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The relevance of stroke care for living well with post-stroke aphasia: a qualitative interview study with working-aged adults.
CONCLUSIONS: The results highlight a need for equitable, transparent, responsive access to services, information and stroke liaison support. The findings extend knowledge of the importance of stroke care for supporting working-aged adults and their families to live well in the context of aphasia. Implications for rehabilitation There is a need for equitable, transparent access to a responsive integrated pathway of stroke care to support living well with aphasia. People with aphasia post-stroke and their families need access to person-centred stroke care and information responsive to their changing needs at all stages of re...
Source: Disability and Rehabilitation - December 28, 2020 Category: Rehabilitation Authors: Manning M, MacFarlane A, Hickey A, Galvin R, Franklin S Tags: Disabil Rehabil Source Type: research

Stroke Communication Scale based on the International Classification of Functioning, Disability and Health (ICF - SCS).
Conclusion: The Stroke Communication Scale allows a comprehensive clinical evaluation helping in the development of individualized treatment programs in post-stroke in a biopsychosocial approach centered on the patient. IMPLICATIONS FOR REHABILITATION Communication disorders post-stroke can be an important social barrier. An assessment based on the International Classification of Functioning, Disability, and Health offers an integral view of different perspectives of health. The Stroke Communication Scale is a holistic instrument to assess communication, participation, and functioning. The Stroke Communication Scale allows...
Source: Disability and Rehabilitation - October 14, 2019 Category: Rehabilitation Authors: Dallaqua GB, Bahia MM, Min Li L, Chun RYS Tags: Disabil Rehabil Source Type: research

The management of patients with functional stroke: speech and language therapists' views and experiences.
CONCLUSIONS: As healthcare professionals, participants were keen to help their patients. However, they felt they did not have the skills or knowledge to help which caused professional turmoil. Reducing stigma and increasing awareness and knowledge of functional stroke are required to improve patient outcomes. PMID: 33406948 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - January 7, 2021 Category: Rehabilitation Authors: Barnett C, Mitchell C, Tyson S Tags: Disabil Rehabil Source Type: research

Exploring oral care practices, barriers, and facilitators in an inpatient stroke unit: a thematic analysis
CONCLUSIONS: This study illustrates the complexities of oral care in the inpatient stroke setting and gives voice to the perspectives of nursing and speech-language pathology staff. It is clear that future oral health interventions in this setting require a comprehensive approach to addressing barriers and should prioritise the concerns of staff delivering the care.IMPLICATIONS FOR REHABILITATIONThe delivery of good oral care post-stroke is essential, but in practice is difficult due to limited time and supplies, inadequate education, fear of harm to patient and self, and perceived low priority of the care.Speech-language ...
Source: Disability and Rehabilitation - February 21, 2022 Category: Rehabilitation Authors: Lauren Hammond Tiffany Conroy Joanne Murray Source Type: research

Assessment and rehabilitation of acquired communication disorders in aboriginal and Torres strait islander adults with stroke or traumatic brain injury: a retrospective chart review
CONCLUSIONS: Informal approaches to assess ACDs were commonly employed which may be because they are perceived to be more culturally appropriate. Clinical guidelines for stroke and TBI should accommodate the diversity of cultures and languages. Better consideration of Aboriginal and Torres Strait Islander communication styles and incorporation of these into SLP ACD management approaches may facilitate accurate diagnosis and culturally safe rehabilitation services.Implications for RehabilitationInformal approaches for assessment and intervention of ACDs, that incorporate yarning and salient tasks, are likely to be more cult...
Source: Disability and Rehabilitation - March 28, 2022 Category: Rehabilitation Authors: Frances Cochrane Samantha Siyambalapitiya Petrea Cornwell Source Type: research

Supporting post-stroke access to services and resources for individuals with low income: understanding usual care practices in acute care and rehabilitation settings
CONCLUSION: To better support post-stroke access to social services and resource for low-income individuals, a multidisciplinary approach, with actions beginning earlier on and extending throughout the continuum of care, is recommended, in addition to system-level advocacy.PMID:37067052 | DOI:10.1080/09638288.2023.2199462
Source: Disability and Rehabilitation - April 17, 2023 Category: Rehabilitation Authors: Katrine Sauv é-Schenk Patrick Duong Samantha Samonte-Brown Lisa Sheehy Martine Trudelle Jacinthe Savard Source Type: research

Current practice of outpatient rehabilitation services in patients with mobility-impaired paralysis due to stroke or spinal cord injury: a qualitative interview study in Germany
CONCLUSION: Areas of improvement identified focused on: setting rehabilitation goals towards participation, training therapists on evidence-based treatments and shared decision-making, updating the outpatient service catalogue, and implementing coordination actions. Implementation of these recommendations should be evaluated.PMID:37732606 | DOI:10.1080/09638288.2023.2259301
Source: Disability and Rehabilitation - September 21, 2023 Category: Rehabilitation Authors: Tiziana Daniel Tamara Spingler Andreas Hug Norbert Weidner Michel Wensing Charlotte Ullrich Source Type: research

Inter-professional communication and interaction in the neurological rehabilitation team: a literature review.
CONCLUSIONS: According to this literature review, successful inter-professional patient-orientated care is promoted by being informed about the various functions of team members from different disciplines, about the role each member plays within the team and communication styles. Means of improving communication are being outlined. Implications for Rehabilitation Inter-professional communication is promoted by cross-professional team organization. Inter-professional communication should be included in vocational and on-the-job-training and supervision. Barriers for communication in teams are different terminologies and dif...
Source: Disability and Rehabilitation - November 20, 2018 Category: Rehabilitation Authors: Franz S, Muser J, Thielhorn U, Wallesch CW, Behrens J Tags: Disabil Rehabil Source Type: research

Identifying clinicians' priorities for the implementation of best practices in cognitive rehabilitation post-acquired brain injury.
Conclusions: TRIAGE consensus-building methodology can be used to engage stakeholders and support clinicians' decision-making regarding the identification of implementation priorities in cognitive rehabilitation post-ABI in order to tailor the implementation process to local needs.IMPLICATIONS FOR REHABILITATIONThe Technique for Research of Information by Animation of a Group of Experts (TRIAGE) can be used to support clinicians' decision-making regarding the identification of implementation priorities in cognitive rehabilitation post-ABI.The combination of individual consultations followed by consensual in-person group di...
Source: Disability and Rehabilitation - February 10, 2020 Category: Rehabilitation Authors: Poulin V, Jean A, Lamontagne MÈ, Pellerin MA, Viau-Guay A, Ouellet MC Tags: Disabil Rehabil Source Type: research

Communication partner perspectives of aphasia self-management and the role of technology: an in-depth qualitative exploration
CONCLUSIONS: Aphasia self-management programs should focus on individual needs, functional communication in daily life, and social interaction. PwA and CPs are central to these programs, assisted by SLPs. Technology should be explored to augment aphasia self-management.Implications for RehabilitationCommunication partners suggest that people with aphasia are already engaging in aspects of self-management and that more formal aphasia-specific self-management approaches may be beneficial.Dedicated aphasia self-management programs should be situated in daily life with a focus on functional communication, life participation, c...
Source: Disability and Rehabilitation - November 8, 2021 Category: Rehabilitation Authors: Leana Nichol Sarah J Wallace Rachelle Pitt Amy D Rodriguez Annie J Hill Source Type: research