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the nexa journal
Practical advice and professional insights from South Florida’s premier speech and swallowing therapists. Empowering individuals and caregivers through education, advocacy, and compassionate concierge care.

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FEES vs. Modified Barium Swallow: What’s the Difference and Do You Need Both?
Many people are told they need a swallow study without fully understanding what that means. Two common tests—Modified Barium Swallow Study (MBSS) and FEES (Flexible Endoscopic Evaluation of Swallowing)—both evaluate swallowing safety but use very different methods. Understanding the key differences between FEES and MBSS can help patients, caregivers, and providers choose the most appropriate test for accurate diagnosis and effective treatment planning.
Athanasia Anna Svenning Daley
1 day ago4 min read


New Year, New Routines: Why January Is an Ideal Time to Start Speech Therapy
The start of a new year brings renewed focus and structure, making January an ideal time to begin speech therapy. After the holidays, routines stabilize and families are better able to address concerns such as communication changes, swallowing difficulty, or cognitive challenges. Starting therapy early in the year supports consistent care, clearer goal setting, and meaningful progress that fits real life.
Athanasia Anna Svenning Daley
Jan 23 min read


Subtle Swallowing and Communication Changes Families Often Notice During the Holidays
The holiday season brings families together for longer stretches, often revealing subtle swallowing and communication changes that may go unnoticed during brief visits. Shared meals, lively conversations, and disrupted routines can highlight early dysphagia and speech therapy red flags in adults, such as coughing during meals, longer eating times, or withdrawal from conversation. Recognizing these signs during festive gatherings can help families support safety, comfort, and
Athanasia Anna Svenning Daley
Dec 22, 20253 min read


Understanding Xerostomia: Effective Strategies to Combat Dry Mouth in Adults
Dry mouth, or xerostomia, is more than discomfort—it affects speech, swallowing, and oral health. Caused by medications, medical conditions, or aging, it can lead to difficulty chewing, cavities, and voice changes. Staying hydrated, using saliva substitutes, and avoiding irritants can help. At Nexa Speech Concierge, we provide in-home and telehealth therapy to improve comfort, swallowing, and speech for adults across South Florida.
Athanasia Anna Svenning Daley
Dec 5, 20253 min read


Understanding Dysarthria: Overcoming Speech Challenges with Targeted Therapy
When speech feels slurred, weak, or effortful, communication can become discouraging. Dysarthria, a motor-speech disorder often caused by stroke, Parkinson’s, or other neurological conditions, affects how clearly you speak—but improvement is possible. At Nexa Speech Concierge, we provide in-home and mobile speech therapy to strengthen speech muscles, improve clarity, and restore confidence for adults across South Florida.
Athanasia Anna Svenning Daley
Nov 25, 20252 min read


Creating a Safe and Inclusive Thanksgiving for Loved Ones with Dysphagia
The holidays are for laughter, family, and food—but for loved ones with dysphagia (swallowing difficulties), big meals can feel overwhelming. This Thanksgiving, create a table where everyone feels safe and included. With thoughtful planning, soft and dysphagia-friendly dishes, and open communication, you can celebrate connection—not just consumption. At Nexa Speech Concierge, we help families support safe, joyful mealtimes with expert in-home dysphagia care.
Athanasia Anna Svenning Daley
Nov 21, 20253 min read


Unlocking Your Voice: How In-Home Therapy Transforms Communication and Confidence
Your voice is more than sound—it’s identity, confidence, and connection. At Nexa Speech Concierge, we help adults restore vocal strength and clarity after surgery, vocal fold paralysis, Parkinson’s, or age-related change. Whether your voice feels weak, breathy, or strained, our in-home and telehealth voice therapy brings expert, personalized care to you—helping you speak with power, comfort, and authenticity again.
Athanasia Anna Svenning Daley
Nov 14, 20253 min read


Your Speech Pathologist, Your Schedule: How Mobile & Telehealth SLP Services Empower Patients
Skip the clinic wait—Nexa Speech Concierge brings in-home speech therapy and mobile swallowing evaluations (FEES) directly to you. Serving Palm Beach, Broward, Miami-Dade, Martin, St Lucie, and Indian River Counties, we specialize in adult speech therapy, aphasia treatment, cognitive-communication rehab, and dysphagia management. Enjoy bilingual, weekend, and telehealth speech therapy options. Personalized, private, and professional care—where you live, eat, and communicate.
Athanasia Anna Svenning Daley
Nov 3, 20251 min read


Breaking the Silence: Living with Aphasia After Stroke or Brain Injury
Imagine knowing exactly what you want to say—but the words just won’t come. That’s the daily reality for people living with aphasia after a stroke or brain injury. At Nexa Speech Concierge, we provide personalized in-home and telehealth therapy to rebuild communication, restore confidence, and strengthen connection—for patients and families alike. Let’s help you find your voice again.
Athanasia Anna Svenning Daley
Oct 27, 20251 min read


FEES: The Gold Standard in Swallowing Evaluations—Now Available at Home
FEES is the gold standard for swallowing evaluations, and Nexa Speech Concierge brings it to you. Using a tiny flexible scope, FEES shows real-time swallowing to pinpoint aspiration, penetration, and the safest diet recommendations. Unlike bedside screens, it provides direct visualization for accurate, personalized plans. Serving South Florida (Martin, Okeechobee, St. Lucie and more). Skip hospital trips and delays; book an in-home FEES with a certified SLP today.
Athanasia Anna Svenning Daley
Oct 21, 20251 min read


Is It Aging or Something Else? When to Seek Speech Therapy for Older Adults
Wondering when normal aging becomes a concern? If coughing with meals, word-finding trouble, repeated questions, or a hoarse voice start disrupting daily life, it is time to seek expert support. Nexa Speech Concierge provides clear evaluation and adult in-home speech therapy to address these changes early.
Athanasia Anna Svenning Daley
Sep 30, 20251 min read


Cognitive Therapy for Dementia in South Florida: How to Support Brain Health & Communication
Cognitive therapy can help slow dementia’s effects, improve communication, and boost independence. See how therapy makes a difference!
Bailey Martindale
Mar 25, 20252 min read


How Speech Therapy Can Improve Voice and Swallowing for Parkinson’s Patients in South Florida
Parkinson’s can impact speech and swallowing, but therapy can help. Learn how to strengthen your voice and eat safely with expert care!
Bailey Martindale
Mar 25, 20252 min read


The Benefits of Mobile Speech Therapy in South Florida: Convenience, Comfort, and Results
Skip the clinic—get expert speech therapy at home. Personalized care, no travel required. See if mobile therapy is right for you!
Bailey Martindale
Mar 25, 20252 min read
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