Reference no: EM133752378

Question

You are an SLP working in a skilled rehabilitation setting and Malcolm (he/him) is a new patient in your facility. You receive a referral to assess his swallow function, as the nurse notes that he is having difficulties swallowing pills. You check the chart and note the following: He is 82 years old with mild COPD, mild dementia, a 10-year history of Parkinson's disease, and atrial fibrillation. During your initial conversation, you notice that his voice is breathy and weak and he has imprecise articulation and moderately masked facial expressions. You evaluate Malcolm and the CAPE-V reveals the following: Overall 30/100 (mild-mod), roughness 23/100 (mild), breathiness 18/100 (mild), strain 15/100 (mild), loudness 35/100 (mild-moderate) with normal pitch. Malcom's partner states that he has never received speech therapy to address his voice. 1) Would you advocate for him to have speech therapy to address his voice? Why or why not? (2 points) 2) Name at least 1 treatment approach for addressing the voice disorder associated with his diagnosis and why or why not you feel his would be a candidate for this approach.