer, emphasizing the importance of prophylactic care, the integral role of Speech-Language Pathologists (SLPs), and the significance of lymphedema management. Renee and Brooke discuss various treatment techniques, evidence-based practices, and resources to equip clinicians in their journey supporting patients with head and neck cancer and dysphagia. The episode also covers Brooke's personal and professional experiences, patient advocacy, and strategies for developing effective programs for head and neck cancer. Tune in for a wealth of knowledge and actionable advice from seasoned experts in the field.

Episode Timeline:

00:00 Introduction and Episode Overview

01:42 Guest Introduction and Disclosures

04:29 Brooke's Journey and Early Career

05:38 Interest in Head and Neck Cancer

11:09 Challenges and Emotional Impact

17:22 Manual Therapy and Career Development

20:46 Importance of Imaging and Assessments

31:51 Financial and Logistical Barriers

33:55 Patient Case Study: Esophageal Dysfunction

35:53 Feeding Tubes and Reflux Management

38:40 Advocating for FEES Equipment

43:05 Developing a Head and Neck Cancer Program

53:34 Resources for Head and Neck Cancer

01:01:09 Conclusion

About the Guest:

Brooke McGivern (formerly Brooke Beilman), MS, CCC-SLP, is a full-time member of Tactile Medical’s Oncology team, a board member for Dysphagia Outreach Project, an affiliate for Medbridge, and has previously partnered with Speech Therapy PD and Tactus Therapy on affiliate projects. She is certified in NMES, myofascial release, and MDTP. She is the recipient of the ASHA ACE Award, co-founder of Servant Leadership, member of SIG 13, and member of the Medical SLP Collective. Brooke has presented at the state and national levels and has been a guest on the Understanding Dysphagia Podcast Episode 4. She has hosted continuing education webinars for both the Medical SLP Collective and Tactile Medical, serving as the content creator for online platforms for both organizations.

Guest: Sydney Bassard, MSP, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/supporting-adult-literacy

Join host Renee Garrett as she discusses the intricacies of literacy with Sydney Bassard, MSP, CCC-SLP, and explores its impact on adults. This informative podcast episode offers insights into Sydney's journey from a pre-pharmacy major to a speech-language pathologist specializing in working with the deaf and hard of hearing, as well as literacy. The conversation explores the significance of digital literacy, social determinants of health, and the application of functional literacy in healthcare settings. Discover practical tips for accommodating varying literacy needs and gain a deeper understanding of how to support your patients effectively.

Episode Timeline:

00:00 Introduction and Disclosures

01:09 Meet Our Guest: Sydney Bassard

02:29 Sydney's Journey to Literacy and SLP

05:01 Defining Literacy and Its Importance

06:02 Challenges in Health Literacy

11:10 Social Determinants of Health

20:17 Underlying Skills for Reading Comprehension

28:18 Digital Literacy and Modern Healthcare

32:41 Navigating Technology Resistance

34:51 Supporting Middle School Reading Skills

36:45 Impact of Virtual Learning on Literacy

37:56 AI in Technical Writing Education

38:55 Challenges in Literacy for Older Students

40:06 Socioeconomic Disparities in Education

44:21 Deaf and Hard of Hearing Literacy

51:54 Literacy Assessments for Neurogenic Disorders

57:05 Resources for Cochlear Implant Students

59:57 Concluding Remarks and Q&A

About the Guest: Sydney Bassard, MSP, CCC-SLP, is a speech-language pathologist specializing in working with individuals who are Deaf and hard of hearing, as well as literacy. She owns The Listening SLP, which is her private practice and social media brand. Sydney was noted as a Distinguished Early Career Professional in 2020 and an Innovator in 2023 by the American Speech-Language-Hearing Association for her work centered on the equity of health information. Through her social media page, she engages with professionals and parents on topics related to hearing loss and literacy.

Guests: Cara Donohue, PhD, CCC-SLP & Wes Ely, MD, MPH

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/cbis-cognition-and-dysphagia

Join Renee Garrett as she hosts an enlightening discussion on the Speech Therapy PD podcast with esteemed guests Dr. Cara Donahue and Dr. Wes Ely. In this episode, we delve into the prevalence of dysphagia in critically ill patients, the importance of early intervention, and the collaborative efforts required for optimal patient care. Dr. Donahue shares her extensive research on swallowing disorders, while Dr. Ely discusses the holistic A2F protocol for ICU care. Together, they shed light on the significant role of speech-language pathologists, dieticians, and interdisciplinary teams in improving patient outcomes and recovery. Tune in for an insightful conversation that bridges the gap between clinical practice and patient-centered care.

Episode Timeline:

00:00 Introduction and Disclosures

01:46 Meet the Experts: Dr. Cara Donahue and Dr. Wes Ely

04:32 Prevalence and Challenges of Dysphagia in ICU Patients

09:00 The A2F Bundle: A Holistic Approach to ICU Care

11:13 Personal Stories and Pivotal Moments

19:00 The Role of Caregivers in ICU and Post-ICU Care

35:16 Advocating for Instrumental Exams in Dysphagia

39:15 Connecting CIBS and TBI: Overlapping Challenges

43:15 Final Thoughts and Future Directions

About the Guests:

Dr. Cara Donohue is a practicing speech-language pathologist, Assistant Professor, Medical Speech-Language Pathology Director, and Innovative Research in Aerodigestive Disorders (iRAD) Laboratory at Vanderbilt University Medical Center. She completed her doctoral studies in the Computational Deglutition Lab at the University of Pittsburgh and her post-doctoral research fellowship in the Aerodigestive Research Core Laboratory at the University of Florida. Her research aims to improve clinical care, patient outcomes, and quality of life for individuals suffering from swallowing disorders. Her current research work is funded by the American Heart Association, the Alzheimer’s Association, and the NHLBI.

E. Wesley Ely, MD, MPH, is an internist, pulmonologist, and critical care physician. Dr. Ely earned his MD at Tulane University School of Medicine and a Master’s in Public Health. He serves as the Grant W. Liddle Endowed Chair in Medicine and is a physician-scientist and tenured Professor at Vanderbilt University Medical Center. He is also the Associate Director of Aging Research for the Tennessee Valley Veterans’ Affairs Geriatric Research Education and Clinical Center (GRECC) in Nashville, TN. He is the founder and co-director of the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, and a pioneer in the investigation of delirium and long-term cognitive outcomes, including dementia, in survivors of critical illness, with continuous NIH and VA funding for over 25 years and more than 600 peer-reviewed publications. He designed and was a lead investigator for the study of JAK/STAT inhibitors in acute COVID-19, which successfully demonstrated a survival advantage for this class of medications, leading to FDA approval and a strong WHO recommendation for these medications in hospitalized patients receiving oxygen. He is the principal investigator for an NIA/NIH-funded phase III investigation of immunomodulation for patients suffering from Long COVID. His CIBS research center hosts free daily support groups to provide community and help in recovery for patients with Long COVID and their families. Dr. Ely is the author of a work of narrative nonfiction entitled Every Deep-Drawn Breath, from which he’s donating 100% of the net proceeds to help COVID-19 survivors and their family members rebuild their lives.

***** This episode may contain subject matter that is a trigger for some listeners. Incidents of traumatic events, injuries, and mental health issues will be discussed.********

Guest: Jessica Cortez, MA, CCC-SLP, CBIS

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Neurorehab-in-the-Justice-System-The-Untold-Role-of-SLPs

In this episode of the Brainstorms Functional Neuro Rehab for SLPs podcast, host Renee Garrett welcomes guest Jessica Cortez, a speech-language pathologist and certified brain injury specialist. The discussion focuses on the impactful work being done to provide speech therapy services to individuals involved in the criminal justice system. Jessica shares her journey and experiences, highlighting the importance of trauma-informed care, functional brain injury assessments, and the challenges of delivering these essential services. Practical insights into personalized treatment, building rapport, and innovative approaches for outreach to underserved populations are provided, making this episode a must-listen for anyone interested in neurorehabilitation and social justice.

Episode Timeline:

00:00 Introduction and Disclosures

01:34 Guest Introduction: Jessica Cortez

02:30 Jessica's Journey into Neuro Rehab

03:41 Focusing on Traumatic Brain Injury

05:49 The Criminal Justice System and Brain Injuries

13:30 Patient-Focused Brain Injury Assessment

24:58 Challenges and Opportunities in Prison Reform

32:39 Understanding Brain Function and Holistic Care

33:55 Challenges in Nutrition and Healthcare Systems

35:04 Addressing Bias and Habitual Behavior

36:01 Outreach and Support for Underserved Populations

38:18 Screening and Support Systems for TBI

40:06 Collaborative Care and Rehabilitation

42:01 Functional Therapy and Real-Life Applications

54:37 Success Stories and Rehabilitation Impact

01:00:15 Final Thoughts and Resources

About the Guest:

Jessica Cortez is a Speech Language Pathologist and Certified Brain Injury Specialist with over 15 years of experience working with adults and adolescents in various medical settings. She earned her Master's in Speech Language Pathology from The George Washington University and her Bachelor of Arts in Psychology from The University of Mount Union. She now lives in Northern Colorado and owns The Loom Connection, focusing exclusively on treating acquired brain injuries in the general and criminal justice.

-Originally Aired October 9, 2023-

Guest: Amy Larocca, MS, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Brainstorm-Parkinsons-Disease-Characteristics-Shared-Decisio

Welcome to the Brainstorms: Functional Neuro Rehab podcast for SLPs, presented by Speech Therapy PD. Host Renee Garrett introduces Amy Larocca, an experienced speech-language pathologist specializing in Parkinson’s and other neurological diseases. This episode focuses on the challenges and considerations in treating patients with Parkinson’s. Topics include the importance of tailored treatments, assessments, collaborative care, patient engagement, and the effects of interventions like deep brain stimulation. Amy and Renee emphasize the need for continuous education, the role of preventive and maintenance programs, and the significance of patient-centered care. Tune in for valuable insights and practical advice for SLPs working with this complex patient population.

00:00 Introduction and Disclosures

03:00 Meet Amy Larocca: Experience and Expertise

05:39 Diving into Parkinson's: Symptoms and Variability

09:33 Speech Therapy's Role in Parkinson's Diagnosis

15:20 Collaborative Care and Patient-Centered Approach

24:44 Resources and Assessments for Parkinson's

34:50 Voice Handicap Index and Patient Reported Outcomes

35:06 Parkinson's Patients in the Community

36:42 Perceptions and Realities of Parkinson's

38:28 Swallow Disturbance Questionnaire

39:06 Motor Speech Evaluations

43:25 Deep Brain Stimulation and Its Impacts

48:37 The Role of Speech Therapists

49:51 Preventative Programs and Maintenance

51:59 Humor and Rapport with Patients

53:52 Instrumentation and Treatment Programs

56:34 Effective Treatment Strategies

01:01:46 Conclusion and Final Thoughts

About the Guest: Amy Larocca, MA, CCC-SLP, is the owner and lead Speech-Language Pathologist at Polaris Speech & Neurological Rehabilitation, a hybrid private practice in Northeast Ohio. She brings 17 years of clinical and teaching experience to her patients and specializes in evaluating and treating patients with Parkinson's and other neurological diseases. She is trained in SPEAK OUT!®, Lee Silverman Voice Therapy, McNeil Dysphagia Therapy Program, Orofacial Myofunctional Therapy, and Manual Therapy for the SLP. She holds a Parkinson Foundation Team Training certification. Amy is on the Board of the Ohio Parkinson's Foundation Northeast Region, Contracts to provide classes at InMotion, and is the Chair of the planning Committee for the Parkinson Foundation Cleveland Moving Day.

Guests: Joanne Steel, PhD, BSPTH (Hons), CPSP, and Elise Bogart, PhD, for "TBI Grand Rounds: The Role of Narrative Language in TBI Recovery," an episode of the Brainstorms: Functional Neurorehab for SLPs podcast.

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=TBI-Grand-Rounds-The-Role-of-Narrative-Language-in-TBI-Recov

Join host Renee Garrett in an in-depth discussion with Dr. Joanne Steel from the University of Newcastle and Dr. Elise Bogart from the University of Sydney. This episode covers many topics, including the TBI Bank—a comprehensive international database featuring language samples from individuals with brain injuries designed to educate speech pathology students. Further insights include the development of narrative-based interventions, cognitive communication assessments, and the importance of functional treatment approaches in SLP practices. The guests share their journeys, experiences in TBI rehabilitation, the challenges in integrating research with practice, and the efficacy of various communication strategies and interventions. The discussion also touches on the complexities of access to care and the importance of a patient-centered approach in speech therapy. This episode offers valuable information for clinicians, researchers, and anyone passionate about improving communication recovery post-TBI.

Episode Timeline:

00:00 Introduction and Host Disclosures

01:29 Guest Introductions

03:05 Overview of TBI Bank

04:38 Clinical Experiences and Challenges

07:05 Importance of Discourse in TBI Recovery

16:33 Narrative-Based Treatment and Research

28:00 Challenges in Inpatient Rehab for Brain Injury

28:37 Collaborative Development of Narrative-Based Treatment

30:04 Flexible and Accessible Treatment Resources

31:05 Importance of Education and Continuity of Care

33:46 Communication Partner Training and Functional Tasks

37:49 Objective Data and Conversational Skills

44:31 Aphasia in TBI Patients

52:12 Access to Care and Insurance Challenges

57:49 Conclusion and Future Research

About the Guests:

Dr Joanne Steel, PhD, is a lecturer at the University of Newcastle, Australia. She is a practising speech pathologist with over 15 years of research and clinical experience with adults with traumatic brain injury (TBI). Her research focuses on improving clinical methods for cognitive-communication assessment and intervention after TBI. She has published over 20 journal articles and two book chapters and is co-developing a story-based intervention program for cognitive-communication disorder after TBI.

Elise Bogart, PhD, is a senior lecturer at the University of Sydney, Australia. Elise is a certified speech pathologist with over 10 years of clinical and research experience. Elise holds a PhD in acquired brain injury and has led the development of an internationally utilised educational resource and research database called TBIBank. Elise is passionate about equipping clinicians with the knowledge and skills to implement evidence-based practice. Elise was the 2024 conference chair and an ongoing committee member for the Australasian Society for the Study of Brain Impairment.