Functions Of Speech Therapist In Laryngectomy Management

3º Aniversário da Casa de Lázaro
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There are 3 phases of management for laryngectomy: pre-operative, operative, and post-operative management. Each phase has its benefit and objectives. A speech therapist plays essential functions in the first and last phase. Consulting a speech therapist during the first stage is equally essential with seeing a therapist throughout the last stage, which is when voice rehabilitation really starts.

A speech therapist likewise has different functions in each stage, that’s why it is crucial for a therapist to know the two phases he plays a role in.

Pre-operative Management

Pre-operative management consists of notifying the client of the anatomical changes, and expectations relating to swallowing, voice, and the family as a part of the group. The therapist likewise notifies the patient on the different speech alternatives he has after the operation.

Throughout this stage, the speech therapist should initiate purchasing of the hardware or alternative means of interaction. The therapist needs to likewise be open to questions that the patient might come up with. This is likewise the time for him to develop rapport with the patient.

The therapist can also offer re-assuring assessment with proper laryngectomee volunteers. This is also the time where he examines the pre-laryngectomy speech and cognition of the client. The laryngectomee is also informed with his diagnosis, where the potential for healing and long-lasting rehabilitation is discussed.

The benefits of this phase would be the assessment of preoperative speaking skills such as speaking rate, articulation errors, accent patterns, oral opening degree when speaking, and vocal parameters. Cognition and hearing is also assessed, in addition to oral-peripheral-mouth strength and feeling. The family can likewise get psychological support in this stage.

Assessment is done by the use of customized barium swallowing or Fiberoptic Endoscopic Assessment of Swallowing. The client’s interaction requirements are also examined where living situation, profession, social requirements and pastimes are looked at.

Postoperative Management

During this phase, the therapist is provided an opportunity to assist decrease the client’s fears, and depression. He should also assist the client to accept the loss of voice and swallowing troubles. The inspiration of the client should be increased, so that he can quickly find out how to utilize alternative speech. Social implications are likewise dealt with. Arrangements for voice rehabilitation are also done during the early parts of this phase.

Firs off, the therapist must verify if the patient is currently clinically cleared for treatment. Then he needs to examine the treatment procedure, re-evaluate the patient’s swallowing function then offer diet plan recommendations, and create a treatment strategy.

Problems Encountered During Postoperative Management

After the operation some issues may still take place. With regards to Tracheostomy, the patient and therapist must always be watchful of stoma hygiene, cannula health, stoma covers, extreme mucus in the trachea, mucous encrustations in the stoma, and stoma security and emergency treatment.

There could likewise be issues related to taste, swallowing, odor and food digestion. The client might find it tough to trap air within the lungs. This can lead to problems in creating internal subglottic pressure, elimination of body waste and giving birth.

Issues of social change might likewise be present. The patient may discover it difficult or embarrassing to use alaryngeal speech in public. The transformed physical appearance of the client might also be an issue. In some cases, the laryngectomee also has unrealistic expectations relating to acquisition of alaryngeal speech.