Sarah Marshall1, Richard R Hurtig2. 1. Communication Aids and System Clinic, University of Wisconsin-Madison. 2. Department of Communication Sciences and Disorders, University of Iowa, Iowa City.
Abstract
PURPOSE: Establishing services for hospitalized patients with complex communication needs requires identifying and addressing both patient-based and institutional barriers. In this 1st article, we focus on overcoming patient-based barriers. The companion paper (Marshall & Hurtig, 2019) addresses overcoming institutional barriers. METHOD: We present a series of cases that illustrate both the challenges and some of the solutions that have emerged in addressing the specific needs of individual patients with complex communication needs. RESULTS: Each case illustrates how a dynamic assessment approach was used to allow patients with complex communication needs to more effectively communicate with caregivers and participate in their care. CONCLUSION: Building a culture of improved patient-provider communication involves more than just providing patients with augmentative and alternative communication tools.
PURPOSE: Establishing services for hospitalized patients with complex communication needs requires identifying and addressing both patient-based and institutional barriers. In this 1st article, we focus on overcoming patient-based barriers. The companion paper (Marshall & Hurtig, 2019) addresses overcoming institutional barriers. METHOD: We present a series of cases that illustrate both the challenges and some of the solutions that have emerged in addressing the specific needs of individual patients with complex communication needs. RESULTS: Each case illustrates how a dynamic assessment approach was used to allow patients with complex communication needs to more effectively communicate with caregivers and participate in their care. CONCLUSION: Building a culture of improved patient-provider communication involves more than just providing patients with augmentative and alternative communication tools.