A case for the implementation of cognitive-communication screenings in acute stroke.

@article{Hinckley2014ACF,
  title={A case for the implementation of cognitive-communication screenings in acute stroke.},
  author={Jacqueline Hinckley},
  journal={American journal of speech-language pathology},
  year={2014},
  volume={23 1},
  pages={
          4-14
        }
}
  • J. Hinckley
  • Published 1 February 2014
  • Medicine
  • American journal of speech-language pathology
PURPOSE The purpose of this article was to illustrate the importance of the implementation of cognitive-communication screenings in acute stroke and to discuss the need for further research on whether and how these screenings are implemented. Cognitive-communication screenings after stroke are the subject of existing practice guidelines and are supported by accumulated evidence. METHOD The author uses an autoethnographic narrative--a tool founded in phenomenology--to provide an in-depth… 

Figures and Tables from this paper

Introducing the model of cognitive-communication competence: A model to guide evidence-based communication interventions after brain injury

The development of the model of cognitive-communication competence is described, a new model that summarizes a complex array of influences on communication to provide a holistic view of communication competence after ABI that could bridge evidence to practice.

The Cognitive-Communication Checklist for Acquired Brain Injury: A Means of Identifying, Recording, and Tracking Communication Impairments.

  • S. Macdonald
  • Medicine
    American journal of speech-language pathology
  • 2021
Evaluating the Cognitive-Communication Checklist for Acquired Brain Injury (CCCABI) through a survey supported the CCCABI as a clear, comprehensive, and accessible tool for education and identification of the communication impairments that can occur after ABI.

Management of communication disability in the first 90 days after stroke: a scoping review.

A coordinated, integrated approach to developing and testing acute and subacute interventions for all communication disabilities across all communication-related domains is required.

Social participation following right hemisphere stroke: influence of a cognitive-communication disorder

Changes in social participation following RH stroke occur across Occupational Activities, Interpersonal Relationships and Independent Living Skills for the majority of people and occur with greater frequency and degree where a CCD is present.

An exploration of nurses’ knowledge of right hemisphere stroke associated communication impairments

The research contributed to the current body of nursing science by identifying knowledge gaps of NC RNs on RHS associated communication impairments, barriers and facilitators to participation in RHS continuing education, and intended changes in care based on continuing education.

Implementation Science Research in Communication Sciences and Disorders: A Scoping Review.

Future IS research in CSD should adopt an implementation framework a priori and consider the broad range of implementation strategies and outcomes to support the uptake of research into typical practice settings.

American Speech-Language-Hearing Association Clinical Practice Guideline: Cognitive Rehabilitation for the Management of Cognitive Dysfunction Associated With Acquired Brain Injury.

This guideline includes one overarching evidence-based recommendation that addresses the management of cognitive dysfunction following ABI and 11 subsequent recommendations focusing on cognitive rehabilitation treatment approaches, methods, and manner of delivery.

The Screening Test for Aphasia and Dysarthria (STAD) for Patients with Neurological Communicative Disorders: A Large-Scale, Multicenter Validation Study in Japan

This short screening tool can be useful in specific contexts, such as in early bedside investigations, to obtain a quick summary of communicative function prior to the administration of other tests, and in cases where more in-depth testing is not feasible.

References

SHOWING 1-10 OF 66 REFERENCES

The piano lesson: An autoethnography about changing clinical paradigms in aphasia practice

Background : Managing the clinical relationship in the therapeutic process is a difficult issue to study, because it is based on cognitive knowledge as well as emotional processing. Addressing the

Evidence-based practice: an examination of its ramifications for the practice of speech-language pathology.

  • N. Ratner
  • Medicine, Psychology
    Language, speech, and hearing services in schools
  • 2006
EBP is a valuable construct in ensuring quality of care, however, bridging between research evidence and clinical practice may require us to confront potentially difficult issues and establish thoughtful dialogue about best practices in fostering EBP itself.

The impact of stroke practice guidelines on knowledge and practice patterns of acute care health professionals.

Evaluating changes in knowledge and practice following presentation of a lecture-based, educational programme about post-stroke rehabilitation guidelines found that doctors knew more about stroke rehabilitation than the non-doctors, both at the pre-test and follow-up.

Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002.

Implementing a client-centred approach in rehabilitation: an autoethnography

How client-centred practice was operationalized during a clinical trial of innovative goal-setting techniques was explored, and a starting point of ‘being with’ rather than ‘doing to’ may be beneficial for engaging people in their rehabilitation.

Prevalence and patterns of right hemisphere cognitive/communicative deficits: Retrospective data from an inpatient rehabilitation unit

Examination of frequency of occurrence of cognitive/ communicative deficits in adults with RHD establishes a basis for further discussion and exploration of RHD deficits and underlying impairments and provides initial prevalence information that can be used in education of new clinicians and as a rough benchmark for representativeness of research samples drawn from rehabilitation centres.

Screening Patients with Stroke for Rehabilitation Needs: Validation of the Post-Stroke Rehabilitation Guidelines

Many acute stroke patients had cognitive and perceptual deficits that were not documented in their charts, and these data support the Post-Stroke Rehabilitation Guidelines for systematic assessment even when deficits are not immediately apparent.

Screening for Cognitive Impairment in Patients with Acute Stroke

Formal brief assessment of cognitive deficits with tests not requiring motor capabilities in unselected patients with an acute cerebral ischemic event reveals widespread deficits.

Prediction of functional rehabilitation outcomes in clients with stroke

This study supports a systematic relationship between cognitive factors and functional outcome in Chinese patients with stroke and the utility of NCSE in stroke rehabilitation, such as its predictive validity in functional independence is suggested.
...