End of Life

Toner, Mary Ann; Shadden, Barbara B.

doi:10.1097/tld.0b013e31825484e0

Cited by 17 publications

(4 citation statements)

References 9 publications

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“…The need for SLTs to justify their communication management role to other healthcare professionals could be considered representative of a healthcare system in which perceptions of palliative care vary across professionals and services. As the average lifespan increases, the palliative care sector is experiencing rapid changes in its patient type and service model (Toner & Shadden, 2012;O'Reilly & Walshe, 2015). In addition, misconceptions of when palliative care begins can lead to gaps between patients' needs and their actual access to palliative services -indeed, within the UK National Health Service (NHS), the demand for palliative care far outstrips the supply (Waldron et al, 2011).…”

Section: Pioneeringmentioning

confidence: 99%

Communication disorders in palliative care: investigating the views, attitudes and beliefs of speech and language therapists

Hawksley

Ludlow

Buttimer³

et al. 2017

Int J Palliat Nurs

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Speech and language therapists (SLTs) provide intervention for communication and swallowing to patients with life-limiting conditions, such as dementia and head and neck cancer. The role of the SLT in palliative care is difficult to define. Much is known about the clinical aspects of this role; however, little is known about the core values, beliefs and expectations of SLTs working in this sector, particularly with regard to their role in supporting patients' communication. Through a series of semi-structured interviews and a follow-up focus group, this report aimed to form a picture of the experiences and views of SLTs about their communication role in palliative care. Results suggest that SLTs are forging a self-identity in a sector that is itself constantly evolving, which causes difficulties in defining their role. Participants report that other health professionals have a poor understanding of the SLT's role. SLTs may benefit from palliative care-specific guidelines and increased interprofessional awareness of their role in order to become better integrated into the palliative care sector.

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Section: Pioneeringmentioning

confidence: 99%

Communication disorders in palliative care: investigating the views, attitudes and beliefs of speech and language therapists

Hawksley

Ludlow

Buttimer³

et al. 2017

Int J Palliat Nurs

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“…These patients received SLT services for about 6 days, although it was unclear from the data captured what specific services were provided during this time. As many of these would have been in the pre-active and active phases of dying (Toner & Shadden, 2012), the SLT's role in palliative and end-of-life care should be considered. Although there is clearly a role for SLTs in this context, there do not appear to be clear guidelines for practice (Chahda, Mathisen, & Carey, 2017;Toner & Shadden, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…As many of these would have been in the pre-active and active phases of dying (Toner & Shadden, 2012), the SLT's role in palliative and end-of-life care should be considered. Although there is clearly a role for SLTs in this context, there do not appear to be clear guidelines for practice (Chahda, Mathisen, & Carey, 2017;Toner & Shadden, 2012). As urged by Chahda et al (2017), goals were adjusted at the study institution following this research to focus on quality of life rather than on rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

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A retrospective review of speech-language therapy services provided to adult inpatients at a central-level hospital in Gauteng, South Africa

Stone

Hoosen

Hochfelden

et al. 2020

South African Journal of Communication Disorders

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Background The quadruple burden of disease (BoD) and multimorbidity reflected in South Africa’s public health sector challenges speech-language therapists (SLTs) to optimise patient management in this context. For planning and delivery of appropriate services, it is important to understand the profile of speech-language therapy (SLT) patients and the public healthcare services provided by SLTs. Objectives This study aimed to describe the prevalence of inpatient adult speech, language and swallowing disorders associated with various medical conditions and South Africa’s BoD, in addition to the target areas and duration of SLT interventions provided at a central public hospital. Method A retrospective review was conducted on records of 2549 adult inpatients who received SLT services between January 2014 and December 2015 at Chris Hani Baragwanath Academic Hospital. Data, including demographics, medical and SLT diagnoses, and treatment recommendations, were analysed using descriptive and inferential statistics. Results Non-communicable diseases (NCDs) were most prevalent (77.48%), with multimorbidity of BoD categories in 29.27% of patients. Cerebrovascular disease (CeVD) comprised 52.45% patients, with CeVD, traumatic brain injury, other neurological conditions, cancer and burns comprising 88.74% patients. More than a third of the patients with CeVD were < 56 years ( n = 486; 36.35%). Dysphagia (48.96%), aphasia (30.95%) and dysarthria (23.62%) were the most common, with 44.68% of patients having multiple SLT diagnoses. The number of SLT sessions significantly correlated with SLT comorbidity ( r s = 0.4200; p = 0.0000), but not BoD comorbidity ( r s = 0.0049; p = 0.8058). Conclusion Speech-language therapy patients reflected a heavy NCD burden and multimorbidity. Provision of SLT services should take into consideration a profile of increased complexity of medical conditions and SLT diagnoses.

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Facilitating End-of-Life Interaction Between Patients With Severe Communication Impairment and Their Families

2021

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Purpose The purpose of this report is to promote conversation among medical speech-language pathologists (SLPs) about their role in facilitating family–patient interaction involving patients who acutely encounter the end-of-life (EOL) phase and have severe communication impairment. Case Report We provide self-reflections from our own clinical practice, pertinent literature review, and medical chart review of a relevant patient to serve as a catalyst for such discussion. Reflections We share a preliminary handout containing strategies that SLPs could provide family members of patients who have encountered an EOL phase and have severe communication impairment (e.g., global aphasia) and reduced alertness level. Clinical Implications SLPs can play an important role in facilitating EOL patient–family interaction and alleviate suffering even when patients have severe communication impairment.

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End of Life

Cited by 17 publications

References 9 publications

Communication disorders in palliative care: investigating the views, attitudes and beliefs of speech and language therapists

Communication disorders in palliative care: investigating the views, attitudes and beliefs of speech and language therapists

A retrospective review of speech-language therapy services provided to adult inpatients at a central-level hospital in Gauteng, South Africa

Facilitating End-of-Life Interaction Between Patients With Severe Communication Impairment and Their Families

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