WORKSHOP 2 Technologies for Communication and Environmental Control Communication Assessment Process Comprehensive Speech Pathology assessment to identify clients and families needs around communication ID: 932248
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Slide1
EDUCATION DAY:TEAM –BASED CARE OF COMPLEX PNDs
WORKSHOP 2:
Technologies for Communication and Environmental Control
Slide2Communication Assessment Process
Comprehensive Speech Pathology assessment - to identify clients and families needs around
communication
Assess clients current abilities and likely future
needs
Work
with
the wider multidisciplinary team OT/PT for optimal
outcomes
Ongoing monitoring/support and referral to community
services
Slide3Electronic
Communication Devices
Scheme
(ECDS
)
A state-wide service that
subsidises
speech generating communication devices (SGD’s), software and access methods for people who have a communication impairment up to $7,000.
You need:
DHS A&EP application filled by client or
carers
with Doctor’s signature
Speech Pathology Report Form (Include unlocked devices form and
quotes)
2
week device trial – to test suitability and meeting needs in all
environments
For any mounting or alternate access requirements – OT assessment and report is also required
To find out more. Phone: 1300 885 886 (VIC only)
Email: ecds@yooralla.com.au
Slide4Communication Support Options
Slide5Voice Banking
Differentiated from Message Banking (
eg
., service offered by
Zyteq Australia) and Story BankingRecording a large inventory of your speech that is then used to create your personal synthetic voice that can be used on a communication device.Aim to get it done earlier with bulbar onset MND or if clients are interested Compatible with Predictable, Chatable and The Grid softwareFree to complete with instructions online www.modeltalker.orgYou need a wired, head-mounted microphone with a USB interfaceRecord 10 screening sentencesRecord the full inventory of 1600 sentences and upload them online
Complete voice file sent to clients computer/SGD
Slide6George
64 year old
Multi-System Atrophy diagnosis for over 10years
Lives at home with wife and supportive children nearby
Last 6 months functional decline, moderate Dysphagia, Dysarthria and some mild cognitive changesSpeaks Greek to family and friends, Able to speak and used to write in EnglishApproximately 60% intelligible in conversation, family report getting more difficult to understand his speechAdequate upper limb function but reports harder to hold pen to write
George wants the ability to have pre-saved phrases so he can be more efficient in conversation
Slide7Assessment outcome:
The Grid 2 is available in Greek and can be installed as an additional language after the installation of The Grid 2 in English
As Greek uses a non-
latin
alphabet there are some additional steps to setting up The Grid 2A Microsoft Surface-Pro tablet will run the Grid 2 software optimally as the software is not compatible with Ipad or Android devicesGeorge currently able to use with direct access, however if hand function/access deteriorates we will refer to our OT colleagues for further advice and system would be easily compatible with options switches/head mouse control Son computer savvy and happy to provide ongoing support as needed
Low tech options for back up – whiteboard with
Texta
– easier to hold and fixed message/
greek
alphabet boards George can point to
Slide8Peter
70y.o
Bulbar MND diagnosed July 2014
Lives at home with wife and supportive children nearby
PEG and NIV at night, encouraged to start using during the dayMild Dysarthria, hypernasality and speech intelligibility deteriorates with fatigue No cognitive changes, adequate upper limb function and hand dexterity
Wife already purchased a mini
Ipad
for his 70th Birthday
Peter wishes to maintain independence in communicating with family/friends and is worried that grandchildren may have difficulty understanding him soon
Slide9Assessment outcome:
Peter will commence voice banking as it is important for him to have a synthetic voice that sounds similar to his natural voice
Predictable text to speech software will be applied for via ECDS
Bulbar phenotype - may not develop difficulties with access to device
Will continue to use speech as primary mode of communication and use Predictable on Ipad when fatiguedLow tech options for back up – pen and paper
Follow and support from SP at our outpatient clinic or referral to local community service if needed
Slide10Bob – Eye Gaze