Resonance Support
This page highlights my approach to supporting clients with respiratory needs, including advocacy for client autonomy, clinical experience across diverse settings, assessment and evaluation methods, and evidence-based intervention strategies. It also connects communication therapy to respiratory support, demonstrating how speech, swallowing, and breath coordination intersect in treatment planning.
"Coordinating care and obtaining input from the respiratory therapist is critical for monitoring respiratory support status, and ventilatory support. As an SLP, I will advocate for the patient to ensure that communication access is maintained despite respiratory limitations, collaborating with the medical team to determine appropriate respiratory strategies (e.i., EMST, IMST, The Breather), speaking valve candidacy, or alternative communication methods."
~ Alexa Noseworthy ~
Advocacy
1. Access
Resonance problems are often structural or physiological. This requires clients to receive the correct evaluation. Advocacy includes:
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Referral to a cleft palate/craniofacial team when needed
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Instrumental assessments like Nasopharyngoscopy or Videofluoroscopic Speech Study
2. Interdisciplinary care
I will advocate for collaboration with necessary interdisciplinary teams including:
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ENT physicians
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Craniofacial surgeons
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Orthodontists
3. Psychosocial and Educational Support
Resonance disorders can cause bullying or communication avoidance, so advocacy includes:
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Supporting communication confidence
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Educatingpeers about the disorder
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Ensuring the client addresses intelligibility and meets desired goals
Vocal Relaxation Techniques:
Education
Carryover is an essential step in restoring our voices and preventing vocal abuse. Therefore, handouts, and teaching vocal rest strategies such as vocal trills and SOVT techniques are essential to increasing carryover.