WORK OF A SPEECH AND LANGUAGE THERAPIST IN THE ACUTE PERIOD OF REHABILITATION

Authors

DOI:

https://doi.org/10.32782/health-2023.4.30

Keywords:

speech and language therapist, aphasia, rehabilitation, speech disorders, dysphagia, stroke

Abstract

A speech and language therapist plays a key role in the acute rehabilitation of patients with neurological diseases or brain injuries. The functional task during this period is to qualitatively assess and improve communication skills, including speaking, listening, reading, and writing. The therapist focuses on restoring and improving language functions, as well as developing strategies to overcome possible communication difficulties. Through individualized programs and innovative methods, the speech and language therapist helps patients regain the highest possible level of communicative independence, thereby improving their quality of life during rehabilitation. Our study analyzes the experience of several global scientific associations dealing with speech and language issues. The problems of their research on generalizing the practical and theoretical experience of working with patients with respiratory, swallowing, and communication disorders are described. The experience of foreign researchers and speech and language therapists in the intensive care unit in using a system of work with various problems in patients with brain damage or impaired brain function is also analyzed. The specialist interacts with other medical professionals, such as physicians, physiotherapists, and psychologists, to determine the individual needs of each patient. In addition, the specialist interacts with patients' families, providing them with the necessary knowledge and guidance to support the recovery process at home. His work contributes not only to physical recovery but also to the patient's psychosocial adaptation during this difficult period. The article theoretically analyzes the job responsibilities of a speech and language therapist in the healthcare sector and the relevance and importance of restoring speech and communication function in the acute rehabilitation period.

References

Зміни до Довідника кваліфікаційних характеристик професій працівників. Випуск 78 «Охорона здоров’я». Міністерство охорони здоров’я України. URL: https://moz.gov.ua/uploads/10/50415-dn_1769_10102023_dod.pdf (дата звернення: 27.11.2023).

Мухін В.М. Фізична реабілітація : підручник. 3-є вид., перероб. та доп. Київ : Олімп, л-ра, 2009. 488 с.

Самойлова І.В., Тельна О.А. Афазія : навчально-методичний посібник. Харків, 2021. 156 с.

Статистика інсультів в Україні. Центр реабілітації та відновлення після інсульту «Life-House». URL: https://life-house.ua/center/statystyka-insultiv-v-ukraini/ (дата звернення: 27.11.2023).

Типове положення про мультидисциплінарну реабілітаційну команду : Постанова Кабінету Міністрів України від 3 листопада 2021 р. № 1268. URL: https://zakon.rada.gov.ua/laws/show/1268-2021-%D0%BF#n262.

Adult Dysphagia. American Speech-Language-Hearing Association. web-site: https://www.asha.org/practice-portal/clinical-topics/adult-dysphagia/#collapse_2

Dilworth C. The role of the speech language pathologist in acute stroke. Ann Indian Acad Neurol. 2008 Jan;11(Suppl 1):S108–S118. PMID: 35721441; PMCID: PMC9204112.

Faculty of Intensive Care Medicine (FICM), & The Intensive Care Society (ICS). (2019). Guidelines for

Getting Started in Acute Inpatient Rehabilitation. American Speech-Language-Hearing Association. web-site: https://www.asha.org/slp/healthcare/start_acute_in/

McRae J, Montgomery E, Garstang Z, Cleary E. The role of speech and language therapists in the intensive care unit. J Intensive Care Soc. 2020 Nov;21(4):344–348. DOI: 10.1177/1751143719875687. Epub 2019 Sep 30. PMID: 34093737; PMCID: PMC8142103

Morris L.L., Bedon A.M., McIntosh E., & Whitmer A. (2015). Restoring speech to tracheostomy patients. Critical care nurse, 35(6), 13–28. DOI: 10.4037/ccn2015401

New Zealand Guidelines Group [homepage o the Internet] New Zealand: Life after stroke: the New Zealand Guidelines for the Management of Stroke;c; 2003. cited 2007 on Nov 1. Available from: http://www.nzgg.org.nz/

Royal College of Physicians, London: Intercollegiate Stroke Working Party [homepage on the Internet] 2nd Edition. London: National Clinical Guidelines for Stroke; c 2004 June. cited on 2007 Nov 2. Available from: http://www.rcplondon.ac.uk/pubs/books/stroke/

The Provision of Intensive Care Services (GPICS) Edition 2. Retrieved from https://www.ficm.ac.uk/sites/default/files/gpics-v2.pdf

Published

2023-12-13

Issue

Section

THERAPY AND REHABILITATION