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Total 31 results found since Jan 2013.
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
"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
A Hearing Screening Protocol for Stroke Patients: An Exploratory Study
Conclusion: This study is a first step towards addressing the complex auditory needs of stroke survivors in a systematic manner, with the ultimate aim to support their communication needs and long-term recovery and wellbeing.
Registration: Project Identification number 11/0469 and REC ref 11/LO/1675
Source: Frontiers in Neurology - August 5, 2019 Category: Neurology Source Type: research
Addressing Disparities in Stroke Prevention for Atrial Fibrillation: Educational Opportunities
This study identified barriers to optimal stroke prevention to develop a framework for clinician education. A comprehensive educational needs assessment was developed focusing on clinicians within the Stroke Belt. The mixed qualitative-quantitative approach included regional surveys and one-on-one clinician interviews. Identified contributors to disparities included implicit racial biases, lack of awareness of racial disparities in AF stroke risk, and lack of effective multicultural awareness and training. Additional barriers affecting disparities included patient medical mistrust and clinician-patient communication challe...
Source: American Journal of Medical Quality - June 30, 2016 Category: Health Management Authors: Karcher, R., Berman, A. E., Gross, H., Hess, D. C., Jauch, E. C., Viser, P. E., Solenski, N. J., Wolf, A. M. D. Tags: Articles Source Type: research
IJERPH, Vol. 16, Pages 196: Adherence to Treatment in Stroke Patients
Conclusions: The perception of medication necessity and the doctor–patient communication are manageable factors associated with compliance in treating patients who have suffered stroke. In addition, rehabilitation and return to work programs should consider these factors when providing support to those persons.
Source: International Journal of Environmental Research and Public Health - January 11, 2019 Category: Environmental Health Authors: Emmanouela Cheiloudaki Evangelos C. Alexopoulos Tags: Article Source Type: research
Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation.
DISCUSSION: Personalized rehabilitation can be considered in comparison to person-centred care principles. The barriers and enablers experienced by patients in this study contribute to the existing knowledge of the patient experience of stroke rehabilitation and may be used to inform clinical practices and future research. Implications for Rehabilitation The surrounding environments can facilitate participation in rehabilitation using strategies to reduce noise and disruption and also by encouraging social interactions among patients. Increasing the frequency and consistency of communication with patients about rehabilitat...
Source: Disability and Rehabilitation - February 11, 2021 Category: Rehabilitation Authors: Last N, Packham TL, Gewurtz RE, Letts LJ, Harris JE Tags: Disabil Rehabil Source Type: research
Accessibility, usability, and usefulness of a Web-based clinical decision support tool to enhance provider-patient communication around Self-management TO Prevent (STOP) Stroke
This article reports redesign strategies identified to create a Web-based user-interface for the Self-management TO Prevent (STOP) Stroke Tool. Members of a Stroke Quality Improvement Network (N = 12) viewed a visualization video of a proposed prototype and provided feedback on implementation barriers/facilitators. Stroke-care providers (N = 10) tested the Web-based prototype in think-aloud sessions of simulated clinic visits. Participants’ dialogues were coded into themes. Access to comprehensive information and the automated features/systematized processes were the primary accessibility and usability facilitator th...
Source: Health Informatics Journal - November 19, 2014 Category: Information Technology Authors: Anderson, J. A., Godwin, K. M., Saleem, J. J., Russell, S., Robinson, J. J., Kimmel, B. Tags: Articles Source Type: research
Development of a computerised decision aid for thrombolysis in acute stroke care
Conclusions:
Our structured development process led to the development of a gamma prototype computerised decision aid. Initial evaluation has demonstrated reasonable acceptability of COMPASS amongst patients, relatives and clinicians. The impact of COMPASS on clinical outcomes requires wider prospective evaluation in clinical settings.
Source: Epidemiologic Perspectives and Innovations - February 7, 2015 Category: Epidemiology Authors: Darren FlynnDaniel J NesbittGary A FordPeter McMeekinHelen RodgersChristopher PriceChristian KrayRichard G Thomson Source Type: research
External Validation of the ASTRAL and DRAGON Scores for Prediction of Functional Outcome in Stroke
The ability to predict outcomes after acute stroke facilitates treatment and eases communication with patients. Acute Stroke Registry and Analysis of Lausanne (ASTRAL) was developed for use in acute ischemic stroke patients and does not require imaging. The other score is designed for stroke patients that have been treated with intravenous tissue-type plasminogen activator (tPA) includes dense middle cerebral artery sign, prestroke modifed Rankin Scale score [mRS], age, glucose, onset to treatment, National Institutes of Health Stroke Scale [NIHSS] score (DRAGON).
Source: The Journal of Emergency Medicine - September 30, 2016 Category: Emergency Medicine Authors: Nigel S. George Tags: Abstract Source Type: research
The lack of documentation of preferences in a cohort of adults who died after ischemic stroke
Conclusions:
Documented discussions about limitations on life-sustaining interventions during hospitalization were low, even though this cohort died within 30 days poststroke. Improving the documentation of preferences may be difficult given the 2015 Centers for Medicare and Medicaid 30-day stroke mortality hospital performance measure that is unadjusted for patient preferences regarding life-sustaining interventions.
Source: Neurology - May 29, 2016 Category: Neurology Authors: Robinson, M. T., Vickrey, B. G., Holloway, R. G., Chong, K., Williams, L. S., Brook, R. H., Leng, M., Parikh, P., Zingmond, D. S. Tags: Outcome research, Quality of life, Infarction, Palliative care ARTICLE Source Type: research
From paper to informatics: the Post Soft Care-App, an easy-to-use and fast tool to help therapists identify unmet needs in stroke patients.
Authors: De Bartolo D, Morone G, Lupo A, Aloise F, Baricich A, Di Francesco D, Calderone C, Cisari C, Verdecchia G, Sandrini G, Pistarini C, Antonucci G, Smania N, Paolucci S, Iosa M
Abstract
Even after rehabilitation, post stroke patients remain disabled. The Post Stroke Checklist (PSC) was developed to highlight unmet needs of community-dwelling stroke patients. The present study set out to validate Post Soft Care-App, designed to administer the PSC using smartphones and tablets, in order to monitor unmet needs in chronic patients. Fifty-three patients and fifteen physiotherapists were enrolled. The therapists ad...
Source: Functional Neurology - January 23, 2019 Category: Neurology Tags: Funct Neurol Source Type: research
'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
Effects of Conventional Speech Therapy with Liuzijue Qigong, a Traditional Chinese Method of Breath Training, in 70 Patients with Post-Stroke Spastic Dysarthria
CONCLUSIONS LQG, when combined with conventional speech therapy, enhanced the comprehensive speech ability of patients with PSSD compared with conventional treatment alone.PMID:37365796 | DOI:10.12659/MSM.939623
Source: Medical Science Monitor - June 27, 2023 Category: Research Authors: Jiayi Xia Song Pei Zhu Chen Lin Wang Jun Hu Jian Wang Source Type: research
