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SPCH4106 Test Exam With Verified Solutions
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SPCH4106 Test Exam With Verified Solutions
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SPCH4106 Test Exam With VerifiedSolutions
AGED CARE: Policies and Legislation and how they impact on SLP services
CORRECT ANSWERS 1. Qld Health Informed Decision Making Healthcare Policy 2011
= patients have the right to refuse/decline treatment and can also withdraw consent at
any time during treatment. SLPs much respect patients decisions whilst informing of
risks and possible consequences of these decisions
2. SPA COE 2010 section 3.1.1 Consent = says that SLP's must ensure that informed
consent is obtained from client before providing their services. Verbal or written consent
will be obtained before administered any form of assessment and intervention.
3. Aus Governments Guidelines for a Palliative Approach in Residential Aged Care:
SLPs have an obligation to ensure nursing staff at centres are informed of safe
swallowing and mealtime strategies
4. Aged Care Act 1997 = SLPs have a duty to assist in maintaining ADL and
communication while recognising the need for social and emotional support. Mandatory
reporting of suspected abuse. SLPs should promote the highest quality of care and
services to protect the health and wellbeing of the aging population.
5. Age Discrimination Act 2004 = Irrespective of age, all patients/client will be respected
and treated equally during the provision of my services
6. SPAs position paper Speech Pathologists working with Older People 2015 = it is
within SLPs scope to distinguish normal aging vs disease processes impacting on
mealtime and swallowing function. I will therefore provide rehabilitation or compensatory
treatments for impairment level difficulties and facilitate positive, supportive and
enabling communication and mealtime environments.
AGED CARE: Prioritisation factors CORRECT ANSWERS 1. Risk feeding vs thickened
fluids/modified diets --> puts end of life decisions take priority over SLP
recommendations --> comfort is priority for most patients
2.Priotitsing a compensatory approach than then rehabilitation
3. Dysphagia vs communication --> dysphagia directly affects health of patients
4. Facilitating residual communication and swallowing skills rather then improving skills
and capabilities
5. prioritising activity limitations and participation over impairment level.
6. Needs of the client/carer, service providers policies, what EBP says about certain
impairments and prognosis, MTD considerations
AGED CARE: Equipment Inventory (How you get them and whats in it) how they will be
critically appraised CORRECT ANSWERS - A hard copy and electronic assets
,inventory will be managed that includes a description, quantity, serial no, date of
purchase, price, warranty info, estimated life of assets - physical inventory audits will be
conducted regularly -
- ipad w/ apps e.g. speech sounds on cue, Language TherAPPy
- communication books - generic books developed for basic communication as well as
personalised books for clients
- thickened fluids
- tongue depressors
- books relevant to practise/caseload e.g. Management of Speech and Swallowing in
Degenerative Diseases, Drugs and Dysphagia, Feeding and Swallowing in Dementia
- biotene products
- 2 fruits
- biscuits
- bread
- gloves
- mouth swabs
- eskie
- spoons
- dysphagia cups
- voice recorder
- laminator/sheets
- How = through management - senior speech. Resource exchange with other
SLPs/mentors while adhearing to copywright laws. Through special interest groups and
PD activities. Personally developing resources (communication books, semantic
network activites,).
- critically appraised using SPA annual resource guide or The Journal of Clinical
Practise in Speech Pathologyas well as consultation with other SLPs and mentors
regarding its applicability to current and potential caseload demands.
AGED CARE: Potential problems with inventory CORRECT ANSWERS 1. Hygiene -
Ensure adequate cleaning of eqiupment and resources between clients
3. Resources may be demeaning to some clients e.g. communication books --> may
need to adjust for clients e.g. not use symbols etc.
4. out of date thickened fluids/food items used for swallowing assessments
5. other speeches in facilities using Ax at same time - adequate quantity
6. re-ordering of assessment items may not be followed up
7. leaving resources at the facility accidentally
, AGED CARE: Service Delivery Options and Workload management, time management
CORRECT ANSWERS 1. Group screening ax e.g. sitting in at mealtimes - for workload
management AX process
2. individual swallow ax --> referrals from nursing/medical staff
3. Carer/parent education sessions --> general safe mealtime strategies group for
prophylaxis and workload management
4. Carer/parent education sessions --> specialised e.g. parkinsons
5. Communication groups - target communication goals in a group environments
6. Eating with friends - swallowing/mealtime groups
7. community education --> visiting local GPs and Community groups to increase
service awareness for prophylaxis and workload management (sustainable practise)
8. referrals to other professionals e.g. social work for ?depression and OT for modified
living environment e.g. shower rails/non slip mats
9. Staff in servicing --> educating and informing staff of how to faciliate communication
and safe mealtimes for patients. - for prophylaxis and workload management - not
getting inappropriate referrals
overall by incorporating a range of service deliveries that include educational and
prophylactic model - can ensure sustainable practise and facilitate future workload
management. = range of service deliveries to get most out of time and best outcomes
I will be sure to devise a timetable that allows for clinical and non clinical tasks e.g.
report and progress note writing, resource development, meetings, all service delivery
types and time for QI projects. This timetable will be in accordance to the centres
timetable and will be reviewed regularly to maintain its effectiveness
AGED CARE: Internal and External networks CORRECT ANSWERS Internal: Nursing
manger, SLP mentors/supervisor, other allied health proffesionals in centre, other SLPs
in centre,
External: SPA SPs in adult disability, Alzheimers Australia, SPA Early Onset
Dementias, MND NSW CommSPOT Peer Support Network, Parkinson's Queelsand,
SPA Aging and Aged Care Community, Allied Health in Palliative Care Australia, SPA
mental health member community group. SPA mentoring program, other community
RACF SLPs
- Stroke Association of Queensland
AGED CARE: PD activities CORRECT ANSWERS - Voice craft workshops
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