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My name is Stara Skolebeski, I'ma 2005

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communications sciences and disorders graduate.

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I'm currently a speech language pathologist

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at the Lee High Valley health network at Cedar Crest,

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working in in patient acute rehab,

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primarily with patients that have suffered a stroke,

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some form of brain injury, neurological disease,

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and other types of medical conditions, so forth like that.

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So speech pathologists work really from birth to death.

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Some speech therapists work in the NICU,

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some work with early intervention with burst of three,

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working on those pre feeding skills,

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pre communication skills, we work in Elementary schools,

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working on language development, speech development,

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social skills, and then in the adult population,

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we work a lot with neurological degenerative diseases,

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neurological influences, such as strokes,

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someone who has suffered a brain injury,

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gunshot wound, anything that would cause an infarct

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in the brain, that would allow them

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to maybe lose their ability to comprehend spoken language,

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their ability to express verbally written communication,

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reading comprehension, their voice, their swallow.

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We really encompass a lot so basically if you

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have a communication deficit, or are unable to swallow,

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or remember something a speech language pathologist

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is who will be consulted and working with you.

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So with our patients, we'll do an initial evaluation

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assessing their swallowing functions,

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their oral motor function, how their lips

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and their tongue move to speak and also to swallow.

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We'll assess them with a variety of textures of food,

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anywhere from like a puree, a baby food,

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to something chopped an diced like ham,

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or up to a regular sandwich that

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you and I would be eating.

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We'll also assess the liquid consistency

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to see if it's safely going down

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the correct way or if it's entering the airway.

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If there are any causes or any symptoms

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that we see that it's a safety concern,

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we'll modify that diet allowing them

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to have the safest diet available.

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And then we'll also assess their voice,

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their vocal quality, their loudness, their pitch,

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their ability to follow directions,

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answer questions, express their basic wants and needs,

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their safety awareness, their ability to

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get up from a chair and go into the bathroom safely

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and with out falling and making the correct decisions.

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So my typical day I arrive at the hospital

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around 7:30 in the morning, I treat my patients,

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do the housekeeping, documentation,

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try to leave around, 4-4:30, some days

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you leave early, some days you leave at 6 o'clock at night

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and that's just kind of the nature of healthcare but,

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you know usually I have a patient every hour,

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treating them with a meal, treating them

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with memory, and just kind of seeing how it goes.

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We have some pretty good flexibility

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and we learn what our patients need,

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and we get to establish a rapport with them

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so we get to see how much they can take in a day,

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if we can push them a little further,

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or if we need to push back and just wait for the next day.