Speech and Language Therapy Parkinsons Disease Parkinsons Disease
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Speech and Language Therapy Parkinson’s Disease
Parkinson’s Disease • Speech • Swallow • Excess saliva/drooling
Speech/Dysarthria • • Quiet voice Monotone voice Slurred speech Breathy/weak voice Pacing control (rushed or too slow) Blank facial expression Reduced body language Difficulty finding the right words (language)
What can help? • Is there an impact for you? • Look at how any change is impacting upon social participation, self-esteem, independence. • Practice exercises to support: – volume/loudness – speech rate – facial expression – articulation – gesture (pointing)
What can help? • Support from friends and family • Environment advice: – Reducing background noise – Important conversations in the morning – Positioning
What can help? • Amplifier • Volume feedback app. • Communication aids: – – – Pen and paper Chart Communication book Technology Alternative means • Text/email
Lee Silverman Voice Treatment • Speech Therapy program specifically for Parkinson’s Disease • Focus on ‘Being Loud’ • Self monitoring of volume • Intensive program – 16 sessions in a month, 4 sessions per week, daily home practice and functional tasks.
Swallow • Pre-oral stage – Bringing food/fluid to the mouth • Oral stage – Chewing • Pharyngeal stage (throat) – Oral residue
Dysphagia • • Difficulty eating and drinking Can cause coughing or discomfort Less enjoyment Slow pace Aspiration Chest infection/aspiration pneumonia Medication
What can help? • Diet modification – Textures – Chopping food – Extra sauce/gravy – Avoid high risk or mixed consistency foods • • • Fluid modification Utensils Smaller amounts, often Posture Timing
Drooling/Sialorrhoea • • Posture Swallow reminder badge or App. Strategies (gum/sugar-free sweet) Refer on to medical team re: medication or procedures
Contact • Open referral system • Self-referral, GP, Day hospital, AHP’s, Specialist Parkinson’s Nurse, Consultant. • Email: Fife-UHB. Fife. SLTReferral@nhs. net • Queen Margaret Hospital – 01383 623623 extn 25954
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