Alterations in communication. Biopsychosocial aspects of aphasia, dysarthria, and right hemisphere syndromes in the stroke patient.

Aphasia, dysarthria, and right hemisphere syndromes will be discussed from several vantage points which are important in facilitating the nurse's role in the work of the speech pathologist. General guidelines for determining whether a patient exhibits a communicative disorder and is in need of further diagnosis and treatment will be delineated. Communication suggestions for family and staff and a checklist of deficit areas will be offered. Additionally, a description of possible psychological reactions to the disorder and their effect on the patient and his social network will be provided.