Q: What is your job and where are you currently working?
Gabriel: I am a Speech-Language Pathologist in New York City. I work in acute care and in rehabilitation and nursing facilities and have the privilege of being part of the continuum of care. My role is to assess, diagnose and treat speech, language, cognitive communication, feeding and swallowing difficulties in adults and geriatrics.
In the hospital, my team and I are working with many patients who are COVID-19 positive post-extubation due to respiratory failure and have tracheostomies, ventilators, altered mental status/dementia. Most of the patients have most difficulty with swallowing, speaking and communicating due to prolonged intubation periods from respiratory failure or stroke. We are working with people to safely eat and drink and communicate with their voice and/or through communication boards.
In post-acute rehab centers and nursing facilities, I am working with patients with COVID-19 who have been discharged from the hospitals, but require continued rehabilitation services before they are able to safely go home and go back to their normal activities of daily living. I am also continuing to work with people with other diagnoses such as strokes, traumatic brain injuries, head/neck cancer and neurodegenerative diseases. Most of the therapy focuses on feeding and swallowing food and drinks safely, respiratory and voice exercises for speech production and cognitive-communication goals such as memory and problem solving skills.