Safety Considerations for Patients with Communication Disorders in Rehabilitation Medicine Settings

Cristian, Adrian; Giammarino, Claudia; Olds, Michael J.; Adams, Elizabeth; Moriarty, Christina; Ratner, Sabina; Mural, Shruti; Stobart, Eric C.

doi:10.1016/j.pmr.2012.02.017

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…1,75 Particular attention is needed for young children, older patients, and those with impaired communication because they are at highest risk for inadequate assessment and symptom management. 76 Although pain is often not a symptom of acute stroke, up to one half of stroke survivors develop pain within 6 months after their stroke. 77 Common poststroke pain syndromes include central poststroke pain and hemiplegic shoulder pain.…”

Section: Adverse Eventsmentioning

confidence: 99%

Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

Braun¹,

Grady²,

Kutner³

et al. 2016

Circulation

198

143

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AbstrAct:The mission of the American Heart Association/American Stroke Association includes increasing access to high-quality, evidencebased care that improves patient outcomes such as health-related quality of life and is consistent with the patients' values, preferences, and goals. Awareness of and access to palliative care interventions align with the American Heart Association/American Stroke Association mission. The purposes of this policy statement are to provide background on the importance of palliative care as it pertains to patients with advanced cardiovascular disease and stroke and their families and to make recommendations for policy decisions. Palliative care, defined as patient-and family-centered care that optimizes health-related quality of life by anticipating, preventing, and treating suffering, should be integrated into the care of all patients with advanced cardiovascular disease and stroke early in the disease trajectory. Palliative care focuses on communication, shared decision making about treatment options, advance care planning, and attention to physical, emotional, spiritual, and psychological distress with inclusion of the patient's family and care system. Our policy recommendations address the following: reimbursement for comprehensive delivery of palliative care services for patients with advanced cardiovascular disease and stroke; strong payerprovider relationships that involve data sharing to identify patients in need of palliative care, identification of better care and payment models, and establishment of quality standards and outcome measurements; healthcare system policies for the provision of comprehensive palliative care services during hospitalization, including goals of care, treatment decisions, needs of family caregivers, and transition to other care settings; and health professional education in palliative care as part of licensure requirements.

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Section: Adverse Eventsmentioning

confidence: 99%

Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

Braun¹,

Grady²,

Kutner³

et al. 2016

Circulation

198

143

View full text Add to dashboard Cite

show abstract

“…Both patients and families report lower health-related quality of life (HRQOL) after stroke (9, 15). Certain populations are especially at risk for inadequate amelioration of SB, including very young and old patients as well as patients with impaired communication skills (42).…”

Section: Introductionmentioning

confidence: 99%

“…Whereas, SPARC covers PCN extensively, it contains 45 items and is challenging for patients with cognitive impairment. It has not been validated in patients with communication impairment, although elderly patients and those with impaired communication skills are in increased danger of untreated SB after stroke (42). The Palliative outcome scale (POS) is a validated and multidimensional assessment tool.…”

Section: Introductionmentioning

confidence: 99%

Palliative Care for Stroke Patients and Their Families: Barriers for Implementation

2019

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Stroke is a leading cause of death, disability and is a symptom burden worldwide. It impacts patients and their families in various ways, including physical, emotional, social, and spiritual aspects. As stroke is potentially lethal and causes severe symptom burden, a palliative care (PC) approach is indicated in accordance with the definition of PC published by the WHO in 2002. Stroke patients can benefit from a structured approach to palliative care needs (PCN) and the amelioration of symptom burden. Stroke outcome is uncertain and outlook may change rapidly. Regarding these challenges, core competencies of PC include the critical appraisal of various treatment options, and openly and respectfully discussing therapeutic goals with patients, families, and caregivers. Nevertheless, PC in stroke has to date mainly been restricted to short care periods for dying patients after life-limiting complications. There is currently no integrated concept for PC in stroke care addressing the appropriate moment to initiate PC for stroke patients, and the question of how to screen for symptoms remains unanswered. Therefore, PC for stroke patients is often perceived as a stopgap in cases of unfavorable prognosis and very short survival times. In contrast, PC can provide much more for stroke patients and support a holistic approach, improve quality of life and ensure treatment according to the patient's wishes and values. In this short review we identify key aspects of PC in stroke care and current barriers to implementation. Additionally, we provide insights into our approach to PC in stroke care.

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“…CP is a lifelong condition that can be extremely harmful for the patient's health. The main clinical manifestations of CP are abnormal posture and motor disorders (1). The causes of CP are diverse and multifactorial, including congenital, hereditary, inflammatory, infectious, hypoxia, traumatic and metabolic (2) incidence of approximately 80%, language disorder is a common complication among patients with CP (3).…”

Section: Introductionmentioning

confidence: 99%

Application of vocal organ correction combined with language training in the rehabilitation of children with cerebral palsy and language disorder

Xue

2020

Transl Pediatr

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Background: To explore the effect of vocal organ correction combined with language training on the rehabilitation of children with cerebral palsy (CP) and language disorder. Methods: A total of 98 children with CP and language disorder were divided into two groups (49 cases in each group) using a random number table: the control group and the test group. The control group was given language training alone, while the test group received vocal organ correction combined with language training. The changes in language function classification, efficacy, and family satisfaction before and after the treatments were compared.Results: A significant difference was identified in language function classification between the two groups before and after treatment (P<0.05). The language function classification of the two groups was also significantly different after treatment (P<0.05), as was the distribution of clinical efficacy between the two groups (P<0.05). The total effective rate for the test group was 91.84%, which was higher than the 73.47% for the control group (P<0.05). Family satisfaction between the two groups differed significantly (P<0.05), and the total satisfaction rate of families in the test group was 87.76%, which was higher than the 69.39% in the control group (P<0.05). Conclusions:Vocal organ correction combined with language training can improve the language function of children with CP and language disorder, has ideal efficacy, and can also enhance family satisfaction during rehabilitation.

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Safety Considerations for Patients with Communication Disorders in Rehabilitation Medicine Settings

Cited by 4 publications

References 2 publications

Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

Palliative Care for Stroke Patients and Their Families: Barriers for Implementation

Application of vocal organ correction combined with language training in the rehabilitation of children with cerebral palsy and language disorder

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