scholarly journals Research, education and clinical practice: an example of a learning community in the field of Speech and Language Therapy

2017 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Eline Alons ◽  
Manon van Daatselaar ◽  
Dorien Preuter ◽  
Kim van der Zalm ◽  
Lizet van Ewijk
Keyword(s):  
Clinical Practice ◽  
Learning Community ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Research Education

scholarly journals 170 Admissions to a Stroke Unit in an Irish Rehabilitation Hospital: A Review from Speech and Language Therapy

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Niamh Ní Dhufaigh ◽  
Marie Haughey ◽  
Cliodhna Gillen
Keyword(s):  
Stroke Rehabilitation ◽  
Rating Scale ◽  
Communication Disorders ◽  
Functional Independence ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Research Education ◽  
Post Stroke ◽  
Communication Difficulties

Abstract Background Communication disorders and dysphagia are debilitating sequelae associated with stroke. Speech and Language Therapy (SLT) has a pivotal role in stroke rehabilitation, and in improving outcomes. The research into dysphasia, dysphagia, and dysarthria post-stroke is extensive. In comparison, the research into cognitive-communication difficulties post-stroke is still emerging. Cognitive-communication difficulties (CCDs) are communication impairments resulting from underlying cognitive deficits due to neurological impairments1. The aim of this audit was to review SLT referrals in an Irish Stroke Rehabilitation Unit. Methods Single-centre retrospective review of all stroke admissions from January to December 2018. Communication outcomes were assessed using the Functional Independence Measure and Functional Assessment Measure (FIM+FAM)2 a 7-point disability rating scale. Standard Bayesian statistics were employed for analysis. Results SLT received referrals for 66% (n=41) of all stroke admissions (n=62). Mean age was 68 years (SD+/-14), compared with 70 years (SD+/-14) for patients not referred. 65% were female and 35% male. Patients requiring SLT had significantly longer length of stay (p=0.0072). 83% of referrals were for communication, 12% dysphagia, and 5% inappropriate. Of communication referrals, primary diagnoses were as follows: 17.5% dysarthria (n=6), 26.5% dysphasia (n=9) and 56% CCD (n=19). Patients with dysphasia showed greater improvement in FIMFAM scores (x̄=1.3) than those with CCD (x̄=0.9) or dysarthria (x̄=0.7). Patients with CCD comprised the largest cohort who required SLT on discharge (68%). Conclusion CCDs are highly prevalent and represented the largest subtype of communication disorders in this cohort. FIMFAM scores appear useful in assessing CCDs however they display insufficient sensitivity in capturing change within this population. This audit highlights the need for further interdisciplinary research, education and training into cognitive-communication difficulties with post-stroke populations.

Speech-Language Pathology in Malaysia: Perspectives and Challenges

2019 ◽  
Vol 4 (5) ◽  
pp. 1162-1166 ◽  
Author(s):  
Shin Ying Chu ◽  
Elaine Shi Qing Khoong ◽  
Farah Najihah Mohamad Ismail ◽  
Abeer Muneer Altaher ◽  
Rogayah A. Razak
Keyword(s):  
Clinical Practice ◽  
Speech Language Pathology ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Speech Language Pathologist ◽  
International Collaborations ◽  
Language Pathology ◽  
Diverse Culture

Purpose Malaysia, with its diverse culture and multilingual population, presents a unique and interesting setting for working as a speech-language pathologist (SLP). This article discusses the challenges that SLPs face when providing speech and language therapy in Malaysia and issues that need to be addressed for continued growth of this profession. While providing suggestions to SLPs on methods to overcome the challenges faced and improve their clinical practice, this article also calls upon international collaborations in overcoming these challenges. Conclusions Within the last few decades, the SLP profession in Malaysia has continued to grow and develop as it seeks to offer services on par with countries where the profession is more established. However, there is still much room for improvement as Malaysia continues to overcome current challenges.

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