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ASSESSMENT PROTOCOL FOR ALTERNATIVE COMMUNICATION IN THE HOSPITAL SETTING

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Introduction: The introduction of Augmentative and Alternative Communication (AAC) to meet the needs of hospitalized patients can be challenging given the patient’s conditions, the type of resource to use, and the limitations of hospital space. Evaluation of these conditions is a fundamental part of work in AAC area and can count on the participation of occupational therapists. Objective: Describe the evaluation created by Occupational Therapists to assess different conditions for using AAC in the hospital setting. Methodology: A methodological study was conducted in a university hospital in Rio de Janeiro, Brazil. The evaluation tool was designed by researchers and substantiated by scientific literature. Then, it was submitted to analysis by three expert occupational therapists for validation of appearance and content, and pre-tested in a pilot study. Results: The evaluation comprised eight groups of related questions: 1. Patient personal and clinical data. 2. Information on communication difficulties. 3. Skills and difficulties. 4. Data on the available AAC type and number of symbols used, access form, positioning, and support needs. 5. Caring for the resource for prevention and control of Hospital Infections. 6. Occupational Therapist's Evaluation. 7. Patient and therapist’s choice of the most fitting resource and motivational factors. 8. Necessary conditions for the patient to use AAC resources. Conclusion: The assessment proved an essential tool in decision making of Occupational Therapists in AAC area in the hospital setting.

Author(s):

Miryam Pelosi    
Federal University of Rio de Janeiro
Brazil

Janaina Nascimento    
Federal University of Rio de Janeiro
Brazil

Vera Souza    
Federal University of Rio de Janeiro
Brazil

 

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