What's the acronym...
AAC
What is Augmentative and Alternative Communication.
Individual who sees client most frequently in acute care setting and should have plentiful training and support around communication strategies.
A nurse is trying to communicate with an individual who just had a stroke, has poor expressive skills, and an unreliable yes/no head shaking response.
What is inform the nurse about the communication skills of the client currently, and potential trends in days and weeks following. Discuss how they can communicate better (eye contact, simple language, pictures to go with what they are saying). Consider use of low-tech AAC (e.g., board with yes/no options).
Instituting policies and providing training and support for staff to use communication tools
What is Develop services, systems, and policies to support communication
Knowledge about communication disorders and individuals with complex communication needs.
What is Health care provider’s knowledge and skills.
ICF
What is International Classification of Functioning, Disability, and Health.
Individual who may need help learning strategies and using tools to deliver diagnosis and care information.
What is Physician.
What is assess physical environment, talk to daytime shift nurse about buzzer placement, have communication board with basic needs next to bedside so it is easy for client to point to what they need.
Understand the communication strengths and challenges of an individual by asking their spouse.
What is Collaborate effectively with carers, spouses, or parents.
People who can provide information on client preferences and help us get to know the client.
What is Family and Friends.
SEGUE
What is Set the stage, Elicit information, Give information, Understand the patient's perspective, and End the encounter.
Individual who may need help communicating safe sitting procedures to a client.
What is Occupational Therapist.
Family of individual with autism who is admitted to hospital express that they feel lots of responsibility for care in hospital, are unsure of their role.
Consider physical environment and access to communication board at bedside.
What is Ensure access to communication tools.
Background noise, poor lighting, and lack of signage.
What is Physical hospital environment.
SPIKES
What is Setting up the interview, assessing the patient Perception, obtaining the patient's Invitation, giving Knowledge and information, addressing the patient's Emotion with empathetic responses, Strategy and summary
Individual who works alongside S-LP with feeding restrictions, may need help communicating food preferences and thicknesses to client.
Dietician
Social worker is frequently checking in on adult patient who uses AAC to communicate, but refuses to use device while speaking with patient and directs conversation to family.
What is tell the social worker the importance of speaking directly to the client so they feel autonomy in their decision making, show them how to use the AAC device and create a new section for their interactions (easy to find buttons).
Writing out health information for client to present to other health care professionals.
What is Access to personally held written health information.
Ways that health care providers present themselves while communicating.
What is Attitudes of health care providers.
FRAME
You
What is Future SLP.
A physician is getting frustrated that client keeps speaking but does not understand what the doctor is saying to them. He leaves in a rush without consulting family.
What is consider talking to doctor about why they got frustrated, describing the communication qualities of the individual. Provide strategies and tell them to communicate with family there as well.
Teaching staff repair strategies, simple language, and direct communication.
What is Increasing the communicative competence of hospital staff.
Staff and caregiver training.
What is Health care services, systems, and policies.