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1.
S Afr J Commun Disord ; 68(1): e1-e12, 2021 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-33764150

RESUMO

BACKGROUND: SARS-CoV-2 (COVID-19) has had a significant impact on every South African but more specifically healthcare professionals, including speech-language pathologists (SLPs). In response to the COVID-19 pandemic, South Africa implemented a nationwide lockdown as confirmed cases continued to rise. Understanding the impact of COVID-19 on SLPs has a three-fold purpose: to re-evaluate service provision, service delivery platforms and to identify the need for support to SLPs during a time of crisis. It is also crucial in guiding how policies and interventions need to be modified. OBJECTIVES: The study aimed to better understand how the workspace of SLPs in hospitals was impacted by COVID-19, how they experienced this process and the implications for them as healthcare professionals in both the private and public sector throughout South Africa. METHODOLOGY: An exploratory cross-sectional study design was used to meet the aims of the study. Thirty-nine SLPs from different provinces in South Africa, working in government and private hospitals during COVID-19, responded to the online survey. Results were analysed using descriptive statistics and thematic content analysis. RESULTS: SLPs' roles, responsibilities and service delivery were impacted by COVID-19. It was necessary for typical outpatient therapy services to be modified; there were changes to the role of the SLP in the hospital and inpatient services were curtailed. CONCLUSION: This study provides insightful information to SLPs employed in hospitals to know that they are experiencing similar challenges. It also confirms the resilience of healthcare professionals, including SLPs, when faced with novel and unprecedented situations.


Assuntos
Atitude do Pessoal de Saúde , Assistência à Saúde/organização & administração , Recursos Humanos em Hospital/psicologia , Patologia da Fala e Linguagem/organização & administração , Adulto , Comportamento Cooperativo , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Pandemias , Pesquisa Qualitativa , África do Sul/epidemiologia , Inquéritos e Questionários
2.
Am J Speech Lang Pathol ; 30(2): 503-516, 2021 03 26.
Artigo em Inglês | MEDLINE | ID: mdl-33689471

RESUMO

Purpose COVID-19 has shifted models of health care delivery, requiring the rapid adoption of telehealth, despite limited evidence and few resources to guide speech-language pathologists. Management of dysarthria presents specific challenges in the telehealth modality. Evaluations of dysarthria typically rely heavily on perceptual judgments, which are difficult to obtain via telehealth given a variety of technological factors such as inconsistencies in mouth-to-microphone distance, changes to acoustic properties based on device settings, and possible interruptions in connection that may cause video freezing. These factors limit the validity, reliability, and clinicians' certainty of perceptual speech ratings via telehealth. Thus, objective measures to supplement the assessment of dysarthria are essential. Method This tutorial outlines how to obtain objective measures in real time and from recordings of motor speech evaluations to support traditional perceptual ratings in telehealth evaluations of dysarthria. Objective measures include pause patterns, utterance length, speech rate, diadochokinetic rates, and overall speech severity. We demonstrate, through clinical case vignettes, how these measures were completed following three clinical telehealth evaluations of dysarthria conducted via Zoom during the COVID-19 pandemic. This tutorial describes how each of these objective measures were utilized, in combination with subjective perceptual analysis, to determine deviant speech characteristics and their etiology, develop a patient-specific treatment plan, and track change over time. Conclusion Utilizing objective measures as an adjunct to perceptual ratings for telehealth dysarthria evaluations is feasible under real-world pandemic conditions and can be used to enhance the quality and utility of these evaluations.


Assuntos
Disartria/terapia , Patologia da Fala e Linguagem/métodos , Telemedicina/métodos , /epidemiologia , Humanos , Pandemias , Inteligibilidade da Fala , Telemedicina/normas
3.
Am J Speech Lang Pathol ; 30(2): 740-747, 2021 03 26.
Artigo em Inglês | MEDLINE | ID: mdl-33734823

RESUMO

Purpose Youth with cochlear implants (CIs) are at risk for delays in verbal short-term memory (STM)/working memory (WM), which adversely affect language, neurocognitive, and behavioral outcomes. Assessment of verbal STM/WM is critical for identifying and addressing these delays, but standard assessment procedures require face-to-face (FTF) administration. The purpose of this study was to determine the feasibility and validity of remote testing methods (teleassessment) of verbal STM/WM in youth with CIs as a method of addressing COVID-19-related restrictions on FTF test administration. Method Tests of verbal STM/WM for nonwords, digit spans, letter-number sequences, sentences, and stories were individually administered by speech-language pathologists over a teleassessment platform to 28 youth (aged 9-22 years) with CIs and 36 same-aged normal-hearing peers. Examiners, parents, and participants completed quality and satisfaction ratings with the teleassessment procedure. Teleassessment scores were compared to results of tests obtained at FTF visits an average of 1.6 years earlier. Results Quality and satisfaction ratings for teleassessment were high and in almost all cases did not differ between the CI and normal-hearing samples. Youth with CIs scored lower than normal-hearing peers on measures of verbal STM/WM, and scores for digit span and letter-number sequencing did not differbetween teleassessment and FTF methods. Correlations across teleassessment and FTF visits were strong for digit span, letter-number sequencing, and sentence memory, but were more modest for nonword repetition. Conclusion With some caveats, teleassessment of verbal STM/WM was feasible and valid for youth with CIs.


Assuntos
Implantes Cocleares/psicologia , Memória de Curto Prazo , Percepção da Fala , Patologia da Fala e Linguagem/métodos , Telemedicina/métodos , Adolescente , Estudos de Casos e Controles , Criança , Implantes Cocleares/efeitos adversos , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pandemias
4.
Am J Speech Lang Pathol ; 30(2): 532-550, 2021 03 26.
Artigo em Inglês | MEDLINE | ID: mdl-33555933

RESUMO

Purpose Our aim was to critically review recent literature on the use of telehealth for dysphagia during the COVID-19 pandemic and enhance this information in order to provide evidence- and practice-based clinical guidance during and after the pandemic. Method We conducted a rapid systematized review to identify telehealth adaptations during COVID-19, according to peer-reviewed articles published from January to August 2020. Of the 40 articles identified, 11 met the inclusion criteria. Full-text reviews were completed by three raters, followed by qualitative synthesis of the results and description of practical recommendations for the use of telehealth for dysphagia. Results Seven articles were guidelines articles, three were editorials, and one was a narrative review. One article focused on telehealth and dysphagia during COVID-19. The remaining 10 mentioned telehealth in varying degrees while focusing on dysphagia management during the pandemic. No articles discussed pediatrics in depth. The most common procedure for which telehealth was recommended was the clinical swallowing assessment (8/11), followed by therapy (7/11). Six articles characterized telehealth as a second-tier service delivery option. Only one article included brief guidance on telehealth-specific factors, such as legal safeguards, safety, privacy, infrastructure, and facilitators. Conclusions Literature published during the pandemic on telehealth for dysphagia is extremely limited and guarded in endorsing telehealth as an equivalent service delivery model. We have presented prepandemic and emerging current evidence for the safety and reliability of dysphagia telemanagement, in combination with practical guidelines to facilitate the safe adoption of telehealth during and after the pandemic.


Assuntos
Transtornos de Deglutição/terapia , Patologia da Fala e Linguagem/métodos , Telemedicina/métodos , Adulto , Pré-Escolar , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/reabilitação , Humanos , Pandemias , Pediatria/métodos
5.
Am J Speech Lang Pathol ; 30(2): 598-608, 2021 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-33555954

RESUMO

Purpose The COVID-19 pandemic has drastically increased the use of telehealth. Prior studies of telehealth clinical swallowing evaluations provide positive evidence for telemanagement of swallowing. However, the reliability of these measures in clinical practice, as opposed to well-controlled research conditions, remains unknown. This study aimed to investigate the reliability of outcome measures derived from clinical swallowing tele-evaluations in real-world clinical practice (e.g., variability in devices and Internet connectivity, lack of in-person clinician assistance, or remote patient/caregiver training). Method Seven raters asynchronously judged clinical swallowing tele-evaluations of 12 movement disorders patients. Outcomes included the Timed Water Swallow Test (TWST), Test of Masticating and Swallowing Solids (TOMASS), and common observations of oral intake. Statistical analyses were performed to examine inter- and intrarater reliability, as well as qualitative analyses exploring patient and clinician-specific factors impacting reliability. Results Forty-four trials were included for reliability analyses. All rater dyads demonstrated "good" to "excellent" interrater reliability for measures of the TWST (intraclass correlation coefficients [ICCs] ≥ .93) and observations of oral intake (≥ 77% agreement). The majority of TOMASS outcomes demonstrated "good" to "excellent" interrater reliability (ICCs ≥ .84), with the exception of the number of bites (ICCs = .43-.99) and swallows (ICCs = .21-.85). Immediate and delayed intrarater reliability were "excellent" for most raters across all tasks, ranging between ICCs of .63 and 1.00. Exploratory factors potentially impacting reliability included infrequent instances of suboptimal video quality, reduced camera stability, camera distance, and obstruction of the patient's mouth during tasks. Conclusions Subjective observations of oral intake and objective measures taken from the TWST and the TOMASS can be reliably measured via telehealth in clinical practice. Our results provide support for the feasibility and reliability of telehealth for outpatient clinical swallowing evaluations during COVID-19 and beyond. Supplemental Material https://doi.org/10.23641/asha.13661378.


Assuntos
Transtornos de Deglutição/terapia , Deglutição/fisiologia , Patologia da Fala e Linguagem/métodos , Telemedicina/métodos , Idoso , Idoso de 80 Anos ou mais , Transtornos de Deglutição/etiologia , Feminino , Humanos , Doença por Corpos de Lewy/complicações , Masculino , Pessoa de Meia-Idade , Atrofia de Múltiplos Sistemas/complicações , Pandemias , Doença de Parkinson/complicações , Estudos Prospectivos , Telemedicina/normas
6.
Semin Speech Lang ; 42(1): 73-84, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33596606

RESUMO

Many speech-language pathologists (SLPs) recently adopted a live, synchronous online distribution of clinical services due to physical distancing measures aimed at bringing the coronavirus disease 2019 (COVID-19) outbreak under control. Few SLPs had received training in telepractice to prepare them for changes from an in-person service delivery model to synchronous telepractice. The new telepractice environment may alter vocal behaviors and communication interactions in such a way that negatively impacts voice production. Thus, delivering synchronous online clinical services may require that SLPs adopt novel prevention strategies for avoiding phonogenic voice problems. Guided by two complementary injury frameworks, the Haddon Matrix and the Haddon Countermeasures, this article provides an overview of potential factors associated with phonogenic voice problems among SLPs in telepractice and proposes possible prevention strategies to maintain optimal vocal health and function with synchronous modes of online clinical practice.


Assuntos
Comunicação , Doenças Profissionais/diagnóstico , Doenças Profissionais/prevenção & controle , Transtorno Fonológico/diagnóstico , Transtorno Fonológico/prevenção & controle , Patologia da Fala e Linguagem , Telerreabilitação , /complicações , Humanos , Intervenção Baseada em Internet , Fatores de Risco , Qualidade da Voz
7.
Codas ; 32(6): e20190167, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-33206773

RESUMO

PURPOSE: To verify the effects of the Speech-Language Intervention with Augmentative and Alternative Communication (AAC) in communicative acts in children with Autism Spectrum Disorder (ASD). METHOD: This is a longitudinal case-study design involving three subjects attended in a Speech-Language Pathology (SLP) Clinic School. Primary data were obtained from the observation of recorded videos of pre and post-intervention therapist assessment sessions with each child in play activities, while secondary data come from interviews with parents. The analysis was performed based on the Pragmatic Test of the Infant Language Test - ABFW, through observational recordings, aiming to identify and quantify the communicative acts. RESULTS: It was possible to observe a 51.47% increase in the production of communicative acts in the three research subjects. In addition, it was found that there was higher quality in the acts produced, using more present verbal components and decreased acts that had non-interpersonal functions, such as gestures and vocal acts. Thus, there was an evolution in the functional language of the subjects. CONCLUSION: The use of Augmentative and Alternative Communication in the SLP therapy clinic is promising and effective in promoting the development of communication skills of individuals with ASD.


Assuntos
Transtorno do Espectro Autista , Auxiliares de Comunicação para Pessoas com Deficiência , Transtornos da Comunicação , Patologia da Fala e Linguagem , Criança , Comunicação , Humanos , Lactente , Testes de Linguagem
8.
Rev. chil. fonoaudiol. (En línea) ; 19: 1-10, nov. 2020. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1148403

RESUMO

A nivel internacional se propone un mínimo de un profesional fonoaudiólogo por cada diez camas críticas o más, dependiendo de la complejidad de cada institución. En Chile no existen lineamientos similares, no obstante, el Ministerio de Salud ha generado recomendaciones para el cálculo de la brecha profesional según número y complejidad de las camas hospitalarias. El objetivo de este estudio es estimar el número de fonoaudiólogos y horas de contratación teóricas requeridas para la atención de pacientes adultos hospitalizados en instituciones públicas de alta complejidad en Chile. Para ello se realizó un estudio descriptivo, observacional, transversal. Se incluyeron todos los hospitales públicos de alta complejidad del país, excluyendo aquellos pediátricos y psiquiátricos. Como instrumentos se utilizaron el documento "Modelo de Gestión Red de Rehabilitación" del Ministerio de Salud, la base de datos actualizada del total de camas de la red hospitalaria y el software Microsoft Excel. El estudio fue aprobado por Comité Ético Científico del Hospital San Juan de Dios. En total 59 de 188 hospitales existentes en Chile fueron incluidos. De acuerdo con el análisis realizado basado en el número de camas en Chile, se requieren aproximadamente 269 fonoaudiólogos contratados 44 horas semanales para la atención de pacientes adultos en hospitales de alta complejidad. De ellos 104 se ubican en la Región Metropolitana; alrededor de 31 en la Región del BíoBío y cerca de 24 en la Región de Valparaíso. Se sugiere la revisión de las orientaciones ministeriales y la realización de un segundo estudio sobre la brecha profesional existente en Chile con los datos obtenidos.


International institutions have suggested one Speech and Language Therapist per ten critical beds, and possibly even more forhigh-complexity institutions. However, there are no similar recommendations in Chile, although the Ministry of Health has developed recommendations to calculate the number of professionals required according to the number and type of clinical bed. The aim of this study is to describe the number of Speech and Language Therapists along with the number of theorical working hours per week required for the attention of hospitalised adult patients in high-complexity hospitals in Chile, for which a descriptive, observational and transversal study was performed. High-complexity hospitals were included, excluding psychiatric and paediatric institutions. Microsoft Excel, the "Modelo de Gestión Red de Rehabilitación" guideline from the Ministry of Health, and the updated database of the clinical network beds were also used. This study was previously approved by a Research Ethics Committee from Hospital San Juan de Dios, and a total of 59 out of 188 hospitals were included. According to the analysis based on features of the clinical beds, 269 Speech and Language Therapists are required for 44 hours per week to attend adult patients in high-complexity hospitals across the country. Of the 269 professionals, 104 are needed in the Metropolitan region, approximately 31 in the Bío-Bío region and circa 24 in the Valparaíso region. According to these results, it is suggested the Ministry review its guidelines and undertake a further project in order to identify the current professional gap in Chile.


Assuntos
Humanos , Patologia da Fala e Linguagem/estatística & dados numéricos , Atenção à Saúde , Fonoaudiologia/estatística & dados numéricos , Mão de Obra em Saúde/organização & administração , Planejamento Hospitalar , Chile , Estudos Transversais , Planejamento Sanitário , Instalações de Saúde , Mão de Obra em Saúde/estatística & dados numéricos , Diretrizes para o Planejamento em Saúde , Administração Hospitalar , Hospitais/estatística & dados numéricos
9.
Codas ; 32(5): e20190102, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-33053086

RESUMO

PURPOSE: To analyze the perception of professionals constituting Family Health Support Centers (FHSC) of a capital in the South Region of Brazil regarding the role of speech-language therapy professionals in primary care (PC). METHOD: This is a qualitative, observational cross-sectional study. All professionals constituting the FHSC who voluntarily agreed to collaborate with the research participated in this study. A semi-structured questionnaire was applied containing information about the professional profile and activities developed in PC. RESULTS: Health professionals perform actions that would allow for the joint participation of speech-language therapy professionals, since this category is not contemplated in the staff members that constitute the municipality team analyzed. According to the questionnaire, referrals to speech-language therapy professionals are mainly related children issues with speech and language. Little knowledge on the contribution of speech-language sciences regarding interdisciplinary actions was found. CONCLUSION: The participants of this study demonstrated a reductionist perception regarding speech-language sciences in PC. In addition, the actions performed by the professionals of this study are directed towards what the speech-language professional could contribute instead. Further studies could demonstrate the benefits that speech-language professionals can provide to the activities performed.


Assuntos
Saúde da Família , Patologia da Fala e Linguagem , Brasil , Criança , Estudos Transversais , Humanos , Atenção Primária à Saúde , Fala
10.
Annu Int Conf IEEE Eng Med Biol Soc ; 2020: 6111-6114, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-33019365

RESUMO

This study describes a fully automated method of expressive language assessment based on vocal responses of children to a sentence repetition task (SRT), a language test that taps into core language skills. Our proposed method automatically transcribes the vocal responses using a test-specific automatic speech recognition system. From the transcriptions, a regression model predicts the gold standard test scores provided by speech-language pathologists. Our preliminary experimental results on audio recordings of 104 children (43 with typical development and 61 with a neurodevelopmental disorder) verifies the feasibility of the proposed automatic method for predicting gold standard scores on this language test, with averaged mean absolute error of 6.52 (on a observed score range from 0 to 90 with a mean value of 49.56) between observed and predicted ratings.Clinical relevance-We describe the use of fully automatic voice-based scoring in language assessment including the clinical impact this development may have on the field of speech-language pathology. The automated test also creates a technological foundation for the computerization of a broad array of tests for voice-based language assessment.


Assuntos
Patologia da Fala e Linguagem , Voz , Criança , Humanos , Idioma , Desenvolvimento da Linguagem , Testes de Linguagem
11.
Am J Speech Lang Pathol ; 29(4): 2242-2253, 2020 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-32960646

RESUMO

Purpose Speech-language pathologists are playing a crucial role in the assessment and management of patients infected with severe acute respiratory syndrome coronavirus 2. Our goal was to synthesize peer-reviewed literature and association guidelines from around the world regarding dysphagia assessment and management for this specific population. Method A review of publications available in the PubMed database and official guidelines of international groups was performed on May 23, 2020. The information was synthesized and categorized into three content areas for swallowing: clinical evaluation, instrumental assessment, and rehabilitation. Results Five publications were identified in the PubMed database. Following title, abstract, and full-text review, only three publications met inclusion criteria: two reviews and one narrative report. Additionally, 19 international guidelines were reviewed. To assess swallowing, a modified clinical evaluation was recommended and only following a risk assessment. Instrumental assessments were often considered aerosol generating, especially transnasal procedures such as endoscopy and manometry. For this reason, many associations recommended that these examinations be performed only when essential and with appropriate personal protective equipment. Guidelines recommended that intervention should focus on compensatory strategies, including bolus modification, maneuvers/postural changes, and therapeutic exercises that can be conducted with physical distancing. Respiratory training devices were not recommended during rehabilitation. Conclusions International associations have provided extensive guidance regarding the level of risk related to the management of dysphagia in this population. To date, there are no scientific papers offering disease and/or recovery profiling for patients with dysphagia and coronavirus disease 2019. As a result, research in this area is urgently needed.


Assuntos
Infecções por Coronavirus/complicações , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/terapia , Pneumonia Viral/complicações , Betacoronavirus , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/reabilitação , Humanos , Pandemias , Medição de Risco , Patologia da Fala e Linguagem
12.
Am J Speech Lang Pathol ; 29(4): 1821-1832, 2020 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-32946270

RESUMO

Purpose Severe acute respiratory syndrome coronavirus 2 is the virus resulting in COVID-19 infections in nearly 4.3 million Americans with COVID-19 in the United States as of July 29, 2020, with nearly 150,000 deaths and hundreds of thousands of survivors (https://www.coronavirus.jhu.edu/map.html). This tutorial reviews (a) what has been reported about neurological insults in cases of COVID-19 infection, (b) what is known from similar conditions in other disorders, and (c) how that combined information can inform clinical decision making. Method PubMed and the Cochrane Central Register of Controlled Trials were searched for COVID-19 or other coronavirus infections, cognitive impairment observed following critical care, and disorders for which intermittent or chronic hypoxia is characteristic. These were combined with searches relating to cognition, brain, and communication. All searches were conducted between April 8 and May 23, 2020. Meta-analyses and randomized clinical trials addressing other critical illnesses were also included to extend findings to potential cognitive communication outcomes following COVID-19. Results COVID-19 infection results in a combination of (a) respiratory infection with mechanical ventilation secondary to inadequate oxygenation, (b) inflammatory system reactivity, and (c) increased blood clotting factors. These affect central nervous system function incurring long-term cognitive communication impairment in a proportion of survivors. Diagnostic and intervention approaches for such impairments are discussed. Conclusions The existing literature on cognitive sequela of COVID-19 infection is small to date, but much can be learned from similar viral infections and disorders. Although COVID-19 is novel, the speech-language pathology approaches to evaluation and intervention of other populations of critical care patients are applicable. However, speech-language pathologists have not routinely been involved in these patients' acute care. As such, this is a call to action to speech-language pathologists to address the unprecedented numbers of patients who will need their services early in the disease process and throughout recovery.


Assuntos
Disfunção Cognitiva/etiologia , Transtornos da Comunicação/etiologia , Infecções por Coronavirus/complicações , Pneumonia Viral/complicações , Patologia da Fala e Linguagem , Betacoronavirus , Disfunção Cognitiva/reabilitação , Transtornos da Comunicação/reabilitação , Delírio/etiologia , Delírio/reabilitação , Humanos , Hipóxia/etiologia , Pandemias , Papel Profissional , Respiração Artificial/efeitos adversos , Trombofilia/etiologia
13.
Int J Pediatr Otorhinolaryngol ; 138: 110318, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32871515

RESUMO

OBJECTIVE: To study whether providing Speech and Language Pathology (SLP) interventions by telepractice (TP) could effectively improve speech performance in children with cleft palate (CCP). METHODS: Forty-three CCP were treated with TP intervention in 45 min sessions, 2 times per week for a period of one month. Children ages ranged 4-12 years (X = 7.04; SD = 2.59). All children presented with velopharyngeal insufficiency (VPI) and compensatory articulation (CA) after palatal repair. TP was provided in small groups (5-6 children) following the principles of the Whole Language Model (WLM). Severity of CA was evaluated by a standardized scale at the onset and at the end of the TP period. RESULTS: At the onset of the TP intervention period, 84% of the patients demonstrated severe CA. At the end of the TP period there was a significant improvement in severity of CA (p < 0.001). CONCLUSION: The results of this study suggests that TP can be a safe and reliable tool for improving CA. Considering that the COVID-19 pandemic will radically modify the delivery of Health Care services in the long term, alternate modes of service delivery should be studied and implemented.


Assuntos
Betacoronavirus , Fissura Palatina , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Fonoterapia , Patologia da Fala e Linguagem , Criança , Pré-Escolar , Fissura Palatina/complicações , Humanos , Fonoterapia/métodos , Patologia da Fala e Linguagem/métodos , Insuficiência Velofaríngea/etiologia , Insuficiência Velofaríngea/fisiopatologia
16.
S Afr J Commun Disord ; 67(1): e1-e6, 2020 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-32787417

RESUMO

In the era of coronavirus disease 2019 (COVID-19), many healthcare professionals are being faced with the question of what is considered to be an essential service. This opinion paper has attempted to answer this complex question by understanding the potential relationship between dysphagia and COVID-19 and how speech-language therapists (SLTs) in South Africa should tackle this. It also aims to answer the question through the lens of a risk-benefit discussion based around practices and decision-making. Important gaps in the field relating to how SLT practices need to move forward during this challenging time have also been highlighted. Reflective questions that can assist SLTs when seeing dysphagia cases have been provided.


Assuntos
Infecções por Coronavirus/prevenção & controle , Transtornos de Deglutição/terapia , Pessoal de Saúde/psicologia , Terapia da Linguagem/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Fonoterapia/psicologia , Patologia da Fala e Linguagem , Atitude do Pessoal de Saúde , Betacoronavirus , Humanos , Medição de Risco , África do Sul
18.
Am J Speech Lang Pathol ; 29(4): 1850-1865, 2020 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-32692584

RESUMO

Purpose This document outlines initial recommendations for speech-language pathology management of adult patients with COVID-19 in the acute hospital setting. Method The authors initially developed these recommendations by adapting those developed for physical therapists working with patients with COVID-19 by Thomas et al. (2020). The recommendations then underwent review by 14 speech-language pathologists and rehabilitation-focused academics representing seven countries (Belgium, Brazil, Canada, Ireland, Japan, New Zealand, the United States). The authors consolidated and reviewed the feedback in order to decide what should be included or modified. Applicability to a global audience was intended throughout the document. Results The authors had 100% agreement on the elements of the recommendations that needed to be changed/modified or added. The final document includes recommendations for speech-language pathology workforce planning and preparation, caseload management, service delivery and documentation, as well as recommendations for the selection of appropriate personal protective equipment and augmentative and alternative communication equipment in the acute care hospital setting. Conclusions Speech-language pathologists play a critical role in the assessment, management, and treatment of patients with COVID-19. Several important considerations need to be made in order to meet the needs of this unique patient population. As more is learned about the impact of the virus on swallowing and communication, the role of the speech-language pathologist on interdisciplinary care teams will remain paramount.


Assuntos
Infecções por Coronavirus/reabilitação , Pneumonia Viral/reabilitação , Patologia da Fala e Linguagem/organização & administração , Betacoronavirus , Consenso , Infecções por Coronavirus/terapia , Humanos , Pandemias , Pneumonia Viral/terapia
19.
Int J Pediatr Otorhinolaryngol ; 138: 110262, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32705994

RESUMO

Recently, a novel virus has spread worldwide causing the disease called COVID-19. In addition to putting people's lives at risk and causing mortality, various problems have occurred due to the negative effects of the COVID-19 pandemic. Quarantine, social distancing, and the obligation to use protective tools have led to sometimes long term closing of various jobs and services, including rehabilitation services. For instance, the disease has interrupted the provision of Speech-Language Pathology (SLP) services to children due to the need for face-to-face communication between Speech and Language Pathologists (SLPs) and children during the evaluation and treatment processes. Therefore, here, we described the quality of providing SLP services during the COVID-19 pandemic and the negative effects of the disease on the provision of SLP services. In addition, we made an attempt to explain concerns and problems raised by the families, the importance of providing SLP services during the critical period of speech and language development, telepractice services, the roles of speech-language-hearing related scientific associations, and the roles of SLPs during the outbreak of COVID-19.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Transtornos da Linguagem/terapia , Pandemias , Pneumonia Viral , Patologia da Fala e Linguagem , Criança , Comunicação , Transtornos da Comunicação , Humanos , Fala
20.
Am J Speech Lang Pathol ; 29(3): 1320-1334, 2020 08 04.
Artigo em Inglês | MEDLINE | ID: mdl-32525695

RESUMO

Purpose As the COVID-19 pandemic has unfolded, there has been growing recognition of risks to frontline health care workers. When caring for patients with tracheostomy, speech-language pathologists have significant exposure to mucosal surfaces, secretions, and aerosols that may harbor the SARS-CoV-2 virus. This tutorial provides guidance on practices for safely performing patient evaluation and procedures, thereby reducing risk of infection. Method Data were collated through review of literature, guidelines, and consensus statements relating to COVID-19 and similar high-consequent infections, with a focus on mitigating risk of transmission to health care workers. Particular emphasis was placed on speech-language pathologists, nurses, and other allied health professionals. A multinational interdisciplinary team then analyzed findings, arriving at recommendations through consensus via electronic communications and video conference. Results Reports of transmission of infection to health care workers in the current COVID-19 pandemic and previous outbreaks substantiate the need for safe practices. Many procedures routinely performed by speech-language pathologists have a significant risk of infection due to aerosol generation. COVID-19 testing can inform level of protective equipment, and meticulous hygiene can stem spread of nosocomial infection. Modifications to standard clinical practice in tracheostomy are often required. Personal protective equipment, including either powered air-purifying respirator or N95 mask, gloves, goggles, and gown, are needed when performing aerosol-generating procedures in patients with known or suspected COVID-19 infection. Conclusions Speech-language pathologists are often called on to assist in the care of patients with tracheostomy and known or suspected COVID-19 infection. Appropriate care of these patients is predicated on maintaining the health and safety of the health care team. Careful adherence to best practices can significantly reduce risk of infectious transmission.


Assuntos
Betacoronavirus , Infecções por Coronavirus/terapia , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pneumonia Viral/terapia , Patologia da Fala e Linguagem/normas , Traqueostomia/normas , Consenso , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Humanos , Comunicação Interdisciplinar , Cooperação Internacional , Pandemias , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Guias de Prática Clínica como Assunto
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