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1. Internship Binder Table of Contents
Grand Strand Medical Center: Speech Therapy Department
LOGS & FORMS
• Sample Weekly Log…………………………………………………………………………………..2
• A log I created to allow students to reflect daily on activities accomplished and knowledge learned. A
blank log and an example log are both included.
• Sample Speech Pathology Observation Log…………………………………………………….…..2
• A log I created that allows student to track hours by age of patient, evaluation or therapy type, and
disorder type. A blank log and an example log are both included.
• Hand Washing Guide…………………………………………………………….………………..…2
GENERAL INFORMATION
• Grand Strand Guide to Hand Hygiene………………...………………………………..…………...3
• Appropriate steps for hand washing throughout the hospital.
• Guide to Sepsis……………………………………………………………………………………….4
• Definition
• Who is at Risk
• Symptoms
• Evidence of Organ Dysfunction
• Levels of Severity
• Patient Assessment-Level of Consciousness Chart………………………………………………….1
• I created a chart to outline the different levels of consciousness that are widely used throughout the
hospital.
APHASIA
• ASHA Aphasia Information……………………………...…………………………………………...3
• Definition
• Causes
• Signs and Symptoms
• Diagnosis
• Prevalence
• Treatments
• Communication Tips
• Seeking Further Information
• NIH Aphasia Fact Sheet…………………………...…………………………………………...........4
• Definition
• Signs and Symptoms
• Treatments
• Current and Future Research
• Overview of Aphasia…………………………..……………………………………………………..3
• Definition

2. • Causes
• Types
• Symptoms of Each Type
• Diagnosis
• Treatment Options
• Communication Tips
• Common Classifications of Aphasia…………..………………………………………………….….3
• Broca’s
• Wernicke’s
• Global
• Conduction
• Anomic
• Transcortical Sensory
• Transcortical Motor
• Mixed Transcortical
• Crossed
• Subcortical
• Primary Progressive Aphasia
• Communication Tips…………………………………….………………………………..………….3
• Tips for Patients with a Speech or Language Disorder
• Tips for Patients with Aphasia
• Dysarthria…………………………………….…………………………………………………..…..3
• Definition
• Signs and Symptoms
• Causes
• Types
• Diagnosis
• Treatment
• Communication Tips
DYSPHAGIA
• Swallowing Mechanism Diagram……………………………………………………………………1
• Signs of Dysphagia Checklist…………………………………………………………………...……1
• Symptoms, Diagnosis and Treatment of Dysphagia………………………………………………...6
• Definition
• Types
• Symptoms
• Causes
• Treatment
• Swallowing Disorders in Adults……………………………………………………………….……..4
• Definition
• Signs and Symptoms
• Causes

3. • Types
• Diagnosis
• Treatment
• Communication Tips
• Swallowing Problems Handout……………………………………………….…………..……...….2
• Tips for Safe Swallowing
• How to Modify Foods
• Using THICK IT
• Importance of Food Consistency
• Swallow Mechanism
DYSPHAGIA DIETS
• Liquid Consistency Chart……………………………………………….……………………..……..1
• Detailed Diet Information & Meal Examples For……………………………………………..…......5
• Puree Diet
• Mechanical Soft Diet
• Neutropenia Diet
• Myasthenia Gravis Diet
• National Dysphagia Diet Booklet..………………………………………………………………......7
• Specific Considerations for Each Diet Level
• Sample Meals for Dysphagia Levels Diets……………………………………………………....…14
EVALUTION MATERIALS
• Language/Cognitive Communication Evaluation Template…………………………………….….7
• Clinical Swallowing Example Template………………………………………………………….….9
DIAGNOSTIC TESTS
• ROSS Information Processing Assessment-Geriatric…………………………………………...….16
• Sample Test
• Instructions for Administering Test
• ROSS Information Processing Assessment-Second Edition…………………………………….…12
• Sample Test
• Instructions for Administering Test
• The Galveston Orientation and Amnesia Test- GOAT…………………………………………….....9
• Sample Test
• Instructions for Administering Test
• Montreal Cognitive Assessment- MOCA…………………………………………….……………..5
• Sample Test
• Instructions for Administering Test
• Mini Mental State Exam………………………………………………………………………….....4
• Sample Test
• Instructions for Administering Test
• SLUMS Examination………………………………………………...............................................1
• Rehabilitation Diagnostic Test Learning Module……………………………..…………...……..10

4. EXERCISES
• 40 Swallowing Exercises and Diagrams………………………………………………………...….4
TECHNOLOGY & PROCEDURES
• Modified Barium Swallow…………………………………………………………………………..3
• Definition
• Reasons for Use
• Pharynx and Esophagus
• Barium
• Process Details
• FEES………………………………..………………………………………………………………...6
• Definition and History
• Comparison of FEES and MBS
• Placement of VitalStim Therapy………………………………………..………………………......3
• Fact Sheet: Dysphagia and VitalStim Therapy
• Chart of VitalStim Placement
AUGMENTATIVE & ALTERNATIVE COMMUNICATION (AAC)
• Choosing the Right AAC Device………………………………………..…………………..…........4
• TextSpeak Details and Information
• Sample Communication Boards………………………………………..………………………......5
• Health Communication Board
• Pediatric Communication Board
• Communication Board for Home Setting
• Keyboard
• Speech Therapy Related Apps……………………………………………………………………..13
• Price, Function, Description, Search Words for over 200 apps
• Stroke Specific iPad Apps……………………………………………………………….…………..7
TRACHS
• Passy-Muir Inc. Tracheostomy Tube Instructions and Diagram………………………….…….….2
• Tracheostomy-John Hopkins……………………………………………………………..…………5
• Definition
• Reasons for Procedure
• Speech with a Tracheostomy
• Eating with a Tracheostomy
• Tracheostomy and Passy-Muir Valve
• How to Use Speaking Valve
• SLP and Tracheostomy Rehabilitation
STROKE
• Explaining Stroke Booklet………………………………………………………………………...19
• National Stroke Association booklet focused on stroke types, causes, symptoms, diagnosis, and
recovery.
• NIH Stroke Scale Chart Overview.………………………………………………………………......3

5. • NIH Stroke Scale Sample Test and Administration Instructions……………………………......…9
• Grand Strand Health Stroke Patient Education Admission Booklet………………………..…….19
• Grand Strand Health’s patient booklet focused on stroke details and recovery plan expectations.
• Grand Strand Health Stroke Patient Education Discharge Booklet………………………..……..33
• Grand Strand Health’s patient booklet focused on stroke recovery in a rehabilitation center
following discharge from acute care.
BRAIN INJURY
• Brain Function: Lobes of the Brain Diagram…………………………………………………...…..1
• Vessels of the Brain/Circle of Willis Diagram………………………………………..….……....….2
• Glasgow Coma Scale- Symptoms and Scoring…………………………………….…………….…4
• Symptoms
• Scoring Levels
• Instructions for Administering
• Ranchos Los Amigos Scale- Symptoms and Scoring………………………………………..……...4
• Symptoms
• Scoring Levels
• Instructions for Administering
• Traumatic Brain Injury Booklet by Grand Strand Health………………………………………....34
• Grand Strand Health’s patient booklet focused on brain function and what to expect from different types
of brain injuries.
PARKINSON’S DISEASE
• Parkinson’s Handbook: A Guide for Patients and Their Families………..……………………....10
• Primary and Secondary Symptoms
• Living with Parkinson’s Disease
• Speech in Parkinson’s Patients…………………………………………………….………….……6
• Physical Characteristics
• Medical Treatment
• Speech Characteristics in Parkinson’s Patients
• Treating Speech Disorders in Parkinson’s Patients
• Improving Dysarthria in Parkinson’s Patients
PEDIATRICS
• Stages of Child Growth…………………………………………………………….………..………1
• Child Speech/Language Development……………………………………………………………..4
• Receptive Language
• Birth
• 0-3 months
• 4-6 months
• 7-12 months
• 1-2 years
• 2-3 years
• 3-4 years

6. • 4-5 years
• Expressive Language
• Birth
• 0-3 months
• 4-6 months
• 7-12 months
• 1-2 years
• 2-3 years
• 3-4 years
• 4-5 years
• Early Detection of Speech/Language/Hearing Disorders…………………………………………..3
• Identifying Signs of Different Disorders
• Ways to Help with Language Disorders
VOCABULARY
• Glossary of Speech Related Terms………………………………………………………………….4
• Common Medical Abbreviations-Speech Related by ASHA……………………………….……….7
• List of Medical Abbreviations……………………………………………………………………...15
• Grand Strand Medical Center Speech Therapy Intern Vocabulary…………………………….…..7
• A list of the most commonly used terms and abbreviations I created as a reference for future interns.
FUTURE INTERN STUDY GUIDE………………………………………………………………...30
• A 30 page study guide I created that is focused on the most important and most used knowledge as an
intern in the Speech Therapy Department of Grand Strand Medical Center.