A Case for the Implementation of Cognitive-Communication Screenings in Acute Stroke

Document Type

Article

Publication Date

2014

Keywords

screening, rehabilitation, stroke, cognitive-communication, evidence-based practice

Digital Object Identifier (DOI)

https://doi.org/10.1044/1058-0360(2013/11-0064)

Abstract

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 description of the experiences of a family in which one member experienced right-hemispheric stroke. She uses systematic introspection to produce a narrative using literary techniques.

Results: The narrative illustrates the experiences of one family when one of their members has a right-hemisphere stroke, and cognitive-communication impairments are never formally identified by professionals involved in the patient's care.

Conclusion: The narrative is linked to the published literature and the importance of identifying and managing cognitive-communication impairments after stroke. A model of implementation science is presented as one way to consider the challenges clinicians face when attempting to implement evidence-based practices. The model and examples from other fields show avenues for further research.

Was this content written or created while at USF?

Yes

Citation / Publisher Attribution

American Journal of Speech-Language Pathology, v. 23, issue 1, p. 4-14

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