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Managing communication disorders in stroke.

¹School of Nursing, University of Mississippi Medical Center, Jackson.

The Nursing Clinics of North America

|December 1, 1991

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Nurses assess communication disorders like dysphasias, dyspraxias, and dysarthrias after a stroke by evaluating language and speech functions. This assessment guides tailored interventions for patients and families.

Area of Science:

Neurology
Speech-Language Pathology
Nursing

Background:

Communication disorders, including dysphasias, dyspraxias, and dysarthrias, are common sequelae of stroke.
Effective nursing care necessitates a thorough understanding of normal language and speech systems.

Purpose of the Study:

To outline the nursing assessment process for identifying language and speech deficits post-stroke.
To guide the development of targeted nursing interventions based on assessment findings.

Main Methods:

Clinical assessment integrating patient history and physical examination to identify stroke location and neurological deficits.
Systematic evaluation of language functions: spontaneous speech, comprehension, reading, writing, naming, and repetition.
Assessment of speech motor function and cranial nerve integrity (VII, IX, X, XII).

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Main Results:

Identification of specific language and speech deficits resulting from stroke.
Delineation of intact communication functions.
Foundation for individualized patient and family care planning.

Conclusions:

Nursing assessment is crucial for diagnosing communication impairments after stroke.
Interventions should address environmental modifications, supportive behaviors, communication enhancement, and patient/family education.
A comprehensive assessment enables effective, patient-centered nursing care.