The Missing Link for SLPs
A Day in the Life of a SNF Provider: What to Expect as a New SLP
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Download the show notes or full transcript of the conversation.

Meet Trescha Kay, a speech-language pathologist who specializes in geriatric cognition and gender-affirming voice therapy. Trescha shares her story, explaining what it was like working as an SNF provider for six years and how she made the move to academia. She also shares what gender-affirming voice therapy entails and offers advice for new clinicians.

Discussion & Reflection Questions

  1. Who are you and why did you decide to become a speech pathologist? 
  2. What is a SNF facility and why do you love working in that setting?
  3. Would you walk us through a typical day at your SNF facility?
  4. What are some of the challenges you face in SNF facilities?
  5. You’re also an assistant professor. How did you start working in academia?
  6. In addition to SNF and academia, you do gender-affirming voice therapy. Tell us a little about that. 
  7. Any words of advice on building rapport, especially when there’s a generational gap?
  8. What advice would you give to an SLP just starting out?

Quote of the Conversation

“You’re smarter than you think you are. You know your stuff. It might take you a little bit longer to process through all of it and come to the conclusion that a seasoned SLP might come to a little bit faster, but you have the knowledge in your brain. They wouldn’t have given you a diploma if you didn’t. So, have faith in yourself.”

– Trescha Kay, CCC-SLP

Trescha Kay, CCC-SLP

Speech-Language Pathologist and Assistant Professor

Trescha Kay a speech-language pathologist who specializes in geriatric cognition and gender-affirming voice therapy. She worked in skilled nursing facilities for the first six years of my career before making the move to academia. She continues to work as an SNF provider as a PRN, because she loves the setting so much. Trescha is passionate about helping her patients maintain the greatest level of independence for as long as possible. She also really enjoys educating caregivers on how to provide better care for patients with cognitive or communication difficulties. When she’s not being an SLP, she enjoys training for ultramarathons, hiking, curling, spending time with my spouse, and cuddling my cat. She is also pursuing a PhD in psychology with the intention of researching treatment approaches for dementia and higher education practices in clinical education.



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Not a substitute for a formal SLP education or medical advice for patients/caregivers.

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