Managing conditions

Many of us are living with one long term health condition. It's also becoming increasingly common for some people to have more than one long term condition.

We support many people with multiple long term conditions so that they can manage them and live independently in their own home.

Below are some of the conditions and illnesses our clinicians deal with, as well as conditions our children and young people's services advises parents on.

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Voice Disorders

There are two types of voice disorder:

  • Aphonia which is a complete absence of voice.
  • Dysphonia which refers to voice changes. These are characterised by abnormality of pitch, volume, resonance or quality which can be inconsistent or constant. They ranging from mild to severe and may also be inappropriate for the age, gender or culture of the speaker

SLTs working with dysphonic patients are members of a specialist multidisciplinary team and it is suggested they be commissioned as part of such.

Direct speech and language therapy treatment of a person with the voice disorder is usually conducted in a one-to-one situation.

Educational programmes aimed at preventing voice disorders or their relapse are conducted in groups.

SLTs have a key role in identifying vocal risk, particularly in those who are heavy voice users, e.g. teachers, call centre workers, and in educating in methods of preventing vocal abuse.

Those with vocal disorders often experience difficulties with social communications. It has a major impact upon the quality of life as it can reduce access to recreation, education, employment, social integration, including forming relationships and expressing personality.

The level of input required is not linear to the severity of the symptom, e.g. a patient with a severely abnormal speaking voice may only require one session of SLT input, whereas a patient with an apparently normal speaking voice may require six sessions.

For further information read our voice facesheet