Communication Partner Training - Thomson Rogers ?· behavioural issues ... • Communication issues…

  • Published on
    07-Jun-2018

  • View
    212

  • Download
    0

Embed Size (px)

Transcript

<ul><li><p>CommunicationPartnerTraining</p><p>PresentedbyJeanettePodolsky,SLPReg.CASLPOClinicalDirector</p><p>TheSpeechTherapyCentresofCanadajeanette@tstcc.ca</p></li><li><p>Inthebeginning Communicationissuesmaynotbeaddressedimmediately</p><p>followinganacquiredbraininjury Peopleinthehospitalsettingmayhavepain,mobilityand</p><p>behaviouralissues Complexcommunicationissuesmaybeinvisible Intheearlystageswemaybeawareofsomelanguageissues</p><p>(word finding)andnotlanguagefunctionswhichinvolvethedynamicnatureofcommunication</p><p> Communicationissuesbecomemoreobviouswhenmovingfrompatienttopersoninthecommunity</p><p> CommunicationissuesaffectthepersonwiththeABIANDcommunicationpartners</p><p> Communicationissuesneedtobeaddressedfromthebeginning</p></li><li><p>Incidence</p><p> SheilaMacDonald(2009) CommunicationDisordersareprevalentfollowingABIwithprevalenceratesashighas80%dependingonmeasuresused.</p><p> OBIAImpactReport(2012) 82%ofABIsurvivorshavetroublehavingconversationinagroup</p><p> 91%havetroublemakingdecisionssomeormostofthetime</p></li><li><p>Cognitivecommunicationataglance</p><p>AttentionOrientationMemory</p><p>OrganizationReasoningJudgmentAnalysis</p><p>ExecutiveFunctions</p><p>UnderstandingSpeakingReadingWriting</p><p>ConversationalInteraction</p><p>SocialCommunication</p><p>MacDonald,2009</p><p>CCD</p><p>Cognition Communication</p></li><li><p>Cognitivecommunicationchallenges</p><p>CognitivecommunicationchallengesofteninteracttoproducethemosttroublingobstaclestoACADEMIC,SOCIAL,and</p><p>VOCATIONALsuccess.</p><p>Togher, 2011SAFETY</p></li><li><p>Treatmentapproaches</p><p> TraintheindividualwithABI Traincommunicationpartners Trainbothconcurrently</p><p>Togher,2011</p><p>Inhospitalandathome</p></li><li><p>CommunicationPartnerTraining(CPT)</p><p>OT,PT,RSW,SLP,socialworker,doctor,volunteer,friend,familymember,nurse,etc Agoodpartnerhelpsperson(withABI)getthemessageacross</p><p> Communicationpartnertrainingmustbebuiltintoanyprogramwhetherinthehospitalorthehome</p><p>Togher,2011</p></li><li><p>CommunicationPartnerAssessmentandTraining</p><p>ModifiedTBIMSCBehaviouralGuidelines:Summary adaptedfromKagan et.al(2004;2001)</p><p> AcknowledgingCompetence RevealingCompetenceModifiedTBIMPCBehaviouralGuidelines:Summary adaptedfromKagan et.al(2004;2001)</p><p> Interaction Transaction</p><p>Togher,2011andTogher etal.2010</p></li><li><p>Acknowledgingcompetence</p><p> Naturaladulttalk appropriatetocontexte.g.socialchatvs.interview</p><p> Usestruequestionsratherthantestingquestions</p><p>Togher,2011andTogheret.al2010</p></li><li><p>Acknowledgingcompetence Feelandflowofnaturalconversation</p><p>notoververifying Toneofvoice Rateandenunciation Establishesequalleadershiprolesinthe</p><p>conversation Useofcollaborativetalk usemore</p><p>commentsandlessteachingmoments</p><p>AdaptedfromTogher,2011andTogheretal.2010</p></li><li><p>Acknowledgingcompetence</p><p> Showenthusiasmforpartnerscontribution Takeappropriateconversationalturns Demonstrateactivelisteningacknowledging,back channeling</p><p> Acknowledgecompetencewhenadultisfrustrated,acknowledgedifficulty</p><p>AdaptedfromTogher,2011andTogheretal.2010</p></li><li><p>Revealingcompetence</p><p>IN</p><p>OUT</p></li><li><p>RevealingcompetenceEnsurethatthepersonunderstands gettingthemessagein Givethepersontimetoprocesstheinformation Verbal</p><p> Short,simplesentences,repetition,noidioms Nonverbal</p><p> Gestures slightlyexaggerated Writing usekeywordstomaketopicconnections Yes/Nokeywords</p><p> Resources iPhone,computer,calendar,map Summarize</p><p>AdaptedfromTogher,2011andTogher et.al2010</p></li><li><p>RevealingcompetenceEnsuringthatthepersonhasameansofrespondinggettingthemessageout</p><p> Givethepersontimetorespond Allowforequalconversationalturns Encourageelaboration(open endedquestions) Maintainthetopicbyaddinginformation Createanappropriatecommunicationenvironmentmaps,</p><p>IPhone,penandpaper,computeretc.</p><p>AdaptedfromTogher,2011andTogheret.al2010</p></li><li><p>Othercommunicationtips</p><p> Uselaughter,chatting,joking Includefriends(mayincreaselanguagepotential)</p><p> Remindtheclientthatyouareintheconversationtogether</p><p> Shiftattentionsharepersonalinformation</p><p>Togher,2011</p></li><li><p>BenefitsofCommunicationPartnerTraining</p><p>TrainingeverydaycommunicationpartnersisanimportantcomplementarytreatmentforpeoplewithTBIandtheirfamiliestofacilitateandpromoteimprovedcommunicationoutcomes(Togher,2011)</p><p> Sharingofconversation(equalturntaking) Powertocommunicate Senseofcontrol Morefocusontheexchange Opportunitytogiveinformation(asopposedto</p><p>gettinginformation) IncreasedabilitytoPARTICIPATE</p></li><li><p>Whyisthisimportant?</p><p> SLPscantrainpeopletocreateanenvironment(regardlessoflevelofcommunicationdifficulty)wheretheindividualfeelsthathecanexpresshiswants,needs,opinionsandideas</p><p> Reducedpsychosocialdistressinfamilymembersresultinginfewerdemandsonsupportservicesinthelongterm(Togher et.al2004)</p><p> Theinteractionbetweendirectinterventionandpartnertrainingistheideal</p><p> Peopleinruralandunder servicedareascanbetrained bySLPs Canbeusedtotraincommunicationpartnersviatheweb</p><p>Togher,2011</p></li><li><p>Inconclusion</p><p>CommunicationPartnerTrainingisanessentialpartofatreatmentprogram Cooperationandenjoymentwillincrease ThisinturnpromotestheopportunityforcommunityreintegrationSLPsthroughCommunicationPartnerTraininghelpcreateaccesstosuccessful</p><p>living.</p></li><li><p>ReferencesMacDonald,Sh.(2009).Assessmentandtreatmentofcognitivecommunication</p><p>disorders(Level1):Evidencebasedpracticeandclinicalinsights.APostGraduateCourseforSpeech LanguagePathologists.Feb2009,Toronto.</p><p>TheOBIAImpactReport(2012):AStatisticalSnapshotofacquiredbraininjuryanditseffectsonsurvivorsandcaregivers.OntarioNeurotrauma Foundation.</p><p>Togher,L.,AdvancedPerspectivesonCommunication,ABIandEvidence BasedPractice,BrainstormingBrainInjuryConferenceDr.MarkYlvisaker HonoraryLecture.May2011</p><p>TogherL.,PowerE.,TateR.,MacDonaldSk..&amp;Rietdijk R.,(2010)Measuringthesocialinteractionsofpeoplewithtraumaticbraininjuryandtheircommunicationpartners:TheadaptedKagan scales,Aphasiology,24:68,914927,DOI:10.1080/02687030903422478</p><p>Togher,L.,MacDonald,Sk.,Code,C.,&amp;Grant,S.,(2004)Trainingcommunicationpartnersofpeoplewithtraumaticbraininjury:Arandomisedcontroltrial,Aphasiology,18:4,313335,DOI:10.1080/02687030344000535</p></li></ul>

Recommended

View more >