Client’s Name: Amanda
Client’s Age: 49
Disorder: Dysphonia and Vocal Fold Nodules
Observation #1
Amanda is a police officer, and her responsibilities include frequent speaking engagement in which she must speak a lot of ambient noise. In addition, she has smoked a pack of cigarettes a day for 25 years. Amanda was referred to a speech pathologist for evaluation of her voice. An examination revealed an abnormal change in the voice, or dysphonia, most likely bilateral true vocal nodule on the medial surface of the left posterior.
During therapy session, Amanda states that she first began experiencing hoarseness at least three to four years ago, when she developed a cyst in the neck. Eventually, the cyst was surgically removed in August; however, her voice never returned to normal. Her raspy voice seems to slightly increase that she constantly clears her throat. Although her voice is consistently raspy, it sometimes feel a little better on every other day, but she does not know what causes to improve or worse her voice. …show more content…
However, her larynx diagnosed with a minor stiffness. Amanda has also some problems swallowing food, especially when foods are drier (e.g. crackers and bread). Whenever she swallows, she feels that there is “something stuck” in her larynx, and she coughs it up. Amanda performed a slight difficulty in performance of repetitive alternating movements, such as “duh”, “tuh”, and “puh”, or “duhtuhkuh.” These repetitions were somewhat slowed and not necessary smooth in her execution. A speech pathologist rated Amanda’s voice quality based on general conversation, vowel prolongation, and a passage to read to observe coordination of respiration and voice
Client’s Age: 49
Disorder: Dysphonia and Vocal Fold Nodules
Observation #1
Amanda is a police officer, and her responsibilities include frequent speaking engagement in which she must speak a lot of ambient noise. In addition, she has smoked a pack of cigarettes a day for 25 years. Amanda was referred to a speech pathologist for evaluation of her voice. An examination revealed an abnormal change in the voice, or dysphonia, most likely bilateral true vocal nodule on the medial surface of the left posterior.
During therapy session, Amanda states that she first began experiencing hoarseness at least three to four years ago, when she developed a cyst in the neck. Eventually, the cyst was surgically removed in August; however, her voice never returned to normal. Her raspy voice seems to slightly increase that she constantly clears her throat. Although her voice is consistently raspy, it sometimes feel a little better on every other day, but she does not know what causes to improve or worse her voice. …show more content…
However, her larynx diagnosed with a minor stiffness. Amanda has also some problems swallowing food, especially when foods are drier (e.g. crackers and bread). Whenever she swallows, she feels that there is “something stuck” in her larynx, and she coughs it up. Amanda performed a slight difficulty in performance of repetitive alternating movements, such as “duh”, “tuh”, and “puh”, or “duhtuhkuh.” These repetitions were somewhat slowed and not necessary smooth in her execution. A speech pathologist rated Amanda’s voice quality based on general conversation, vowel prolongation, and a passage to read to observe coordination of respiration and voice