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In the field of pediatric developmental therapy, it's always necessary to treat the whole child and that involves collaborating with others! That can look many different ways for many different scenarios in individualized patient care. In this week's podcast episode, Haden Boliek SLP and Kjirsti Myles PT explore some of these scenarios and discuss …
 
In today's podcast episode, Haden Boliek SLP and Hunter Behrmann SLP go back to basics and explore the benefits of low-tech augmented and alternative communciation. Low-tech AAC provides a strong foundation in teaching a child how to communicate, aids in formulating sentence structures, and makes words tangible. This simple and clear tool helps chi…
 
What happens when you have a feeding assessment and the parent/guardian forgets to bring in food? Haden Boliek, SLP, and Kjirsti Myles, PT, examine which foods (and tools!) to have on hand for a planned or impromptu feeding evaluation. Haden's list includes: applesauce, pudding, Ritz crackers, vanilla wafers, a maroon spoon, and a blue nosey cup. T…
 
Is there an impact on infant feeding and a tongue-tie? Haden Boliek, SLP, discusses one of her favorite topics: infant feeding! She reviews the anatomy and physiology of the mouth, nutritive sucking and whether a tongue-tie could impact an infant's feeding skills. Tune in to this podcast episode with information targeted towards parents, physicians…
 
How do speech therapists administer an oral motor exam and which areas do they focus on? Listen in on this week's episode of the Working Therapist Podcast as Haden Boliek SLP and our very special guest, Nikki Curtis, an experienced SLP here at Pediatric Developmental Therapy. They explore the areas for assessment when evaluating a child for an oral…
 
What is an oral motor exam and why is it important? Tune into this week's episode of the Working Therapist Podcast as Haden Boliek SLP and special guest, Nikki Curtis, a seasoned SLP at Pediatric Developmental Therapy, give you the answers! They explore how an oral motor exam establishes a foundation for treatment, as well as how this type of exam …
 
What's in your Oral Motor Exam Box? In today's podcast, Haden Boliek, SLP explains her recommendations for some tools that she uses for an oral motor exam. Then, Haden and Kjirsti Myles, PT share what tools are in the Oral Motor Exam Boxes at Pediatric Developmental Therapy and how to utilize them for an Oral Motor Exam.…
 
Today's podcast features a special guest, Hunter Behrmann SLP, along with the Working Therapist Podcast host, Haden Boliek SLP. Together, they list out 5 functional and practical strategies to implement when scheduling speech therapy caseloads in the school setting. These tips include: 1. Beginning the scheduling process with children who have the …
 
In Part 2 of our Shoe Choices for the Developmental Stages: A Physical Therapist Perspective series, Haden Boliek SLP and Kjirsti Myles PT go in depth about foot development in children and shoe choices for ages 3 and up. As children become school-aged, it's important to consider many factors when making their shoe purchases. Haden and Kjirsti disc…
 
Often in our work environment, we hear that a therapist may be struggling with the behaviors of a child. But what does that mean? If we think about it, there are positive and negative behaviors, and all of us behave in some way or another every single day! So when we hear "struggling with behaviors," what might we be referring to? When a therapist …
 
In Part 1 of our "Shoe Choices for the Developmental Stages: A Physical Therapist Perspective" series, Haden Boliek SLP and Kjirsti Myles PT explore the topics of milestones related to foot development in babies and toddlers, the importance of proper foot support and stabilizers, as well as which shoe choices to avoid and which to consider. They al…
 
In today's Part 2 of the Ideas to Simplify Your Home Programs series, Haden Boliek SLP and Kjirsti Myles PT talk about ideas and strategies, based on their experience, to simplify home programs and make them more effective. They cover how to hold yourself accountable as a therapist, check-ins with parents, and very simple tools to use in your home …
 
In today's The Working Therapist Podcast episode, Haden Boliek SLP and Kjirsti Myles PT discuss ideas and strategies, based on their experience, to make home programs simplified and more effective. They cover what factors must come together to make a great home program, many common pitfalls that they have learned to navigate around, and why parent …
 
The term "medical necessity" is commonly used by occupational and physical therapists, but not so much by speech therapists. But speech therapists apply "medical necessity" in their practice the same as OTs and PTs. As a speech therapist, you have to be able to justify the services that you're prescribing to the insurance company, the school, or wh…
 
As a therapist, when you are invested in helping a patient to make progress towards their goals, you will experience the necessity to have various conversations with the guardian of your patient or the patient to best help them succeed. In this part 2 of the previous podcast, Haden Boliek, SLP and Kjirsti Myles, PT discuss several topics such as: i…
 
As a therapist, when you are invested in helping a patient to make progress towards their goals, you will experience the necessity to have various conversations with the guardian of your patient or the patient to best help them succeed. In this podcast, Haden Boliek, SLP and Kjirsti Myles, PT discuss several topics such as: no shows, frequent cance…
 
When should a physical or occupational therapist treat childhood toe-walking? What would be considered normal versus abnormal toe-walking? In this episode Haden Boliek, SLP and Kjirsti Myles, PT discuss differential diagnoses for toe-walking and considerations for when it is appropriate to intervene or refer to a specialist. Finally, they will disc…
 
When treating the "whole child" we not only consider the disciplines involved in treatment, but the environment in which we treat. In this podcast, Haden Boliek, SLP and Kjirsti Myles, PT discuss the impact of the environmental set up on the flow of a therapy session. They will explore techniques for transitioning children between rooms or spaces a…
 
Reflux in infants can have lasting impacts on development. In Part 1 of this podcast Haden Boliek, Speech Therapist, and Kjirsti Myles, Physical Therapist, discussed common causes of reflux seen in clinical practice, as well as more uncommon, often difficult to detect symptoms of reflux. Now that you have identified signs and symptoms of reflux, wh…
 
Reflux in pediatric patients is a common occurrence that can present as other medical conditions. In this episode, Haden Boliek, Speech Therapist, and Kjirsti Myles, Physical Therapist, discuss therapists' role in detecting causes, symptoms, and considerations when treating the whole child. Typically, therapists treating feeding disorders are aware…
 
In this Episode of the Working Therapist Podcast, Haden Boliek, Speech Therapist, and Kjirsti Myles, Physical Therapist, use their more than three decades of combined experience to discuss characteristics of Apraxia of Speech and Phonological Processing disorders. The Podcast also dives into these diagnoses and the team analyzes how each can be ver…
 
In this episode Haden and Kjirsti discuss back-to-school and considerations for weight, size and packing of a backpack. Additionally, they share some of their insight into IEP accommodations for patients and backpack wear.Di Haden Boliek - Speech Language Pathologist, Entrepreneur, and Business Owner
 
In this episode, Haden Boliek, speech therapist, and Kjirsti Myles, physical therapist, review the signs and symptoms of chronic Otitis Media (Ear Infections).They give an experienced discussion of the impact on development, and provide a list of "red flags" that the speech/language, occupational and physical therapist can look for and use to deter…
 
After 23 years of interviewing speech, occupational and physical therapists, Haden Boliek, speech therapist, delivers some ideas on questions to ask prospective therapists. The interview questions she asks prospective team members are designed to inform the therapists as to the work ahead and making sure the position is a good fit for everyone. Thi…
 
Haden Boliek, speech therapist, and Kjirsti Myles, physical therapist, offer tips and strategies to therapists meeting the needs of the pediatric population receiving teletherapy for speech, physical and occupational therapy. Many therapists pivoted following the initial response to the COVID-19 pandemic, which produced federal legislation that mad…
 
In this episode, Haden Boliek, Speech Therapist, and Kjirsti Myles, Physical Therapist, talk about the challenges and solutions to meeting the needs of children during the COVID-19 Pandemic. They share their experience operating the business of a developmental therapy practice and adjusting to the changing environment faced by therapists on the fro…
 
The Working Therapist wraps up a special NICU series in Part III with discussion of: Retinopathy of Prematurity (“ROP”); Cytomegalovirus (“CMV”); IgG antibodies; Discharge Summaries; Handing off the baton to therapists; NICU follow-up clinics; and more. During the last part of the podcast, hear an inspirational message about the emotional workload,…
 
In Part II of this special series about premature infants, experienced Neonatologist Dr. Scott Cameron and longtime Neonatal Nurse Practitioner Judy Philbrook help us navigate the NICU. They define terms and conditions professionals encounter when working with premature infants during and after care in the NICU. For example, premature infants encou…
 
In this series re-broadcast, Haden and Kjirsti gain insight into the workings of the Neonatal Intensive Care Unit (NICU). The engaged three-part series informs therapists of the who, what, when, where, why and how of pediatric therapists work with pre-mature infants. In Part I, Haden and Kjirsti introduce you to the NICU and professionals who work …
 
We all use them and love them! They are simple modifications that enhance everyday tasks. In the learning environment, simple modifications can enhance engagement, retention and simplify tasks. In today's podcast, Haden & Kjirsti will share simple modifications that will bring a S.M.I.L.E to your therapy sessions. Listen to their ideas and then sha…
 
In today's podcast Haden and Kjirsti talk with Troy Pfefferle the founder of Fun Factory Sensory Gym. They discuss the Sensory Gym and benefits and uses for all children in Occupational, Speech and Physical Therapy session.Di Haden Boliek - Speech Language Pathologist, Entrepreneur, and Business Owner
 
When a child presents to therapy for an evaluation, the clinician develops a plan of care based on the information gathered during a 45-60 minute period of time. While careful attention is paid to standardized testing and objective findings, sometimes the outcome does not occur at the expected rate. In this podcast, Haden and Kjirsti explore the re…
 
On this episode of the Working Therapist Haden and Kjirsti discuss how in speech, occupational and physical therapy sessions therapists are working to "re-train" the brain to develop new motor patterns.Di Haden Boliek - Speech Language Pathologist, Entrepreneur, and Business Owner
 
What makes a toy a Super Toy? In the replay of this podcast originally run in November of 2018, Haden and Kjirsti give their thoughts on what makes a toy a great therapeutic intervention tool. Listen as they share examples of several toys and interventions that hopefully will inspire your therapy in 2020.…
 
Enjoy this replay of a podcast first run before Christmas 2018 where Haden and Kjirsti discuss 5 toys that pediatric therapists can use in speech, physical and occupational therapy. After listening hopefully you will be able to get some inspiration for future therapy sessions.Di Haden Boliek - Speech Language Pathologist, Entrepreneur, and Business Owner
 
But wait! A motor therapist can do more than provide therapeutic activities, gait training, neuromuscular re-education, strength, endurance and ROM. There are times when a therapist should provide Manual Therapy (97140), Massage (97124) and Self Care/Home Management Training (97535). Kjirsti and Haden dive deeper into the use and justification for …
 
Gait training is NOT only ambulation from point A to point B. Getting to point B can include many obstacles along the way. When considering gait training, you have to consider changes in surface, stair mobility, and pre-gait skills required for ambulation. Kjirsti and Haden discuss and define interventions that would best relate to using code 97116…
 
As therapists we often default to using code 97530, because every intervention consists of an underlying activity of play. Play is the occupation of a child, therefore, interventions are done through engaging in play. It is a natural reaction to code these activities as 97530. However, with a more thorough discussion of why you are doing what you a…
 
At first glance, this photo appears to show therapeutic activities or gait training and balance; however, digging a little deeper and understanding the diagnosis, the therapist is addressing tone inhibition of the left upper extremity to promote arm swing during gait and balance activities. Therefore, it would be most appropriate to code a 97112. T…
 
How are research priorities defined? Why do they matter? How do they affect occupational therapists in practice and the people who access occupational therapy services? We consider these questions as we follow one research priority, from its setting right through to its clinical application.If you would like to influence occupational therapy resear…
 
As professionals we work to make therapeutic gains towards fulfilling a Plan of Care. At the same time, we want our pediatric patients to have fun! It's important to be two steps ahead of the child at all times. In today's podcast Haden and Kjirsti begin a coding series where they define the CPT code 97110. They have solid tips for when to use it a…
 
Why is it important for the physical, occupational and speech therapist to understand medical necessity? In today's current health care climate, it is critical for therapists to communicate their role in ameliorating a diagnosis or condition. Today Haden and Kjirsti will walk you through the evaluative process of asking yourself the basic questions…
 
Childhood Apraxia of Speech (CAS) is a motor speech disorder that every speech therapist will encounter. Children with CAS have great difficulty producing the specific series of movements of the tongue, lips, jaw and palate that facilitate correct speech. In this podcast, Haden will help you to identify CAS, then begin the process of diagnosis and …
 
Losing with grace just comes naturally to some children. In other kids, this is a practice that must be taught by emphasizing key points such as: doing your best, learning from mistakes, and even trying a new strategy. In today's episode, Haden and Kjirsti share tips on the most effective way that a therapist, parent, or educator can teach a child …
 
What do you do when your standardized evaluation doesn't go as planned? Today, Haden & Kjirsti share strategies to help you complete a thorough evaluation, even when it doesn't fit the standardized mold.Di Haden Boliek - Speech Language Pathologist, Entrepreneur, and Business Owner
 
At our 2019 Annual Conference in Birmingham, we met up with four RCOT members to discuss the sessions they had attended, the conversations they had with other delegates and what they consider to be the hot topics for occupational therapists right now.Di Royal College of Occupational Therapists
 
Every therapist has had those moments in a session when behaviors arise that can easily derail the therapy session. In today's episode of The Working Therapist, Haden and Kjirsti will share 5 tried and true tips to get you 5 steps ahead.Di Haden Boliek - Speech Language Pathologist, Entrepreneur, and Business Owner
 
Play - it's the daily work of children and crucial to their advancement. Mobility is vital to developmental play. In today's podcast, Haden and Kjirsti will share time tested methods to help you move your kiddos from creeping to pre-walking for enhanced development through play.Di Haden Boliek - Speech Language Pathologist, Entrepreneur, and Business Owner
 
A child who demonstrates echolalia will repeat what they hear, rather than saying independent word/phrases. As a speech therapist working with an echolalic child, your goal is to move them towards self-expression. In today's podcast, Haden draws on her years of experience in speech pathology to share some strategies that will help you achieve this …
 
In this episode, Haden and Kjirsti have practical information to help therapists work with orthotics. Hear about the role of the physical therapist, the process of putting the patient with the right orthotics and practical information on dealing with insurance hoops.Di Haden Boliek - Speech Language Pathologist, Entrepreneur, and Business Owner
 
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