BreatheWorks OMD Eval New Patient Intake

Speech/Oromyofunctional Referral:

Speech-Language Pathologist weekly to address and remediate the treatment goals.Speech-Language Pathologist or Oromyofunctional Specialist weekly to address and remediate the treatment goals.Other

Objectives of Treatment

REST POSTURE - To utilize proper resting posture of the tongue, lips, jaw, and neck with little to no compensations.NASAL BREATHE - To breathe through nose day and night, utilizing diaphragm, clearing nose when needed.OVERALL BODY POSTURE - To sit and stand with optimal body posture for the majority of the day.RESPIRATION - To breathe light and right, utilizing the diaphragm in lying down, sitting and standing positions.LIP COMPETENCE - To create a stable lip seal with no tension at restCLEAR TEETH - To effectively use tongue to clear exterior margins of all teeth without excessive use of the mandible and strain on the TMJ.CHEWING - To evenly chew on both sides (alternately, rotary chew) using molars and lateralize a cohesive bolus; collect and centralize bolus for proper swallow without compensations in the lips or cheeks.SUCTION - To effectively suction liquids and solids (bolus) onto the central portion of the tongue; create contact with gumline and trap liquid/bolus without spillover.SWALLOW LIQUIDS - To use proper suction techniques and, with a peristaltic wave, swallow liquid with minimal aeration and no jaw, cheek, or lip compensations.SWALLOW SOLIDS - To use proper suction techniques and, with a peristaltic wave, swallow bolus with minimal aeration and no jaw, cheek, or lip compensations.VOICE QUALITY - To reduce strained/strangled voice quality and vocal fatigue to an optimal relaxed voice quality with normalized stamina.VOICE RESONANCE - To reduce/eliminate hypo/hypernasality to voice resonance to an optimal leveled resonance.VOICE PITCH - To achieve optimal pitch in a safe and meaningful way.NOXIOUS HABITS - To eliminate all noxious habits and replace with proper function.ARTICULATION - To articulate all age-appropriate sounds at the conversation level with 90% accuracy.PILL SWALLOWS - To swallow pills with proper tongue tip to alveolar ridge with peristaltic movement and no gagging or choking.WOUND HEALING - To encourage/lengthen vertical, smooth healing of the procedure site.Other

Speech Language Pathologist

Weekly until goals are met2 times a week until goals are metOther

Airway Specialist/Frenectomy Provider Referral:

To assess and/or create an approach to treat:

Tethered Oral Tissues - maxillary labial tieTethered Oral Tissues - mandibular labial tieTethered Oral Tissues - lingual tieTethered Oral Tissues - buccal tiesImpeding functional movementAirway restrictionsOther

Coordinating Care Patient Instructions for ENT:

Please call and schedule an appointment with the ENT for a consult to determine if airway patency is of concern and to determine if only frenectomy is neededPlease call and schedule an appointment with ENT to do frenectomyOnce this is scheduled, please contact your clinician to ensure that your scheduled appointments are correct for pre and post-procedure myofunctional therapy and to schedule your bodywork session(s)Other

Coordinating Care Patient Instructions for Dentist/Periodontist Provider:

Please call and schedule. You can choose to separate your consult from your procedureSchedule appointment with your provider to do the frenectomy/frenuloplasty after 4 sessions of myofunctional therapy (if it is 5-6 that is ok as well)Once this is scheduled, please contact your clinician to ensure that your scheduled appointments are correct for pre and post-procedure myofunctional therapy and to schedule your bodywork session(s)Other

Other Referral

To Address

Speech-Language Pathologist:

BreatheWorks - Speech Pathology Services

Breathe, Sleep, Eat, Talk, & Feel Better!
(971) 346-0355 (Phone and Fax)
info@breatheworks.com
www.breatheworks.com
Follow us! Instagram @breatheaeworks_health

Oregon: Lake Oswego, Portland, Gresham, Eugene, Bend
Washington: Camas, Issaquah
Texas: Amarillo

- Virutual Services Offered -

Breathe, Sleep, Eat, Talk, & Feel Better!

BreatheWorks/SpeechWorks

BreatheWorks/SpeechWorks Evaluation

Sleep

Airway

Gut

Hearing

Structure and Function

Tongue

Feeding and Swallowing

Communication

Summary

Lingual Assessment

Recommendations and Referrals

Airway/Release Provider