
Today I crossed paths with the first dilemma regarding my mom’s care [if you’re unfamiliar with the situation read it here & here]. She had her assessment with her outpatient rehab SLP along with a student intern. To my surprise the intern is an acquaintance of mine— and not a friendly acquaintance. I took a few undergrad classes with her and she was always less than friendly toward my friends and I. Now, to my dilemma:
I feel awkward having her in my mom’s sessions. This is a very private and personal matter for my family and me. I’m not worried about her cohort finding out or her “gossiping” about me and my family, I know they discuss their experiences and that is fine. I’m more worried about her not being a positive influence and energy toward my mom’s recovery. If the intern was someone I didn’t know or someone I do know and like, then I wouldn’t give it a second thought. Here’s my question: Am I making this too personal? Should I ask the SLP to have the intern removed from my mom’s case? I’m leaning toward just seeing how it goes- she could surprise me- but, is this too big of a risk?
The last time I updated about my Mom’s surgery it had only been one week since her surgery. Now, it has been one month and one week since her initial surgery and hemmorage. I am happy to report she came home on Thursday, March 29. She is walking, dressing, and feeding herself. She isn’t 100% yet, but she and I know it will take some time. She has made amazing progress seeing as a month ago she was sedated and on a ventilator.
Now, onto her speech… what I think most of you are most interested in. She has the diagnosis of “Mixed Aphasia,” exactly what Lindsay and I had suspected. Her articulation has been perfect since the day she spoke her first word after her sedation was lifted. However, she has some word-finding problems, trouble staying on topic and being specific. She tends to dance around her answers, for example when asked, “How is therapy going?” she will answer with, “Therapy is going good.” But when asked, “What was your favorite therapy activity of the day?” she has a harder time, she will typically say, “My favorite activity… hm… I like the activities. I like the activities we do.”
Her surgeon expects her to make a 100% recovery which will take about 6 months. Although she has been released from the hospital, she will still be in an outpatient rehab program three times a week.
My dad or I stayed with her every night since the sedation was lifted. That is about a month of sleeping in recliner chairs and uncomfortable cots coupled with a 45 minute- 2 hour commute (one way) every other day. But, I wouldn’t trade it for the world. I strongly believe our constant presence with her played a huge role in her quick recovery. It broke my heart to see so many people laying alone in their hospital rooms, especially in the ICU. The hospital is a scary place and to think someone is alone, without support and love 98% of the day was heart breaking. I often found myself wanting to go into their rooms just to sit with them, and let them know they aren’t alone.
Before all of this happened I had a 0% interest in rehab speech therapy. I didn’t think it was for me. I was convinced I was meant to work with children in a private practice for the rest of my life. Now… I’m not so sure. Having had a first hand glimpse into the world of a rehab SLP I’m beginning to think it would be pretty amazing. Now, I’m still a bit apprehensive about doing swallowing therapy, but I think a lot of it has to do with not being educated enough about it. But, who knows. In 2 years I could have another completely different view of the field. Also, I don’t think deferring grad school for a year will be necessary. She should be back to “normal” by September, which gives me comfort in knowing I won’t be leaving her and my Dad completely in a jam. If I was doubting my choice to pursue my MA in Speech Pathology (which I never have doubted), then this would just be another sign that I am on the right path (HA, no pun intended).
| Me: | Actually, I just finished my B.A. in Communication Disorders and I just got done applying for SLP graduate programs. I've been working as a SLPA for 3 years. |
| SLP: | Oh, you're one of those... |
| Uh, what? Was I just dissed? |
I am in desperate need for some aphasia lesson plan ideas. I am trying to work with my mom along with an SLP, but since she is still in the hospital she isn’t getting much treatment. I have already started making picture cards of common objects and family members. Any other ideas? HELP!
Louisiana Tech, maybe I’ll be seeing you in the fall :)