Nexus Speech Therapy - Home Service

Nexus Speech Therapy offers in home and online speech therapy for children's in the comfort and safety of your home. Our Speech-Language Pathologists offer in home assessment and speech therapy services to address a variety of language and communication concerns.  We work collaboratively with parents and care givers to develop a customized therapy plan to meet the individual needs of each child.  Our therapists bring the necessary materials and activities to make speech therapy fun and engaging.  Homework, practice materials, and parent training are just some of the services we provide to help your child fulfill their speech, language & learning potential.

nexus speech therapy

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NEXUS THERAPY

Head Office: 7404 King George Blvd. Suite 200

Surrey, British Columbia, V3W 1N6

tel.: 604 210 6622

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​admin@nexustherapy.ca

www.speechtherapistvancouver.ca

Therapy for Aphasia & Brain Injury

By age 4 a child is expected to be understandable to others 90% of the time.  There are different reasons why some children have trouble with speaking clearly.  Difficulties with speaking clearly and not being understood can leave a child feeling frustrated and impact on their self confidence.  A Speech-language pathologist will start by conducting a speech evaluation to better understand the nature of the child's speech difficulty and develop an individualized treatment plan.  ​Parent education and training is provided to ensure maximal support at home and to facilitate faster progress.

Reading & Literacy

Children who begin speaking late may continue to lag behind their peers in language and be at greater risk for academic and reading difficulties once they start school.  Challenges with reading are also fairly common among children with average language skills.  Difficulty with decoding and reading comprehension impacts on a child's ability understand the school curriculum as well as their performance on written tests and assignments.

Our licensed Speech Pathologists provide in home language and literacy assessments to identify areas of need and provide customized treatment programs to help children experiencing difficulties with the following:

​​​Activities of Daily Living & Adaptive Equipment

An Occupational Therapist helps individuals to develop, improve or restore independence by focusing on activities of daily living (e.g., eating, grooming, bathing, dressing and safe use of the toilet, tub and shower). They help patients to regain the ability to engage in activities that have personal meaning and value. When appropriate, they can also help patients get back to independent activities such as cooking, cleaning, laundry and other household tasks. 

The OT focuses on helping the patient restore upper body function by addressing range of motion, strengthening tasks, coordination, sensation, endurance and visual skills. The goal is to help restore the skills that will allow them to get back to their normal daily activities — and to prepare them (and their families) for the return home.

​Occupational therapy services may include comprehensive evaluations of the client’s home and other environments (e.g., workplace, school), recommendations for adaptive equipment and training in its use, and guidance and education for family members and caregivers. Occupational therapy practitioners have a holistic perspective, in which the focus is on adapting the environment to fit the person, and the person is an integral part of the therapy team.

Seeking treatment from an Occupational Therapists is advised if you have difficulty with the following:

Buttoning your shirt, clasping your bra, or putting on your shoes and socks on
Getting off a low toilet seat
Preparing meals
Fear of falling
Walking, ambulating stairs

Activities of Daily Living - Adaptive equipment for dressing

Upper Body Dressing

Upper body dressing (UBD) includes putting on and taking off any clothing items from the waist up. For the individual with paraplegia, the upper extremities (arms) are usually functioning properly, and UBD is usually completed without difficulty. However, sitting balance and safety precautions should be addressed before attempting UBD from the edge of the bed or while sitting without support on any surface. If balance is impaired, it may be easier to sit in a wheelchair or standard chair for additional back support. If a brace is worn around the torso, loose garments with front closures are suggested. Additionally, comfortable, wrinkle-resistant clothes allow for easier application and neat appearance.

Upper body dressing techniques depend on several factors including:

* Amount of movement in the arms
* Strength of active arm muscles
* Sitting balance and endurance
* Fine motor coordination/hand strength

A person may be able to use adapted techniques/adapted clothing, adaptive equipment and/or splints to increase independence when doing UBD.

Lower body dressing

Lower body dressing (LBD) includes putting on and taking off any clothing item from the waist down. When dressing the lower body, persons with a paraplegic level of injury might find it helpful to use a combination of alternative techniques and adaptive equipment. The most common position for performing LBD is circle sitting or long sitting in bed. This allows the person to reach his/her feet from a large base of support, which increases balance.

Our therapists are available to come to you if you have difficulty leaving your home. Please contact us regarding In-Home Therapy, and we will be happy to come asses you in your home.

Some of the most commonly used pieces of adaptive equipment (AE) used during dressing include:

* Dressing sticks
* Reachers
* Long-handled shoe horns
* Button hooks
* Velcro®
* Elastic shoe laces
* Sock aids
* Legs straps

Bathing - Adaptive equipment for bathing

In the first few days or weeks following injury, you will most likely sponge bathe from bed. This process may seem complicated if a brace must be worn or if other medical complications are present. Once you are medically stable and cleared for showering by the doctor, your occupational therapist will help you learn to shower safely. You may use some of the following to assist with safety and completion of your bath:

* Tub chair/tub bench with a back
* Transfer board
* Hand held shower
* Long handled sponge
* Grab bars
* Thermometer

You may use some of the following to assist with safety and completion of your bath:

* Shower chair (with tilt/recline feature)
* Transfer board or mechanical lift
* Hand held shower
* Universal-cuffs or other splints to assist with holding items
* Wash mitt
* Thermometer

This is just a small sampling of the equipment that may be used to increase independence with bathing. Your occupational therapist will help you develop a bathing program appropriate for your discharge environment.

Toileting - Adaptive equipment for toileting

Toileting includes the ability to pull down clothing in preparation for elimination, cleaning of the perineal area and pulling clothing up after completion. A person is often able to independently complete the process with the correct technique and needed equipment.

Examples include:

* Leaning on one elbow to raise a hip and pull down clothing from side to side
* Drop-arm bedside commode for safe transfers
* Toilet aid to reach perineal area
* Leg straps to assist lifting legs

Toileting for an individual with a tetraplegic level of injury is usually difficult and unique for each person. Your occupational therapist will develop a specialized toileting program for patients/caregivers for the discharge environment.

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Grooming - Adaptive equipment for grooming

Grooming tasks include brushing teeth, washing face, combing hair, shaving and applying make-up. As with UBD, a person with aparaplegic level of injury usually has full use of their arms and grooming is completed without difficulty from a wheelchair as long as items are in reach. For a person with a tetraplegic level of injury, grooming becomes more difficult and is usually completed in a supported seated position in bed or in a wheelchair.

Necessary AE and orthotics may include:

* Universal-cuff to hold toothbrush, razor, make-up, etc.
* ADL wrist splint to stabilize wrist
* Wash mitt
* Long handled brush
* Lap tray
* Built-up handles

Once you can tolerate a sitting position, your occupational therapist will help you practice techniques to complete these activities as independently as possible.

Feeding - Adaptive equipment for eating

Feeding, like upper body dressing and grooming, is usually not difficult for a person with a paraplegic level of injury. This activity, however, can be difficult for a person with a tetraplegic level of injury. Feeding is usually done in a supported seated position in bed with a bedside table or from wheelchair level with a lap tray. There are several splints and pieces of adaptive equipment available to assist with this process.

These items include:
* Universal-cuff to hold utensils
* ADL wrist splint to stabilize wrist
* Non-skid bowl
* Plate guard
* Scoop dish
* Adaptive utensils
* Long straw
* Mobile arm supports

As soon as you are medically stable and able to swallow safely, your occupational therapist will begin working with you to promote self-feeding. This may include strengthening/positioning regimens to increase tolerance for ADLs.
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Our speech-language pathologists offer individualized accent reduction therapy on-line or on-site at your home or office for people of all language backgrounds including Mandarin, Cantonese, Hindi, Russian and Spanish.

• ​​Inter-dental lisp
  
• ​Lateral lisp
• the 'R' sound
  

Is your child having difficulty with his/her speech, language or literacy development? We are here to help!

Insurance Reimbursable Speech Therapy at Your Home

Call to schedule an assessment at your home: ​(604) 210-6622

Nexus Speech Therapy offers speech therapy services at home or on-line for children across B.C. with funding from Jordan's Principle.  Contact our Care Coordinator for further information.

• Listening Skills
  
• Reading / Decoding
• Written Language
• Social Skills

Accent Reduction

We provide speech-language therapy treatment for aphasia for seniors in the comfort of their home or nursing home. Speech therapy services include training and support for family members and caregivers.

Therapy for Autism

We offer language therapy programs to improve vocabulary, sentence structure, answering questions, telling a story or personal story and conversation skills.

AUTISM FUNDING

JORDAN'S PRINCIPLE FUNDING

PRIVATE INSURANCE

Speech Therapy for Autism

Nexus Therapy offers speech therapy and behaviour intervention at home or daycare for children with autism spectrum disorder.​Treatment is available to address variety of difficulties prevalent among children with autism including:

• Language comprehension
  
• Following Directions
  
• Transitioning 
  
• Vocabulary 
  
• Listening Comprehension
  
• Expressive Language
  
• Answering Questions
  
• Telling a Story
  
• Play Skills
  
• Social Skills
  
• Conversation Skills
  
• ​Pecs / AAC​

• Speech Delay
• Articulation Difficulties
  
• ​Phonological Delay
  

               Language Delay

​​Unclear Speech

Jordan's Principle

• ​​Written Language
• ​Paragraph Writing
  
• Narrative Skills

• Apraxia of Speech
  
• Motor-Speech Impairment
• ​Tongue thrust
  

Speech & Language Therapy for Children

Left untreated, Speech-Language delays and disorders can affect your child’s ability to interact with others and his/her quality of life. A communication difficulty can limit your child’s educational and career potential and affect the child every day of his or her life. 

We offer speech therapy services on-line or at your home to treat the following:

• Unclear Speech
  
• Articulation 
  
• Phonology
  
• Motor Speech Disorder
  
• Stuttering

• Sight Word Recognition
  
• Reading Comprehension
  
• Spelling

Assessment & Individualized Virtual Speech Therapy at Your Home

• Sound symbol awareness
  
• ​​Decoding
• Phonological Awareness

Unclear Speech

Our speech therapists treat a variety of speech difficulties including articulation difficulties, unclear speech, phonology, apraxia and motor speech disorders.

Our speech therapists treat a variety of speech difficulties including articulation difficulties, unclear speech, phonology, apraxia and motor speech disorders.

• Language Delay
  
• Weak Vocabulary
  
• Grammar & Syntax
  
• Answering questions
• Story retelling