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Speech pathologists' current practice with cognitive-communication assessment during post-traumatic amnesia: a
Joanne Steel1, Alison Ferguson, Elizabeth Spencer
1Speech Pathology, The University of Newcastle, Newcastle, NSW 2308, Australia. joanne.steel@uon.edu.au
Brain Injury
|June 14, 2013
Summary
Speech pathologists assess adults in post-traumatic amnesia (PTA) using observational methods, with formal assessments upon emergence. Their expertise guides cognitive-communication strategies during PTA, highlighting a need for further research.
Area of Science:
- Neurology
- Speech-Language Pathology
Background:
- Post-traumatic amnesia (PTA) significantly impacts cognitive-communication abilities.
- Speech pathologists play a crucial role in managing these deficits within multidisciplinary teams.
Purpose of the Study:
- To explore current practices of speech pathologists working with adults in PTA.
- To understand assessment and intervention strategies employed during the PTA phase.
Main Methods:
- An online survey was distributed to speech pathologists with experience in PTA.
- Forty-five professionals responded, providing insights into their clinical approaches.
Main Results:
- Most speech pathologists (78%) utilize informal, observational assessments during PTA, initiating formal evaluations upon emergence.
- A minority (19%) reported no assessment during PTA.
- Clinicians employ diverse methods, including static, dynamic, functional, and impairment-based techniques, to monitor cognitive-communication.
Conclusions:
- Speech pathologists are integral to PTA care, particularly in family education and interdisciplinary communication.
- Assessment decisions during PTA are largely based on clinician experience and workplace culture.
- Further research is warranted on cognitive-communication disorders and their recovery trajectory in PTA.
