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Updated: May 22, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Safety considerations for patients with communication disorders in rehabilitation medicine settings
Adrian Cristian1, Claudia Giammarino, Michael Olds
1Department of Rehabilitation Medicine, Kingsbrook Rehabilitation Institute, Kingsbrook Jewish Medical Center, 585 Schenectady Avenue, Brooklyn, NY 11203, USA. acristian@kingsbrook.org
Abstract:
Communication barriers can pose a significant safety risk for patients. Individuals in a communication-vulnerable state are commonly seen in rehabilitation settings. These patients cannot adequately communicate their symptoms, wants, and needs to providers. Causes of communication barriers include neurologic impairments, such as stroke, cerebral palsy, and Parkinson disease, and language barriers. The ability of clinicians to adequately diagnose, treat, and monitor these patients is also hindered. This article identifies key communication barriers and strategies that clinicians can use to effectively communicate with these patients.
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