Annals of Indian Academy of Neurology
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Year : 2008  |  Volume : 11  |  Issue : 5  |  Page : 108-118

The role of the speech language pathologist in acute stroke


Royal Brisbane and Women's Hospital, Rural Stroke Outreach Service and Speech Pathology Department, Royal Brisbane and Women's Hospital, Queensland, Australia

Correspondence Address:
Cindy Dilworth
Rural Stroke Outreach Service, GARU, Rosemount, Cartwright Street, Windsor, Queensland, 4505.
Australia
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Source of Support: None, Conflict of Interest: None


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Dysphagia and communication impairment are common consequences of stroke. Stroke survivors with either or both of these impairments are likely to have poorer long-term outcomes than those who do not have them. Speech-language pathologists (SLP) play a significant role in the screening, formal assessment, management, and rehabilitation of stroke survivors who present with dysphagia and/or communication impairment. Early diagnosis and referral is critical, as is intensive intervention as soon as the patient is able to participate. The SLP is also responsible for educating carers and staff in strategies that can support the patient and for making appropriate environmental modifications (e.g. altering diet consistencies or providing information in an aphasia-friendly format) to optimize the stroke survivor's participation, initially, in the rehabilitation program and, subsequently, within the community.


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