Guests: Amber Heape, ClinScD, CCC-SLP, FNAP, and Brittany Horvath, SLPD, CCC-SLP, CDP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/speaking-of-comfort

In this episode, Renee Garrett welcomes Dr. Amber Heape and Dr. Brittany Horvath to explore the vital role SLPs play in these sensitive stages.

Together, they discuss evidence-based strategies for managing dysphagia, approaches to preserving communication, and the importance of aligning care with patient values.

You’ll also learn how SLPs can collaborate with interdisciplinary teams and advocate for compassionate, patient-centered care at the end of life. This conversation highlights the impact you can make in supporting both patients and caregivers when it matters most.

About the Guests: Dr. Amber B. Heape is Assistant Professor and SLPD Concentration Track Director in Health Professions Education at Rocky Mountain University of Health Professions. Her teaching and research focus on aging, dementia, clinical research, and education. An award-winning educator, author, and national presenter, she has published extensively and is a frequent speaker at conferences nationwide. Dr. Heape also serves as Coordinator for ASHA’s Special Interest Group 15 (Gerontology), mentors emerging scholars, and promotes evidence-based practice in speech-language pathology. Over the past 20 years, she has supervised graduate students and guided numerous clinical fellows, helping to shape the next generation of professionals in the field.

Dr. Brittany McKee Horvath has built a diverse career in clinical rehabilitation, leadership, and advocacy. She currently provides expert care in home and community-based neurorehabilitation with Collage Rehabilitation Partners and is passionate about supporting individuals with neurological injuries and diseases. She also continues to serve those in skilled nursing facilities, veterans, and individuals receiving hospice and palliative care services. Brittany advocates for quality of life and shared decision-making at the end of life, ensuring compassionate, individualized care. She has received recognition from the Center to Advance Palliative Care with their designation in Communication Skills for Serious Illness Conversations for her commitment to continued progress toward improving the care of patients with serious illness. Her research on the impact of online palliative care training on SLPs’ self-perceived comfort and knowledge was published in the American Journal of Speech-Language Pathology in January 2025. In addition to her clinical work, Brittany actively contributes to advancing the field through teaching, mentoring, and speaking at conferences on topics related to neurorehabilitation and palliative care. In her free time, Brittany enjoys exercising, coaching her daughters' softball teams, and spending quality time with her family. She is also passionate about giving back to her community and volunteering with Project 4031, a nonprofit organization in North Texas, whose mission focuses on providing peace and comfort to terminally ill children, adults, and their families by easing financial burdens and fulfilling last wishes.

Show Notes:

Being Mortal Frontline Special - https://www.pbs.org/wgbh/frontline/documentary/being-mortal/

Counseling/Having difficult conversations -

The Conversation Project (free info/guides!) https://theconversationproject.org/

Center to Advance Palliative Care - SLP pathway: Some of their information is behind a paywall, requiring organizational membership; however, they also offer free resources on their site, and their introductory course is available to all at no cost. https://www.capc.org/training/learning-pathways/?topic=&practice_area=&discipline=Speech%20Language%20Pathologist

Zarit-Burden Interview (for caregivers): https://wai.wisc.edu/wp-content/uploads/sites/1129/2021/11/Zarit-Caregiver-Burden-Assessment-Instruments.pdf

ASHA's practice portal: https://www.asha.org/practice-portal/resources/palliative-and-end-of-life-care/?srsltid=AfmBOoo7GiP-RtmN3bTIdDaBAhqzdCCFxXoy32Mi2znu06fY9jODH0Jo

Books:

Being Mortal by Atul Gawande

The Art of Dying Well by Katy Butler

On Death and Dying by Elizabeth Kubler-Ross

End-of-life considerations by Helen Sharp and Amanda Stead