Speech Language Pathology & Audiology Fall 2017 Student Academic Service-Learning Internship Packet

Queens Sites

Guide to Observing Speech/Language/Swallowing Behavior

In order to reflect on your learning from a field experience, you must first choose an interaction to reflect on. This can be somewhat difficult for students new to observing speech/language/swallowing behaviors. Use the following checklist to help you organize your experience and to practice describing your interaction in an objective way.

Overall Communicative Effectiveness:Effectiveness- Overall, how effective is the individual’s communication? Do you understand him/her? Do you have to put forth extra effort in order to understand the individual? If so, how much effort is necessary? Is there something special about the way they communicate? Does the individual initiate communication? Does the listener carry most of the communication burden?

Communication Aids (AAC) - Does the individual use an alternative or augmentative aide (such as writing or a communication board) to make his/her needs/wants known? If so, what are those aids? Keep in mind that gestures may also count as an alternative/augmentative form of communication.

Language:Semantics- How is the individual’s use of vocabulary? Are the words produced appropriately or inappropriately? Are there word substitutions or nonsense words? Describe their verbal responses in relation to the situation/context. Is the verbal output cohesively related to the context?Syntax- How is the individual’s use of grammar and word order? Are there mistakes in grammar or word order? If so, provide an example of some grammar/word errors.Phonology- How does the individual put sounds together? Is the way the sounds are arranged appropriate for the language being spoken? Are there errors in how sounds are arranged? Provide an example of any errors you note.Morphology- Does the individual correctly use morphemes to mark gender/number/tense as well as to create new words (i.e., adding “in” to “correct” for “incorrect”)? Provide examples of any noted errors in the individual’s language.Pragmatics- Is the individual’s language appropriate for a given situation/context? If not, describe how the individual’s use of language was inappropriate.

Speech:Voice Quality- Listen to the individual speak. What does their voice sound like? Is it rough? Breathy? Weak(asthenic)? How is the individual’s pitch? What about how loud the person speaks? Describe any deviations to what you deem appropriate for voice quality given the context.Articulatory Precision- Does the individual correctly produce speech sounds of the language being spoken? If not, describe the speech sounds they produce? Are the sounds distorted or are there sounds missing in the word or some sounds substituted for others? Is there a great deal of effort involved when they speak? Are the sounds produced different than what you expect them to be? Give specific examples for each of these you note.Nasality- Does the individual have an overly nasal quality to his/her speech? Is it too much nasal quality or is it too little? Do you hear air escaping from their nose when it shouldn’t (for instance with vowels or oral consonants)? Provide an example of each of these you hear.Fluency- How smooth is the individual’s speech? Are there abrupt stops, pauses, or does the person get “stuck” initiating and maintain speech flow? Does the individual exhibit secondary characteristics for stuttering such as eye blinking, hand waving, head jerking or any other learned avoidance behavior? What types of pauses (hesitations), stops, or blocks did you notice?Swallowing:

Posture-Is the individual sitting upright during the meal? Do they have positional supports such as a special chair or pillows? Do they require repositioning?Food and liquid consistency- Does the individual receive chopped or pureed food or thickened liquids?Specialized feeding equipment- Do any of the individuals receive a specialized cup, plate or spoon?Mealtime observations-Does the individual have good lip closure around the spoon or utensil? Are they able to bite the food well (bite force) and chew the food well? Do they have a tendency to swallow poorly chewed food? Does any of the food or liquid come out of their mouths? Does any of the food or liquids stay in their mouth when you are feeding them? Does food/liquid come out of the nose during eating? Do you have to offer a dry spoon or verbally cue them to swallow if food is still in their mouths? Does it take them a while to swallow (delayed)? Do they swallow more than once? Do they do better with small amounts and/or time between mouthfuls of food or liquids? Do you have to remind them to swallow? Do they have a tendency to talk with food in their mouths?Possible swallowing problems-Do they cough while they are eating or drinking? Does their voice sound wet and gurgly and/or do they clear their throat while they are eating or drinking? Do they have any changes in breathing while they are eating or drinking? Do they seem fatigued/tired during meals? Do they complain of difficulty swallowing food or liquids?

Steps in Writing a Reflection Paper for your Academic Service-Learning Internship

A significant part of your academic service-learning internship is completing written reflections on your experience in the field. To help guide your reflection, complete the reflection assignment by following the steps below. It is really a good idea to read through all the steps before you begin writing. That way, you will choose an experience that will allow you to complete all steps in the reflection paper.

Step 1: SummarizeBriefly summarize an experience in the field (related to speech/language- what you heard/saw a person say/do). This is your chance to let the reader know what you saw and heard during your interaction with individuals in the field. You do not have to provide an exhaustive recount of all interactions but think of at least one meaningful event and focus on that for your summary. Be sure it is one related to speech/language and that you are focusing on actual behaviors. Do not attempt to report what others may think or believe unless they tell you what they think or believe. Stick only to what you can see/hear.

Step 2: Comparison to Prior KnowledgeAfter summarizing your experience, take a moment to reflect on what you did, saw, and heard. Was there something about the experience that was different than what you thought it might be? Did your actions as well as the actions of others (including speech and language behaviors) go along with what you expected or was something new about the experience? Describe how the event you summarized relates to your prior knowledge of speech and language.

Step 3: Compare to Theory/Course ConceptsCompare how what you saw and/or heard might be explained by a theory/concept you have learned about so far in the course. Explain why you feel a theory/course concept does (or does not) explain what you heard or saw. If you chose a good experience to summarize in Step 1, you should have no problem choosing a theory or other concepts from your course to explain what you experienced (heard or saw). Cite your sources for this portion of the reflection.

Step 4: Reflect and Report on Your Own LearningTake a moment to think about the experience you described, how it relates to your prior knowledge as well as how it relates to course concepts and theories in Communication Sciences and Disorders. Now, describe what you have learned about speech/language from the experience you described.

Step 5: Edit Your PaperEdit your paper and look for good organization of your ideas. Do your points follow a logical sequence? Did you follow the steps described above? Are there spelling/grammar mistakes? Are sentences written so that they make sense?

Chapin Home for the Aging 165-01 Chapin ParkwayJamaica, NY 11432     

Agency ContactKathleen Ferrara (first contact must be via email)(718) 739-2523, ext. 2120(718)739-4797kferrara@chapinhome.orghttp://www.chapinhome.org     Nature and Purpose of AgencyLong term care facility for the aging.

Tasks Available for StudentsVarious tasks available including; visiting and transporting (by wheelchair) residents, recreation, reading to residents, computer training, DVD Database maintenance, assisting activity staff with group programs i.e. music, games, art, discussions.

Time RequirementsFlexible

Student Awareness/Special InstructionsTwo (2) medical requirements – MMR information and recent PPD (within 8 months).Reference Letter (You can pick one up in the AS-L Office located in Lourdes Hall. Students must be informed that there is to be NO FOOD and NO FLUIDS given to any resident at any time. Also, if students are not sure of any situation at anytime during the visit to reach out to the nurse or administrator at the home.

Lastly, NYS Department of Health has implemented that every volunteer must get the flu vaccination. Documentation of vaccination must include the name and address of the individual who ordered or administered the vaccine and the date of vaccination. This must be given to the nursing home before starting service.

Agency DirectionsDriving DirectionsUnion Tpke west to 164st. Make a left, cross over Grand Central Parkway. Make a left at SECOND traffic light onto Chapin Parkway. Home is UP THE HILL ON THE LEFT. (Please note that there is no parking in our lot during the weekend day office hours you must find parking on the street. Evenings and Weekends you can often get a spot)

Public TransportationTake Kew Gardens bound Q46 to 164th Street. Transfer to Jamaica bound Q65 and exit at 164th and 84th drive.

Ozanam Hall Nursing Home42-41 201st StreetBayside, NY 11361

Agency ContactGail O’Donovan718.971.2020godonovan@ozanamhall.org

Nature and Purpose of AgencyVolunteers at Ozanam Hall perform many valuable services and give of themselves in numerous ways to better the quality of life for our residents, both physically and spiritually.

Tasks Available for StudentsVisiting residents to lend friendship and compassion; Assisting with various activity programs; Accompanying residents on outings; Transporting residents to activities (Mass, rehab, patio visits, etc.); Assist visually impaired residents by distributing and reading mail; Teaching computer skills to residents.

Time RequirementsMonday – Sunday 8am – 6pmEvening hours available

Student Awareness/Special InstructionsOzanam Nursing requires a student to fill out an Orientation Packet. Please come to Lourdes Hall to pick up an Orientation Packet. You will need it before you go to the nursing home.

Students must be dressed in business casual clothing. NO JEANS, LEGGINGS, HOOP EARRINGS, OPEN TOED SHOES. Volunteers will receive on-site training. Students must be informed that there is to be NO FOOD and NO FLUIDS given to any resident at any time. Also, if students are not sure of any situation at anytime during the visit to reach out to the nurse or administrator at the home

Lastly, NYS Department of Health has implemented that every volunteer must get the flu vaccination. Documentation of vaccination must include the name and address of the individual who ordered or administered the vaccine and the date of vaccination. This must be given to the nursing home before starting service. In addition, students will need proof of medical records which includes an updated PPD shot.

Agency DirectionsPublic TransportationQ31 - Utopia Pkwy - Bell Bl - Direction: Bayside 27 Av F Lewis Bl Arrive 47 AV at FRANCIS LEWIS BL. Walk to 42-41 201st St

Driving DirectionsHead northwest on St Johns University toward Union Turnpike Turn right at Union Turnpike Turn left at Francis Lewis Blvd Turn right at 43rd Ave Turn left at 201st St Destination will be on the right

KS 11/29/16

Ozanam Hall of Queens Nursing Home, Inc.

Volunteer Orientation Packet

3 to 5 hours of service

CARMELITE SISTERS FOR THE AGED AND INFIRM MISSION STATEMENTWe, the Carmelite Sisters for the Aged and Infirm, as women of the Church, inspired by mother M. Angeline Teresa, respond with faith, courage, and love to the healing ministry of Christ. Our Philosophy is steeped in her words:

“Our Apostolate is not only to staff and operate up-to-date homes for the aged, but as religious, it is to bring Christ to every old person under our care. Bringing Christ means, giving them His compassion, His interest, His loving care, His warmth – morning, noon, and night. It means inspiring the lay people who work with us, to give the same type of loving care.”

Our mission is reflected in the philosophy of care inherent in all policies and practices promulgated within the health care facilities under our supervision, thereby charging the administration, boards of directors and medical staff, with promoting the ‘Christian mission of healing care’.

PHILOSOPHY OF CAREThe philosophy of the ‘Carmelite Sisters for the Aged and Infirm’ was conceived and nurtured in the Charism of their Foundress, Mother M. Angeline Teresa. With the heart of a Mother and Foundress, supported by God’s love and wisdom, she was inspired:

To identify the spiritual, personal and social needs of the elderly To initiate programs and services for elderly To clasp the hand of an aged person and give meaning to, ‘the autumn of life’. To form a religious congregation preparing the way for others who would be dedicated to the care and service

of the aged.

Inspired by the Gospel message and the Charism of our Foundress, the philosophy of care of the Carmelite Sisters continues as a living reality as it is in the following statements:Our belief is that each person is: special, a unique being, created by the Almighty as the object of His personal love. Since life is a gift from God, the human person is worthy of respect and dignity in all stages – from conception to death – and entitled to quality in care of the whole person, body, mind and soul.Our belief is that the concept of total care, embraces the physical, social, psychological, spiritual, and emotional needs of all Residents served, regardless of race, national origin, creed, sex, physical handicap, financial or social status. Our belief is that each facility should provide the environmental and atmosphere of a “Home.” Personal warmth, love and care will reflect and give value and purpose to the residents’ time and length of days. The spirit of hospitality, so much a part of the Charism of our Foundress, Mother M. Angeline Teresa, should be the hallmark of each facility.Our belief is to uphold the values and principles inherent in the teachings of Christ and in the medical and moral directives of the Roman Catholic Church as promulgated by the National Conference of Catholic Bishops.Our belief is that quality of operation can be maintained by the combination of religious and lay persons committed to the goals of a Christian Community. In providing compassionate care, Carmelite Sisters and all those persons complementing out ministry are accountable to strive for excellence in performance and adherence to professional and regulatory standards. Our belief is that all who render services within the facility deserve to be treated with respect for their own personal worth and dignity. Those in managerial are entrusted with the obligation to provide staff with opportunities for professional and personal achievement and job security through fair compensation and good working conditions based on principles of social justice. Our belief is that we sustain each facility as a viable organization within a pluralistic society; fulfilling our social, legislative, and community obligations, and insisting as a matter of conscience, that our expressed moral positions and corporate rights be upheld.Our belief is that the healing ministry encouraged all to acknowledge sickness, suffering and death as potential occasions of experiencing God. In these moments we strive to offer hope, healing and comfort.Our belief is that we are committed to witness to the gospel message of Jesus Christ, in that human life is precious and should be preserved whenever possible and that death is the prelude to eternal life.Our belief is that we have an opportunity and a responsibility to provide pastoral care for all persons associated with our health care facilities – Residents, families, and staff. In the spirit of ecumenism, we respect the religious beliefs of those with whom and to whom we minister, however we uphold our philosophy and mission.

CARMELITE SISTERS FOR THE AGED AND INFIRMSTATEMENT ON THE SANCTITIY OF LIFE

We, the Carmelite Sisters for the Aged and Infirm are a religious congregation dedicated to the service of God in an apostolate which focuses on care to the aged. In our ministry to the aged, we uphold the authentic teaching of the Roman Catholic Church and philosophy of our Foundress, Mother M. Angeline Teresa, regarding the value and right to life of each person from the conception throughout the stages of living.

Our mission is to provide wholistic care to the aged and infirm is an atmosphere of Christian understanding and faith. We hold in reverential esteem the sanctity of life, believing that God has touched humankind in a personal and lasting manner by the gift of life. Sanctity of life does not depend upon the quality of life. Although mental and/or physical limitations may exist, the life of every human being is considered sacred. Each one has, therefore, a moral responsibility to respect and protect that basic right to life.

Every aspect of care given to those who reside in our Carmelite Homes reflects the sanctity of life, the dignity of the human person and the realization that death is a natural part of life. Great tenderness and concern are shown to the sick and every effort is made to alleviate pain and to promote comfort. We console and support both resident and family, especially when death is imminent. Because we believe in eternal life, we do not hasten nor do we prolong the dying process, realizing that the person will meet their God and enter into eternal life.

In an effort to accomplish our mission, we strive to create an environment which recognizes Christ in every individual entrusted to our care. We, as Carmelite Sisters, in keeping with our philosophy of care provide the full support of the human family of which every person is worthy.

As a nursing home resident, you have

THE RIGHT TODignity, respect and a comfortable living

environmentQuality of care and treatment without

discriminationFreedom of choice to make your own,

independent decisionsThe safeguard of your property and moneySafeguards in admission, transfer and

dischargePrivacy in communicationsParticipate in organizations and activities of

your choiceAn easy to use and responsive complaint

procedure

Exercise all of your rights without fear of reprisals

OZANAM HALL OF QUEENS NURSING HOME, INC.EDUCATION DEPATRMENT

SAFETY: EVERYONE’S RESPONSIBILITY

Accidents just don’t happen – they are caused! Promoting a safe environment is a responsibility that is shared by all employees as well as volunteers, in an effort to keep everyone, especially our residents, free from injury. Listed below are some general safety rules that we can follow to assure a safe working environment for everyone.

Take care of yourself! Safety begins with you. Easting right, getting enough sleep, rest and exercise, wearing appropriate footwear and utilizing appropriate body mechanics are measures you can take to keep yourself and others safe.

Report any unsafe conditions immediately to your supervisor/ department head. Unsafe conditions may include: a spill, broken equipment, loose or frayed wires, overflowing or disorganized closets, poor lighting, etc.

Ensure that rooms and hallways are free from clutter and debris whenever possible.

Know and understand the responsibilities f the job you are about to perform. If you are unfamiliar with how to do or use something, do not assume how it should be done or used! Seek out the necessary resources to assist you with performing the task and safety correctly.

Foster a sense of teamwork – work together to achieve a common goal and ask for help when necessary

Report any injury (however slight) to yourself or others by notifying your supervisor/department head immediately. Emergency care will be provided as needed and documentation

pertaining to the event will be done by your supervisor/ department head for further investigation and follow-up.

WHEELCHAIR SAFETY REGULATIONSBe aware of the Resident’s comfort and safety by following the general rules below:Before transporting a Resident, tell the Supervisor or floor nurse where you are taking them.Introduce yourself to the Resident and tell them where you are taking them.Check that the Resident’s ARMS are resting inside the arm rests and not hanging over the sides of the wheelchair. Make sure that the Resident’s FEET are securely placed on the foot rests. Turn the wheelchair around, facing backwards, when entering an elevator or going over/down curbing or incline.Hold the button labeled OPEN or set buzzer switch while assisting or transporting the Resident and/or wheelchair on and off elevator.Avoid quick and rapid movement. Avoid short, abrupt stops. They may throw a Resident forward and out of the wheelchair. Whenever the Resident can manage the wheelchair himself and the Supervisor has given permission, encourage him to do so. Reassure the Resident that you are available to give assistance if needed. Always check hand brakes. See that they are locked when wheelchair is not in motion.NEVER LIFT A RESIDENT OUT OF THE WHEELCHAIR. Notify Nurse is Resident wishes to be moved, toileted, positioned etc.Stay alert and unhurried, and be aware that passageways should remain clear and uncrowned.

ASKCOLORED WRIST BANDS

REQUIRE QUESTIONSResidents wearing a colored wristband have specific Dietary requirements and should not

be given ANY food or Water without questioning a nurse.

I… IF YOU DISCOVER A FIRE:1. Activate the fire alarm if it has not been activated

2. Remove anyone in the room while calling out “Dr. Red, location…” for assistance. Close the door to the fire room.

3. Close all remaining doors and windows in the fire zone, placing residents into rooms.

NOTE: Shut off Air Conditioning/ Heating units as these doors and windows are being closed (does not apply to fire room)

4. Evacuate as directed by person in charge

NOTES:1. If the fire is small and you know you can put it out quickly, do so using

available sources (bed spread, blanket, fire extinguisher, etc.). Otherwise, do not attempt to extinguish the fire. Shut the door and leave it closed.

2. Order of the above steps is somewhat flexible. However, the evacuation of the room’s occupant(s) and confinement of the fire shall be the top priorities.

3. Mark the door to the fire room with an orange tag to indicate the fire room should not be re-entered. Tags for this purpose are stored on the back of each bathroom door.

Open My Eyesby Anna R. Capasso

Open my eyesThat I may seeAll that you are

And will always beA father, a mother,A sibling, a friend,

A child of God’s loveNever to end

Open my eyesThat I may see

Through your days of ageAnd wisdom,

that I may learnWith compassion and understanding

Of how life is to beOpen my eyesThat I may see

Your fragile days of needing meThat I may learn

To be strong for youWith care and sensitivity

Ozanam Hall of Queens42-41 201 Street

Bayside, New York 11361

I, _________________________, as a volunteer of Ozanam Hall, am responsible for reading and knowing the information given to me today at orientation. I have reviewed and understand all the information regarding the following:

1. Mission Statement2. Sanctity of Life Statement3. Residents’ Rights

PLEASE KNOCK ON ALL RESIDENT / STAFF DOORS AND WAIT FOR ACKNOWLADGEMENT TO ENTER

4. Safety – Everyone’s Responsibility 5. Wheelchair Safety Regulations

-NEVER LIFT OR TRANSFER A RESIDENT OUT OF A WHEELCHAIR/ CHAIR/ BED, ETC. PLEASE NOTIFY A NURSE IF ANY RESIDENT NEEDS ASSISTANCE

6. Fall Awareness7. Colored Bands Require Questions

-NO Food, NO Fluid – Must ask Nurse8. Fire Procedure 9. HIPPA Regulations – Notice of Privacy Practices10. Sign In/Out – WEAR YOUR BADGE

PLEASE SIGN BELOW AND RETURN THIS SHEET TO DEVELOPMENT OFFICE

Signed: ____________________________________(Volunteer’s

Signature) Date: ______________________________________