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Speech-Language Pathology - Se Habla Espanol

When should I be concerned about a loved one's communication development?


Permian Regional Medical Center proudly offers Speech Therapy for inpatient and outpatient services, which includes:
Pediatric
Adulthood
Geriatric

Pediatrics

BIRTH -- 3 YEARS
1. Feeding Therapy

The primary goals of feeding and swallowing intervention for children are:
To safely support adequate nutrition and hydration, determine the optimum feeding methods/techniques to maximize swallowing safety and feeding efficiency.
Collaborate with family to incorporate dietary preferences.
Attain age-appropriate eating skills in the most normal setting and manner possible (i.e., eat and chew meals with peers in preschool.)
Minimize the risk of pulmonary complications, maximize the quality of life.
Prevent future feeding issues with positive feeding/oral experiences as able, given medical situation.
Help the child eat and drink efficiently and safely to whatever degree possible.
2. Speech and/or language delay
3. Speech and/or language disorder


Pre-school

GENERALLY 3 -- 5 YEARS WHEN CHILDREN ARE NOT OLD ENOUGH TO BE IN PUBLIC SCHOOL, BUT DO ATTEND A PRESCHOOL/PRE-K PROGRAM.
1. Persistent problems with speech/language
- which includes difficulty with the development of speech-sounds, errors in speech, and uses of sound substitutions which result in difficulty understanding the child.
2. Stuttering

School Age

CHILDREN FROM KINDERGARTEN -- HIGH SCHOOL
1. Children with more severe delay/disorder

a. Autism
b. Down-Syndrome
c. TBI (Traumatic Brain Injury)
d. CAS (Childhood Apraxia of Speech)
e. Various other genetic disorders
2. Children with hearing issues
(hearing aids, cochlear implants) Aural Rehab-therapy is designed to draw a child's attention to their production of sounds.
3. AAC (Augmented Alternative Communication)
4. Language Difficulties

a. LD (Learning Disability)
b. SLI (Specific Language Impairment)
c. Dyslexia
d. Executive Dysfunction
5. CAPD (Central Auditory Processing Disorder)
6. Pragmatics/Social Interactions


Adults

GENERALLY AFTER HIGH SCHOOL TO RETIREMENT
1. TBI (Traumatic Brain Injury)
2. Dysphagia

Difficulties swallowing due to stroke, TBI, surgery, medications
3. Voice
a. GERD
b. Vocal Nodules
c. Surgery
d. Profession-related Voice Problems
e. Cancer-total laryngectomy-AAC-Voice Prosthesis
4. Aphasia
The breakdown of receptive language, expressive language, or both generally resulting from a stroke or traumatic brain event.
5. AAC (Augmented Alternative Communication)
6. Dysarthria

Motor speech problems generally occurring in damage to brain and cranial/spinal nerves from injury and various diseases
Flaccid - Trauma, Brainstem, stroke, Myasthenia Gravis, Guillain-Barre Syndrome, polio, tumors
Spastic - Stroke, ALS, Traumatic Head injury, Cerebral Anoxia, Brainstem Tumor
Unilateral Upper Motor Stroke, Tumor, TBI
Ataxic - Degenerative Disease, Stroke, Toxic and Metabolic Conditions, Tumor
Hypokinetic - Parkinson's Disease, Stroke
Hyperkinetic - Chorea, Huntington's Disease, Stroke
Mixed - ALS, MS, Multisystem Atrophy, Wilson's Disease

Geriatric

GENERALLY RESIDENTS OF A RETIREMENT COMMUNITY OR NURSING HOME.
1. Dysphagia (swallowing problems.)
2. Stroke
3. Dementia
4. Dysarthria


If you have any questions or would like to schedule and appointment, please contact:

Kevin Roberson M.S., CCC-SLP
Speech-Language Therapy Director
Ph: 432- 464-2423


Cheyenne Millican M.S., CCC-SLP
Speech Therapy
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