CommDis 416 1nd Edition Lecture 1 Outline of Current Lecture I. What are your Clinical Interests? II. Where do SLPs Work?III. Where do Audiologists Work?IV. National Recognized Agencies V. Scope of Practice VI. Critical Roles of the SLP VII. SLP’s Range and Responsibilities a. Other Responsibilities VIII.Audiologists Scope of Practice IX. Critical Roles of the Audiologist Current LectureI. What are your clinical interests? - Speech vs. Audiology/Hearing Science - Patient Population: Pediatric vs. Adults - Workplace: Hospital vs. School-based setting?- Acute care vs. rehab facility? II. Where do SLPs Work?- 2/3 (66%) ASHA-certified SLPs that were surveyed were employed full time in a school setting ($59,197)- Approximately 12% worked in hospitals ($77,133)- 10% in a nonresidential health care setting (private practice, out-patient rehab) ($70,000)- 6% in a residential health care setting (e.g., skilled nursing facility, palliative care/hospice) - Small amount were reported in college/university settings These notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.III. Where do Audiologists Work?Median Salary-- Private practice (per calendar year): $84,768- Academic setting (per academic year): $72,000- Hospital (per calendar year): $77,000- Non-residential health care facility (per calendar year): $70,000- Industry (per calendar year): $79,000IV. National Recognized Agencies -American Speech-Language and Hearing Association (ASHA)o National professional, scientific, and credentialing associationo Over 166,000 audiologists, speech-language pathologists, speech, language, and hearing scientists, audiology and speech-language pathology support personnel, and students associated with ASHA -American Academy of Audiology (AAA)o Support research, education, and public awareness in audiology and hearing V. Scope of Practice- SLP scope of practice is to provide clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowingVI. Critical Roles of the SLP- Working across all levels-provide appropriate speech-lang. services pediatric (infants, pre-k, elementary, middle (junior high) through adulthood - Serving a range of disorders: working with clients across a range of communication disorders, including those involving: o Speech sound production-articulation, apraxia of speecho Resonance-Hypernasality, hyponasalityo Voice-Quality, pitch, loudness o Fluency-Stuttering, clutteringo Language-Syntax, semantics, pragmaticso Cognition-Attention, memory, problem solving o Feeding/swallowing-Oral, pharyngeal, laryngeal - Ensuring Educational Relevance: does the disorder have an impact on the education of the student?- Contributions to the Curriculum: assist with curriculum development for students with disabilities, as well as other learners who are at risk for school failure- Highlighting Language/Literacy: current research supports the interrelationships across the language process of listening, speaking, reading and writing- Providing Culturally Competent Serviceso Disorder vs. Differenceo Look at possible cultural and linguistic differences, socioeconomic factors, lack of adequate prior instruction, and the process of acquiring the dialect of English used in the schoolsVII. SLPs Range and Responsibilities- Prevention — Identifying at-risk groups. SLPs are involved in the efforts at schools to prevent academic failure (e.g. Response to Intervention [RTI])- Screening - A pass-fail procedure to identify people who may require further assessment- Assessment —conduct assessments to identify nature and extent of a disorder/disability- Intervention —provide intervention that is appropriate to the age and learning needs of each individual client, consistent with EBP - Counseling - Work with individuals, families, coworkers, educators regarding acceptance,adaptation, and decision-making- Compliance – SLPs are responsible for meeting federal and state mandates - Research — Federal law requires the use of scientific, research-based practices. It is important for SLPs to support the use of evidence based assessment and intervention practices.- Supervision and Mentorship —Supervising student SLPs, clinical fellows, and paraprofessionals, and mentoring new SLPs. - Documentation - Data Collection and Analysis o Accountable for treatment outcomes. o Data-based decision making includes gathering and interpreting client data, as well as overall program evaluation.- Collaborationo With other professionals (e.g., OT, PT, educators, doctors/nurseso With Clients — Client involvement in the intervention process is essential to promoting personal responsibility and ownership. Actively engage client in goal planning, intervention, and self-advocacy appropriate to age and ability level. o With Families — Engage families in planning, decision making, and program implementation o Provide training — to clients of all ages with regard to communication development and disorders.a. Other Responsibilities - Preparing materials- Participating in committees (e.g., curriculum selection)- Advocacy - Financial management skills-Billing - Mentoring - Referrals - Progress Notes/Report writing VIII. AuD Scope of Practice- Audiologists identify, assess, diagnose, and treat individuals with:o Peripheral Auditory Impairments - outer, middle and inner ear impairmentso Central Auditory Impairments – central auditory nervous systemo Balance/Vestibular Disorders- inner ear disturbance- An AuD is also trained to evaluate hearing loss and related disorderso Tinnitus (ringing in the ears)o Prescribe, fit and dispense hearing aidso Members of cochlear implant teamso Newborn and school hearing screening programso Noise Measuremento Prevention of hearing loss IX. Critical Roles of the Audiologist - Work across the lifespan-infancy thru geriatrics - Work with diverse client population-ethnic, cultural, and linguistic - Evidence-based practice- to ensure optimal outcomes - Assessment - Conduct and interpret the behavioral, electroacoustic, methods to assess hearing, auditory function, balance, and related systems- Rehabilitation- Evaluates, selects, fits and dispenses hearing assistive technology devices. Assessment of candidacy of people with hearing loss for