A case for the implementation of cognitive-communication screenings in acute stroke

Document Type

Article

Publication Date

2-1-2014

Publication Title

American Journal of Speech-Language Pathology

ISSN

1058-0360

Volume

23

Issue/No.

1

First Page

4

Last Page

14

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. CONCLUSIONS: 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.

ORCID ID

0000-0002-4052-1431

DOI

10.1044/1058-0360(2013/11-0064)

Link to Full Text
Peer Reviewed

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