Part-Time Speech-Language Pathology positions available

Help Me Speak, LLC is growing! Come & join our growing team! HMS has several part-time SLP positions available currently.

We are the premier private practice in Howard County! HMS specializes in working with children with autism, apraxia, and/or eating challenges. We utilize training in: PROMPT, Talk Tools OPT, Visualizing & Verbalizing, and our Help Me Eat programs to improve our clients’ skills.

We offer:
A state of the art clinical setting
Freedom to work your own hours
A wide variety of clients
Excellent earnings potential
Attractive benefits
Creativity in your therapy sessions
Continuing education opportunities
An owner who is a practicing SLP
Advancement possibilities

Work 2 or more days per week. Days and evenings are available.

Contact Barbara or Deborah at 410-442-9791 or info@helpmespeak.com to schedule an interview.

Gum Chewing: Jaw, Lip & Tongue Work!

As an SLP who specializes in kids apraxia, autism, & eating challenges, there are many therapeutic uses of gum chewing. It provides deep proprioceptive input into the jaw, so it can provide wonderful, organizing, sensory feedback.

When introducing gum, it’s important to teach the child HOW to chew it. Depending on the age & skill of the child, he/she may not know how to chew gum in an organized manner.  If a child is not organized in his/her chewing, then it’s not going to provide optimum input. Talk Tools has a great gum hierarchy that I use to teach this skill. Many kids have difficulty with one or many of the components of gum chewing: tongue lateralization, bolus control, saliva control, graded & coordinated jaw movements & lip closure. Work on jaw skills via structured oral placement exercises (OPE) should always precede lip, & then tongue exercises. These other structured OPE may need to be taught first or in conjunction with gum chewing. Also, Beckman stretches are important as well.

Once a child is ready for gum, taste & texture are important considerations. Texture: sugar vs sugarless– I recommend gum w/ sugar when a child can chew for only a brief time (<5min). Sugarless gum–because it gets harder over time–is appropriate when a child is able to chew for an extended period of time. So sugarless gum is appropriate for children who are seeking proprioceptive input for sensory organization.

If a child has hypotonia, usually, high taste/flavor like cinnamon, lemon, mint, etc. is recommended. If a child is has eating challenges and is picky about flavors, then tastes close to preferred ones should be selected–sweet, sour, or plain.

It’s important to start with one half of a piece of gum & increase to a full piece once a child is chewing independently. Rarely would I use more than 1 piece at a time. This may be indicated for older kids who are independent, for purely sensory input. 

So ask your SLP or call Help Me Speak to find out if your child has all of the skills needed for gum chewing. It’s harder than it looks! 

Meet the New Additions to Our HMS Team!

Please join Help Me Speak, LLC in welcoming our new staff members: Mrs. Kristin (Reumont) Wurie & Mrs. Christine Lawn,&.

Kristin (Reumont) Wurie received her Masters in Speech-Language Pathology from the University of Maryland.  She received her Bachelor of Arts in Human Studies from St. Mary’s College.  She taught 5th grade in elementary school for several years.  She is a candidate for Board Certified Behavior Analyst Certification in late 2012.

She is trained in Verbal Behavior-based therapy (VB), Talk Tools’ oral placement exercises, PROMPT, Beckman stretches, the Kaufman speech hierarchy, American Sign Language, natural environment teaching, Help Me Eat program, Food Chaining, PECS, Visualizing & Verbalizing, & PhonoGraphix.  She has worked in settings such as: an adult acute care, a pediatric rehab hospital, outpatient clinics, and in-home therapy.  She combines her love of speech-language pathology with her passion for VB into her energetic therapy sessions.  She joined HMS at the beginning of August.

In her spare time, she enoys spending time with her husband and playing with her dog.  Congratulations on the upcoming birth of her daughter in mid-November.

Christine Lawn received her Bachelor of Arts and Master of Science degrees in Speech-Language Pathology from Loyola University in Maryland.

She is trained in Talk Tools’ oral placement exercises, Beckman stretches, Kaufman speech hierarchy, the Help Me Eat program, American Sign Language, Visualizing & Verbalizing, & Talkies.  She has worked in elementary & middle schools, rehabilitation centers, local hospitals, and long term care facilities.  She stayed home with her 2 sons for several years.  Within the past few years, she has returned to Speech-Language Pathology.

In her spare time, she enjoys walks, reading, and playing games with her sons.

Please stop in to Help Me Speak, LLC and say hi to our new team!

New Year, New You? NutriiVeda!

Many people make New Year's resolutions to eat healthier, change their lifestyle, lose weight, & exercise more. Is that you?  If it is, I have some great information for you!!  

The first step in changing your lifestyle is choosing healthier foods to eat.  Once you choose healthy foods in moderation, you will lose weight.  Right? Right! Next, you need to drink sufficient water, exercise, and sleep 7+ hours/night.  

In order to choose healthy foods & a healthy lifestyle, try NutriiVeda (NV)! NutriiVeda was created by Dr. Deepak Chopra & Dr. David Simon.  It is a powder made of a very high grade whey isolate protein, brown rice powder, and an Ayurvedic blend of botanicals, including Amalaki (Indian gooseberry), Harataki, Tumeric, Guggul, Green Tea, and more.  www.helpmespeak.com/nutriiveda  NV is gluten free, casein free, nut/tree nut free, and is tested free of heavy metals and pesticides.  

The therapeutic dose of NV is 2 servings/day (2 scoops + 8 oz milk/water= 1serving).  Start with 1-2 scoops/day for a week and work your way up to 4 scoops/day.  It is recommended that you omit processed foods, sugar, & bad fat from your diet.  Instead, add to your diet: green leafy veggies, colorful veggies, low sugar fruits, and lean proteins.  

Drinking sufficient water is another important component of getting NutriiVeda to flush out your system.   One of the first changes that you will notice with NV is that your body begins to flush out toxins (ama).  You will be more regular than perhaps you were prior to NV.  This is a good thing! Getting the sludge out of your system allows for weight loss.  

I started back on NutriiVeda again in Nov 2010.  I started with one scoop per day for 1 week, then 2 scoops/day for 1 weeks, then 4 scoops/day for the rest of the time.  The therapeutic dose is 4 scoops/day.  I've only been at that dose since midNov.  I usually mix my NV with either water or unsweetened Almond Milk.  To date, I have lost 12 pounds and am still going! 

Of course, exercise, water, and sleep are important too.  I have been running/walking 30 minutes/day 3-5x per week.  I'm trying to incorporate more weights into my workouts. Water, water, everywhere!  To drink enough, multiply your body weight by .4  That is the number of ounces that you need to drink per day.  

A great side benefit for me has been a significant decrease in the number of migraines that I get per month.  I used to get ~5/month and now it's 0-1/month.  

To see great before & after pics, go to www.zrii.com/products/nutriiveda/testimonials.xhtml  

To order, call or email me:

barbara.taylor@helpmespeak.com  410-442-9791

 

New blogs to come soon on eating, speech, etc.

A new Weight Management Tool for Parents/Therapist w/side benefits! Have you heard??

Benefits CHERAB Foundation for Apraxia
more info to come…

Here are a few interesting blogs that relate to kids who are picky/problem eaters:

Straw Cups–Which ones?

There are so many straw cups on the market!  And the variety continues to change and grow… So, how do you know what to select?  Here are a few tips:

  • A cup with a flip up straw –Playtex, Nubi, etc. (soft straws are better than hard ones)
  • A cup with a criss cross opening & sealing lid—like a fast food cup–use a Tupperware, Take n Toss, or Ziploc one; more spillproof
  • Last choice–(more spillage) a waterbottle/cup with a straw insert or a restaurant kids’ cup with a straw insert

Now you can add other features—like characters, color, etc.  Have fun shopping!

Sippy cups–another note

Sippy cups are an OPTIONAL step.  Some children go right from bottles to straw cups w/out using sippy cups.  So, don’t worry if your little ones refuse the sippy cup.  Just make sure that it’s MORE interesting than what is in the bottle AND that he/she is THIRSTY!  Sometimes that is a point that we overlook! :)

Cups vs. Straw Cups–which ones and when??

When to use Sippy cups?

  • Typically, a sippy cup is best introduced to an infant who is 8-10 months of age (adjusted age). 
  • At this age is when a child is starting to want to be slightly more independent with his/her bottle and may want to hold it.
  • Use sippy cups for "snack" times when you are only giving a small amount of liquid.

How to use a sippy cup?

  • It sounds simple, but it’s not always.
  • You should put only 1-2 ounces in the cup at first.
  • You may need to "help"/show your child(ren) how to drink out of a sippy cup.  Demonstrate for him/her.  Let them play with it and be prepared for some mess even though it is "spill proof" (nothing is totally–as we know).

What kind of Sippy cup is best?

  • First Years–Take & Toss are best because there is no valve—the lips (& sometimes jaw) do all the work to retrieve the liquid out of the cup
  • Nubi sippy cups are good too
  • A sippy cup with handles is great for guiding it to the child’s mouth
  • All the rest with valves are ok, IF used for a brief time

When to transition from a bottle to a straw/open cup?

  • Bottles & sippy cups should not be used after 15-18 months
  • You can transition to a straw cup at 12 months if your child(ren) is/are ready.
  • Yes, it’s true that a child has to accept a new cup or straw.  The trick is to put your child’s favorite drink in the new cup while watering down less of the same liquid in the bottle.

Why elimate bottles after 15-18 months?

  • When a baby drinks from a bottle, he/she uses a SUCKLing motion (a 50% backward/ 50% forward tongue movement).
  • When an adult drinks from a cup or a straw, he/she uses a SUCKing movement (a 75% backward/ 25% forward tongue movement).
  • When a sucking movement is used, the tongue achieves true stability within the mouth since the back sides of it are "anchored" to the back molars.  Try counting to 25 out loud & feel where the sides of your tongue are.
  • In order to start to achieve stability within the mouth for clear speech, the tongue has to retract when swallowing liquid.
  • When a young child uses a sippy cup or a bottle, a SUCKLing motion is used with too much forward motion = no stability within the mouth.
  • Therefore, it’s important to transition to a straw cup by 12-18 months & an open cup (in small amounts) by 2 years.

Which straw cup to choose?

  • Any straw cup that has a flip up straw is generally a good choice.
  • There are so many more on the market now than there were 3 years ago, that I couldn’t hope to tell you all the names.
  • The Dora/Diego ones are good; The Nubi straw cups are good (lip pressure is needed), etc.
  • ALWAYS monitor for straw biting and discourage it
  • …By giving your child something appropriate on which to bite—a teething toy, a chewy tube (used correctly), etc. (not therapy tubing)

I hope this helps decrease the confusion surrounding sippy cups and straw cups and WHY it’s so important to use straws.  :)

Thanks for reading!

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