Family members' report on speech-language pathology and community services for persons with aphasia in Hong Kong

Kong, Anthony Pak‐Hin

doi:10.3109/09638288.2011.579220

Cited by 27 publications

(28 citation statements)

References 26 publications

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“…communication with health care professionals 4, 24, 26–28, 30–32, 34, 36–38, 41, 44–46, 48–50, 52, 57–60, 63, 64, 67, 73–75, 82, 83 – “It would have been nice to have somebody sit down with me and say this is what’s happened.” 31 …”

Section: Figurementioning

confidence: 99%

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Needs of Stroke Survivors as Perceived by Their Caregivers

Krishnan

Pappadis

Weller

et al. 2017

American Journal of Physical Medicine &Amp; Rehabilitation

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Objective Caregivers usually are not involved while planning the stroke survivor’s medical and rehabilitation goals and interventions. This review aimed to identify the needs of stroke survivors as perceived by their caregivers. Design A literature search from 2003 until 2014 was conducted using Medline, CINAHL, PsychINFO and Google Scholar. Sixty-six studies were included. Most studies excluded did not encompass caregivers’ perspectives. Four reviewers screened the titles, abstracts, and full texts of the articles for inclusion. The data extracted from these studies were synthetized into meta-themes. Results Fifty-two qualitative, ten quantitative survey, and four mixed methods studies were included in the final synthesis. The studies came from eleven countries. The data synthesis produced three meta-themes: a) body functional needs, including psychological function, physical function, cognitive function, and uncertainty related to function; b) activity and participatory needs, including healthy lifestyle, physical activities, speech, independence, cognitive activities, and uncertainty related to activities and participation; and c) environmental needs, encompassing support, services, safety, accommodation and accessibility, and uncertainty related to environmental factors. Conclusion This scoping review identified a range of needs of stroke survivors as perceived by their caregivers. Incorporating the caregiver’s preference and values into clinical decisions may improve outcomes among stroke survivors.

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Section: Figurementioning

confidence: 99%

“…family and friends 4, 9, 26, 28, 37, 40–42, 44, 49, 51, 52, 55–57, 61, 63, 64, 66, 68, 69, 71, 73, 74, 78, 80, 82 – “..She can’t really be lonely with the contacts she has with her family.” 26 …”

Section: Figurementioning

confidence: 99%

Needs of Stroke Survivors as Perceived by Their Caregivers

Krishnan

Pappadis

Weller

et al. 2017

American Journal of Physical Medicine &Amp; Rehabilitation

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“…More recently, an Australian survey found intensive therapy to be most common in the in-patient rehabilitation setting [7], despite evidence that intensive therapy is also effective for people with chronic aphasia [8,9]. In the Asian context, families of people with aphasia in Hong Kong have reported dissatisfaction with both in-patient and outpatient therapy services primarily due to insufficient duration of therapy [10].…”

Section: Introductionmentioning

confidence: 98%

Speech pathology services for people with aphasia: what is the current practice in Singapore?

Guo

Togher

Power

2013

Disability and Rehabilitation

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This research reveals several findings with considerable implications for practice planning and future direction in aphasia rehabilitation. There is a need for the development of locally relevant aphasia resources to enable comprehensive provision of aphasia services. In addition, further investigation is required to tackle the resource challenges faced by the profession and improve community support for people with aphasia. Implications for Rehabilitation Speech pathology services for aphasia in Singapore This article has identified the challenges of providing aphasia services in the Singapore context. Further investigation is required to address the key issues to improve aphasia services in Singapore. This includes developing locally relevant resources, looking at means like telerehabilition to tackle resource challenges, and improving community support for people with aphasia.

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“…One study from Hong Kong found that the family members of people with aphasia report that the frequency at which inpatient sessions were provided by speech pathologists was most commonly only once a week (27.0%) or once every month (16.2%), and most of these sessions were delivered in fewer than 30 minutes (67.7%; Kong, 2011).…”

Section: Please Scroll Down For Articlementioning

confidence: 98%

Turning the tide: Putting acute aphasia management back on the agenda through evidence-based practice

Foster¹,

Worrall²,

Rose³

et al. 2013

Aphasiology

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Background: The role of speech pathologists working in the acute hospital setting has evolved away from service provision to people with aphasia and their families towards a stronger focus on dysphagia. Evidence-based practice (EBP) can be conceptualised as the integration of four streams of evidence: research-based clinical evidence, clinical expertise, patient preferences and values, and the practice context. EBP is an important tenet in current healthcare. However, it is not clear whether speech pathologists in the acute setting are using EBP to support their aphasia management. Not adopting evidence-based approaches to care has the potential to result in a negative impact on people with aphasia and their families, healthcare services, and speech pathologists, who experience a sense of dissonance related to their current service provision This paper explores acute aphasia management through an EBP lens in an attempt to better understand this dilemma. Aims: This paper applies the conceptual framework of EBP to acute aphasia management. An extensive, systematically conducted review of the international literature relating to health professionals was undertaken. The findings are presented as a narrative literature review. Main Contribution: This paper describes and evaluates how the different streams of research evidence, clinical expertise, patient preferences and values, and the practice context contribute to speech pathologists' management of acute aphasia. Further, the paper identifies current gaps in the literature and suggests a research agenda for the field. Conclusions: Little is known about how speech pathologists integrate and implement the different streams of evidence in EBP, and how these contribute to acute aphasia practice. Speech pathologists report that clinical guidelines containing low-level evidence are the main source of research information. Other sources of knowledge include colleagues, professional development events, and websites. Additional challenges to the management of people with aphasia in the acute hospital setting may be posed by the physical environment, the culture of the acute hospital setting, and the provision of leadership to support evidence-based approaches to care. The challenge of using a person-centred approach to care for people with aphasia is acknowledged. Further research exploring speech pathologists' perceptions of their role in acute aphasia management, the clinical decision-making process of speech pathologists in relation to acute aphasia management, and the experiences of people with aphasia and their families in the acute setting is required. This will

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Family members' report on speech-language pathology and community services for persons with aphasia in Hong Kong

Cited by 27 publications

References 26 publications

Needs of Stroke Survivors as Perceived by Their Caregivers

Needs of Stroke Survivors as Perceived by Their Caregivers

Speech pathology services for people with aphasia: what is the current practice in Singapore?

Turning the tide: Putting acute aphasia management back on the agenda through evidence-based practice

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