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'Patient unable to express why he was on the floor, he has aphasia.' A content thematic analysis of medical records and incident reports on the falls of hospital patients with communication disability following stroke
CONCLUSIONS & IMPLICATIONS: The medical records and incident reports of patients with communication disability following stroke reveal that hospital staff recognize the impact of communication disability as potential risk factors for falls for this group. It was difficult for staff to report the circumstances of the fall for patients with severe communication disability. Despite the recognition of communication as a potential contributing factor, few medical record entries documented strategies related to communication interventions to improve patients' ability to understand instructions, gain attention or communicate basi...
Source: International Journal of Language and Communication Disorders - June 25, 2023 Category: Speech-Language Pathology Authors: Rebecca Sullivan Bronwyn Hemsley Katherine Harding Ian Skinner Source Type: research

Creating therapeutic relationships through communication: a qualitative metasynthesis from the perspectives of people with communication impairment after stroke.
CONCLUSIONS: A therapeutic relationship develops, at least in part, in response to the clinician's communication and how this is received and experienced by the patient. Understanding the characteristics of relationship-fostering communication and knowing how communication influences relationships can help clinicians critically reflect on their communication and better develop therapeutic relationships with people with communication impairment. IMPLICATIONS FOR REHABILITATION Practitioner-patient communication can facilitate therapeutic relationships or create therapeutic disconnections. Communication patterns that are com...
Source: Disability and Rehabilitation - November 23, 2020 Category: Rehabilitation Authors: Bright FAS, Reeves B Tags: Disabil Rehabil Source Type: research

"Living in a foreign country": experiences of staff-patient communication in inpatient stroke settings for people with post-stroke aphasia and those supporting them.
CONCLUSIONS: Communication was viewed as important but challenging by all three groups. To maximise staff-patient interactions in the future, attention needs to be paid to: the psychosocial needs of stroke survivors and their carers, ongoing staff training and support for the healthcare professionals supporting them, and the provision of an aphasia-friendly and a communicatively stimulating ward environment. Implications for Rehabilitation Effective staff-patient communication is viewed as fundamental to stroke rehabilitation but challenging by patients with aphasia, their carers and the healthcare professionals supporting...
Source: Disability and Rehabilitation - September 27, 2018 Category: Rehabilitation Authors: Clancy L, Povey R, Rodham K Tags: Disabil Rehabil Source Type: research

Group therapy as a social context for aphasia recovery: a pilot, observational study in an acute rehabilitation hospital.
CONCLUSION: In the aphasia group treatment described in this study, participants initiated more communication, with greater diversity of expressive modalities and more varied communicative purposes. Participants in group therapy also showed an increased tendency to communicate for the purpose of social closeness. These findings suggest that there are important differences in the communication of patients participating in group vs. individual speech therapy for treatment of acute, severe non-fluent aphasia. PMID: 27077989 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 15, 2016 Category: Neurology Authors: Fama ME, Baron CR, Hatfield B, Turkeltaub PE Tags: Top Stroke Rehabil Source Type: research