Managing difficult communication challenges happens when... Managing difficult communication challenges

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Providing Effective care to people with communication difficultiesManaging difficult communication challenges
• To improve the experience of health care for people with communication difficulties – To increase awareness of communication
– To gain knowledge of different communication disorders
– To understand the role of the speech & language therapist
– To improve skills in communicating with adults with communication disorders
– Meet needs (buy a bus ticket)
– Social interaction (smile)
– Self expression/maintaining identity
– Connecting with others
– Entertainment (listen to the radio/T.V)
– Seeking/giving consent
• Stroke/Cardio Vascular Accident (CVA)
• Traumatic Brain Injury • Dementia
• Head and Neck Cancer/Laryngectomy
• Speech is a mechanical /physical
and sentences
• A disorder of PLANNED movement
• People have difficulty saying what they are consciously thinking about saying
• Speech errors e.g. hospital hopistal.
• Speakers are often aware of their errors and try again
• May be in addition to dysphasia and
/ or dyspraxia or it may occur in isolation.
• Affects different aspects of speech physiology; – Respiration – Phonation – Articulation – Resonance – Voice quality/pitch
• The presence of dysarthria can sometimes make it difficult to establish if there is any aphasia.
• A VOICE disorder
• May present as breathiness, hoarseness, low volume, abnormal pitch or total loss of voice.
• May co-occur with Dysarthria
The role of the SLT
• To find out the extent, type and severity of disordered communication
• To provide a communication diagnosis
• Inform and advise MDT members
• To provide information and support for patients and family/carers
• Identify strengths and provide strategies for ways to help them communicate.
• To make recommendations for therapy
Access to communication
• Check SLT reports and any personalised advice
• Ensure you have the right ‘tools’ ready (e.g. pen and paper/pictures)
• Check hearing aids/glasses
• May be helpful to plan out what you need to ask (how can you simplify your language if needed)
• Check their communication aid is available and working if they use one
• Is now a good time?
• Establish a reliable yes/no
• Use gestures/written words and pictures to get your message across
• Offer a pen and paper to draw/write down a word
• Ask closed questions
• Check with them on what you think you have understood
• Don’t pretend you have understood if you haven’t
• Encourage use of gesture/writing/pictures/communication aids
• If they can’t find a word encourage them to talk around the word
• If speech is unclear encourage the person to use a LOUD voice and speak in short sentences
• Try writing it down or drawing
• If it still fails, agree with the person whether to leave it or keep trying
• Acknowledge frustration
• Use humour
Answer the question WITHOUT speaking or writing words.
• Be resourceful in facilitating communication
• If unsure contact the speech and language therapist for advice
• SALT : RHH/WPH on x12533