Ghana January 2014: Day 2 at Korle Bu Teaching Hospital

day 2 korle bu picOh hello there! Today was another busy, but amazing, day filled with many, many, exciting patient assessment and treatment sessions. We continued our therapeutic strategies with patients who had returned from yesterday and developed new strategies and assessment tools for the unique cases we saw. One case worth mentioning was an adolescent patient with an unilateral vocal fold paresis who had immediate success utilizing the various techniques we taught him!

While the groups continued to evaluate and treat patients, Dr. Crowley and 2 students attended the opening of the Stroke Unit at Korle Bu. They were included in the meeting to introduce themselves and provide any useful information to the intramural team. They also were able to view the renovated building (which looks amazing!) that began in 2009.

After we completed the sessions, we went to the Dean’s House for lunch accompanied by HALF of the SLPs in Ghana (Albert, Clement, Josephine, and Nana). Clement and Josephine revealed their experiences of becoming SLPs, while studying in the UK and returning back home to Ghana.

Then it was off to the Accra Market, where we all bought elegant kente and batik fabric. On the way home from the market, the lovely George discussed the Ghanaian flag, the colors and their significance: green (the land and its vegetation); yellow (the gold); red (the blood of the forefathers); and black (signifies Ghanaian wishes to become the “star” of Africa, and has ties to being the first sub-Saharan African nation to gain independence).

Until tomorrow!

Thanks to Melissa Roth and Henry Gordon for the post.

Ghana January 2014: Arrival and Immersion at Korle Bu Teaching Hospital

accraThis morning we left Sunyani for Accra to visit and work in the largest hospital in all of Ghana. After landing in Accra we immediately boarded the bus and headed straight to the only mall in Ghana to refresh our snack supply. We headed to Korle Bu Teaching Hospital to provide speech and language therapy to both adults and children.

Upon arrival, we were introduced to the famous Albert, one of 9 speech language therapists in Ghana. We also met Clement and Josephine, two SLTs who are starting the first masters program for SLT at the University of Ghana. We split up into three groups of five students and began providing therapy. We were all nervous, but excited to begin applying our knowledge and thinking on our feet. We saw a variety of patients with varying disorders such as autism, Down syndrome, aphasia, cerebral palsy, and speech disorders. Each student was given a different role during the evaluation and we all worked together to create functional goals and techniques that would benefit each patient. We taught these techniques to the patients and caregivers so they could practice at home.

Providing therapy today was a challenging but rewarding experience! We are beginning to realize how much we have already grown and will continue to grow as clinicians throughout this trip. After leaving the hospital we had an amazing Ghanaian meal at our hotel. We all ate many helpings of chicken, fish, plantains, pasta with steamed veggies, rice and beans, and watermelon. It was delicious! We also met to discuss all the patients seen, their progress, and what lies in store for us tomorrow.

Thanks to Shannon Luckovich for the post

Ghana January 2014: Continuing to learn at Korle Bu Hospital

cleft surgeryToday was an exciting day! We headed to Korle Bu Hospital bright and early and immediately started seeing patients. We saw many new and some old faces as some of our previous patients came back for a second or even third day of therapy. Throughout the day we continued to work with patients with autism, language delay, articulation disorder, hearing impairments, vocal fold paresis, and patients who have suffered from a stroke.

We were then whisked away to go see a cleft palate surgery in small groups! Dr. Ampomah, head of ENT at Korle Bu Hospital, warmly welcomed us into his operating room and we stood elbow to elbow with him as he operated! During the surgery, Dr. Ampomah made sure to explain the process and his every step. We eagerly looked on and excitedly recognized various structures and anatomy of the mouth. This was a once in a life time opportunity that we will always remember!

After our busy day at Korle Bu hospital we headed to a local Ghanaian market in Accra to do some shopping. We ended the day with a talk from the famous Albert, one of the amazing SLT’s we work with in Ghana, and his son Pius. Albert shared his story about becoming a speech language therapist, while Pius discussed both the challenges and rewards of being a doctor in Ghana. Afterwards, we reviewed cleft palate to prepare for our exciting day at the cleft palate conference tomorrow!

Thanks to Eleni Gkikas and Allison Lekich for the post.

Ghana January 2014: Sunyani Professional Development Retreat part III

PD3Today was the third and final day of our 3-day Professional Development Retreat. All teachers who attended the retreat received a certificate and a bag of materials/supplies donated by us TC students and our friends and families. From the teacher surveys, we were all excited to find that most teachers found all of our talks and activities over the weekend to be tremendously helpful and beneficial to their students! Many teachers were eager to make AAC market cards, name tags for students, communication passports, and community request cards, and all were even more eager to implement the materials in the classrooms. We were truly grateful to have had this wonderful learning and sharing experience with the brilliant teachers who care so deeply for their students.

 

After the retreat ended, we were invited by a Sunyani unit school teacher to visit two of his students and their families. Both students and their families had tremendous stories to share about the skills acquired at the unit school. The parents explained how both students experienced substantial growth; one father proudly told us about how his son can now independently perform activities of daily living and small errands.

 

Tomorrow morning we embark on a journey back to Accra, where we will be working with speech language pathologists and doctors at the Korle Bu Teaching Hospital in assessment and treatment of children and adults with speech and language difficulties.

Ghana January 2014: Sunyani Professional Development Retreat part II

Ghana PDAs our Professional Development weekend continued, we later presented on various strategies such as how to incorporate the use of a daily schedule and calendar within the morning routine in the classroom. It was awesome to hear how teachers have been using these in their classrooms. Some added physical movements to their “Days of the Week” song and displayed their own hand drawn daily schedules!

“Make and Take” allowed us to work directly with the teachers in creating the actual approaches for them to take back to their classrooms. We worked side by side in brainstorming ideas and bringing them to life. We made sure all of our materials would be replicable and sustainable in Ghana. Each teacher also went home with an “AAC Approaches Booklet” that highlighted every approach to be covered throughout the weekend to reference once they leave.

Before dinner and the evening program, a few of us and one of the clinical supervisors completed an assessment and provided strategies for one of the teachers who stammered (stuttered). Earlier in the day, he asked a question during the presentation of “What is Speech Therapy” about treatment for those who stammer because he has had dysfluent speech since he was a child. We asked him assessment questions and developed strategies based on his responses. He started using these strategies and experienced more fluent and clearer speech almost immediately. In less than 30 minutes we had helped someone who had negative feelings about his speech. The smile on his face was unforgettable.

The evening program included African drumming and dancing by a local, professional troupe. The audience was encouraged to join in. We ended the night with students, teachers, professionals all on our feet. What a great way to end such an inspiring weekend!

Thanks to El’licia Price for the post

Ghana January 2014: A New Year, New People, New Experiences

unit schoolAfter the 10 hour transatlantic flight and a 4 hour bus ride, we have arrived! Our first days in Ghana have already been filled with learning and a range of cultural experiences. We rang in the New Year in a country new to most of our group by attending a local church service where Dr. Crowley spoke about the purpose of our trip and our work. We also got to unexpectedly share in the celebration of a young man’s completion of his apprenticeship by participating with his family and friends in pouring baby powder on him, and joining in a drum and dance circle on the beach that we drove past.

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Ghana January 2014: Insights through Collaborations: Sunyani Professional Development Retreat part I

PD GhanaEn route to Sunyani for our Professional Development Retreat weekend, we made a few stops and learned some more about Ghanaian culture and history. First we stopped to see some coffins on the side of the road. Sounds bizarre right?! Well not in Ghana! In Ghana, funerals are a celebration and the coffins reflect that! For example, if a man spends his life as a priest he may be buried in a coffin that is shaped as a bible, or if he spends his life as a farmer he may be buried in a coffin that looks like a piece of corn. We were able to see a few examples of such coffins and it really was a cool insight into the Ghanaian culture. Then we stopped at Ancestral River Park which is where the slaves took their last bath before they were moved to the slave forts and then later sold. It was so moving to see this place that has now become a museum.

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Ghana Summer 2013: A little of everything speech, language and hearing

Andrew Regina's schoolToday we got to choose what we wanted to do for the morning at Korle Bu. Some of our group headed to the Children’s Ward where we played, read, colored, and just tried to have fun with the children who had bandages on different parts of their bodies due to burns and other complications. A 3-year old child named Janice was coloring a picture with her bandaged hand and identified each color of crayon she used. We noticed that she produced /s/ as /θ/ so we had an opportunity to work on her articulation. We practiced producing /s/ by telling her to “trap the snake in the cage,” meaning keep her tongue behind her teeth to produce the sound. The patient from yesterday’s cleft palate operation was also there. She seemed to be doing well; she had an IV but her parents were giving her water orally, which was a good sign that she was recovering well.

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