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Cognitive-Communication Rehabilitation after Brain Injuries
1Speech Pathologist, Brown University Health, Providence, RI; Hasbro Children's Rehabilitation, Speech Pathology & Audiology, Providence, RI.
Abstract:
Speech-language pathologists (SLPs) provide communicative and cognitive rehabilitation for people with brain injuries, and this article describes current assessment and treatment after a brain injury. Cognitive problems can affect attention, concentration, and memory, as well as metacognitive skills to self-monitor, control, and adjust one's thinking. Speech-language pathology (SLP) rehabilitation is initiated in acute inpatient settings and then through a continuum of inpatient rehabilitation, skilled nursing facility, home care, and outpatient settings. Speech-language pathology helps adults with brain injury return to work; sports-related concussion care is provided in school settings. SLPs use assessment tools with normative comparisons to determine severity levels and treatment plans. Patient-centered approaches are used for assessment and treatment plans, to identify specific functional needs that may direct the treatment towards specific functional outcomes.
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