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Wants Talk Psychotherapy but Cannot Talk: EMDR for Post-stroke Depression with Expressive Aphasia
CONCLUSION This is the first reported case demonstrating that EMDR can be effective for depression, even in those with severe expressive aphasia. In our case, there was no reluctance to disclose information, simply a neurological inability to do so. Through preparation, patience, perseverance, and plasticity (clinician flexibility, though perhaps also neuroplasticity), the patient’s PSD gradually improved, and she was able to reinvent her life within her limitations. ACKNOWLEDGMENTS The authors gratefully acknowledge Eugene Schwartz, E.C. Hurley, and Mark Hubner for providing consultation during patient care. REFERENCES ...
Source: Innovations in Clinical Neuroscience - February 1, 2018 Category: Neuroscience Authors: ICN Online Editor Tags: Case Report Current Issue Neurologic Systems and Symptoms Neurology Psychotherapy Stroke aphasia depression EMDR Source Type: research

Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: American Family Physician - July 13, 2023 Category: Primary Care Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research

Understanding the Independent Predictors of Dysphagia-Related Quality of Life in Stroke Survivors
CONCLUSION: Factors related to dysphagia-related QoL are multifactorial and include both survivor and spousal variables. The results of this exploratory study highlight the need for clinicians and researchers to consider patient function and needs more wholistically to maximize perceived QoL.PMID:35344388 | DOI:10.1044/2022_JSLHR-21-00502
Source: Journal of speech, language, and hearing research : JSLHR - March 28, 2022 Category: Speech-Language Pathology Authors: Ashwini M Namasivayam-MacDonald Aaliyeh Ayub Hiba Najeeb Samantha E Shune Source Type: research

Relationship between tongue pressure and dysphagia diet in patients with acute stroke
by Masahiro Nakamori, Kenichi Ishikawa, Eiji Imamura, Haruna Yamamoto, Keiko Kimura, Tomoko Ayukawa, Tatsuya Mizoue, Shinichi Wakabayashi A dysphagia diet is important for patients with stroke to help manage their nutritional state and prevent aspiration pneumonia. Tongue pressure measurement is a simple, non-invasive, and objective method for diagnosing dysphagia. We hypothesized that tongue pressure may be useful in making a choic e of diet for patients with acute stroke. Using balloon-type equipment, tongue pressure was measured in 80 patients with acute stroke. On admission, a multidisciplinary swallowing team includi...
Source: PLoS One - June 4, 2021 Category: Biomedical Science Authors: Masahiro Nakamori Source Type: research

Contributors to Poststroke Dysphagia-Related Caregiver Burden
Conclusions Factors related to dysphagia-related caregiver burden are multifactorial and include both care recipient (e.g., International Dysphagia Diet Standardisation Initiative Functional Diet Scale, Swallowing-Related Quality of Life Scale, perceived impact of dysphagia on mealtime logistics) and caregiver (e.g., perceived impact of dysphagia on mealtime logistics) variables. The results of this preliminary investigation support the need to incorporate aspects of counseling and family-centered care into our management practices, a growing area of interest for speech-language pathologists.PMID:33789060 | DOI:10.1044/2021_AJSLP-20-00250
Source: American Journal of Speech-Language Pathology - March 31, 2021 Category: Speech-Language Pathology Authors: Cameron Davis Ashwini M Namasivayam-MacDonald Samantha E Shune Source Type: research

Dysphagia and laryngeal pathology in post-surgical cardiothoracic patients
Conclusion Early endoscopic assessment for identification of dysphagia and laryngeal injury in patients following cardiothoracic surgery may allow early management and prevention of secondary complications.
Source: Journal of Critical Care - February 27, 2018 Category: Gastroenterology Source Type: research